ASSESSMENT PATHOPHYSIOLOGY OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Px: Communication, A thyroidectomy is STO: Dx: STO:

verbal impaired the partial or After 3 hours Goal will be
complete removal of nursing > Assess energy >Fatigue and/or met if patient will
Subjective: of the thyroid interventions the level. shortness of breath be able to
gland. Partial patient will be can make establish method of
“nahihirapan akong
thyroidectomy able to establish communication communication in
magsalita” (lobectomy) is method of difficult or which needs can be
used to treat communication in impossible. understood.
Objectives:
individual, this needs can be > Assess for
>Difficulty localized nodules understood. presence and > Patients who are
or tumors, whereas history of dyspnea. experiencing
vocalizing words
complete (total) breathing problems
>Unable to speak thyroidectomy may may reduce or cease
be performed in verbal
>difficulty
cases of thyroid communication that
expressing thoughts enlargement, may complicate
metabolic > Assess speech their respiratory
verbally
dysfunction, and periodically efforts.
>refusal to speak primary cancer of
the thyroid. > Hoarseness and
>Difficulty of
A safe procedure, sore throat may
forming words or
a Thyroid Surgery occur secondary to
sentences.
generally has no tissue
>Use of non- verbal complications or edema or surgical
cues. side effect; apart Tx: damage to recurrent
from some swelling laryngeal nerve
Ax: and discomfort >Anticipate patient and may last
that is which are needs and pay several days.
Communication, expected after any attention to
impaired verbal may surgery procedure. nonverbal cues.
be related to Pain and stiffness
Vocal cord of the neck are >The nurse should
injury/laryngeal also common during set aside enough
nerve damage, the recovery time to attend to
Tissue edema; period, which can all of the details
pain/discomfort be anywhere from >Place important of patient care.
2-3 weeks. During objects within Care measures may
the recovery reach. take longer to
period, difficulty complete in the
while speaking, >Keep communication presence of a
hoarse voice, an simple; ask yes/no communication
irritated questions. deficit.
windpipe,
difficulty in >Use short >This maximizes
swallowing and sentences and ask patient’s sense of
neck tenderness only one question independence.
are common. at a time.
>Reduces demand for
>Provide response; promotes
alternative methods voice rest.
of communication as
appropriate >This allows the
patient to stay
>Anticipate needs focused on one
as possible. Visit thought.
patient frequently.

>Give the patient >Facilitates

ample time to expression of
respond. needs.

>Reduces anxiety
and patient’s need
to communicate.

>Maintain quiet >It may be

environment. difficult for
patients to respond
under pressure;
they may need extra
time to organize
Edx: responses, find the
correct word, or
>instruct patient make necessary
on voice language
limitations, translations.

>Enhances ability
to hear whispered
>encourage voice communication and
rest. reduces necessity
for patient to
raise/strain voice
to be
heard

>Prevents patient
>Encourage patient from straining
to socialize with voice to make needs
family and friends.
Known/summon
assistance.

.>Permanent nerve
damage can
occur (rare) that
causes paralysis of
vocal cords and/or
compression of the
trachea.
>Communication
should be
encouraged despite
impairment.