Rak krtani
Charakterystyka, pielęgnacja i opieka
Rak krtani (carcinoma laryngis) to złośliwy nowotwór najczęściej rozwijający się z nabłonka płaskonabłonkowego krtani, obejmujący nadgłośnię, głośnię i podgłośnię. Głównymi czynnikami ryzyka są palenie tytoniu, alkohol, wiek 60-70 lat oraz ekspozycja na czynniki rakotwórcze. Objawy kliniczne zależą od lokalizacji guza i obejmują chrypkę, kaszel, ból gardła, dysfagię, duszność oraz powiększenie węzłów chłonnych. Diagnostyka opiera się na laryngoskopii, biopsji, badaniach obrazowych (CT, MRI, PET), badaniach laboratoryjnych i ocenie funkcji mowy i połykania. Kompleksowa opieka pielęgniarska obejmuje ocenę objawów, zarządzanie drogami oddechowymi, pielęgnację stomii, wsparcie żywieniowe i komunikacyjne oraz edukację pacjenta i rodziny.
Charakterystyka raka krtani
Rak krtani (łac. carcinoma laryngis) to nowotwór złośliwy rozwijający się w tkankach krtani (głośni). Jest to jeden z najczęstszych nowotworów głowy i szyi, odpowiadający za około 200 000 zgonów rocznie na całym świecie1. W Stanach Zjednoczonych diagnozuje się ponad 12 000 nowych przypadków rocznie, a częstość występowania tego nowotworu wzrasta w czasie, gdy częstość występowania wielu innych nowotworów maleje2.
Rak krtani może rozwijać się w różnych częściach krtani, co wpływa na objawy, rokowanie i podejście terapeutyczne3. Wyróżnia się trzy główne lokalizacje anatomiczne raka krtani:
- Nadgłośnia (supraglottis) – górna część krtani, obejmująca nagłośnię, fałdy głosowe rzekome i mięśnie wspierające
- Głośnia (glottis) – środkowa część krtani, zawierająca prawdziwe struny głosowe
- Podgłośnia (subglottis) – dolna część krtani, rozciągająca się od strun głosowych do górnej części tchawicy
Zdecydowana większość nowotworów złośliwych krtani rozwija się z nabłonka powierzchniowego i są klasyfikowane jako raki płaskonabłonkowe5. Głównym czynnikiem predysponującym do rozwoju raka krtani jest używanie tytoniu6. Inne czynniki ryzyka obejmują płeć męską, wiek 60-70 lat, spożywanie alkoholu, nadwyrężanie głosu, przewlekłe zapalenie krtani, ekspozycję zawodową na substancje rakotwórcze, niedobory żywieniowe oraz predyspozycje rodzinne7.
Objawy raka krtani
Objawy raka krtani różnią się w zależności od lokalizacji guza w krtani8. Większość nowotworów krtani zaczyna się na strunach głosowych. Te guzy rzadko są bolesne, ale prawie zawsze powodują chrypkę lub inne zmiany w głosie9.
Charakterystyczne objawy kliniczne raka krtani obejmują:
- Chrypka – występuje wcześnie w przypadku nowotworów głośni, ale jest późnym objawem dla nowotworów nadgłośni i podgłośni10
- Szorstki, ochrypły, niski głos11
- Uporczywy kaszel12
- Ból i pieczenie w gardle podczas picia gorących płynów i soków cytrusowych13
- Uczucie guzka w szyi14
- Kaszel z krwią lub krwistą plwociną15
- Ból ucha16
- Problemy lub ból podczas połykania17
Późne objawy raka krtani mogą obejmować: dysfagię (trudności w połykaniu), duszność, jednostronną niedrożność nosa lub wydzielinę, uporczywą chrypkę lub owrzodzenie oraz nieprzyjemny oddech. Powiększone węzły szyjne, utrata masy ciała, ogólne osłabienie i ból promieniujący do ucha mogą wystąpić w przypadku przerzutów18.
Diagnoza raka krtani
Dokładna diagnoza raka krtani wymaga wszechstronnej oceny przez specjalistów z zakresu onkologii głowy i szyi19. Kluczowym elementem procesu diagnostycznego jest wczesne wykrycie, ponieważ raki krtani wykryte we wczesnym stadium są łatwo wyleczalne20.
Proces diagnostyczny obejmuje następujące elementy:
- Badanie laryngoskopowe – pozwala lekarzowi na bezpośrednią wizualizację krtani i otaczających obszarów gardła21
- Biopsja – jest jedynym pewnym sposobem stwierdzenia, czy występuje rak. Biopsja potwierdza typ raka krtani, co pozwala lekarzom określić rodzaj leczenia i opieki dostosowanej do konkretnej diagnozy22
- Badania obrazowe – takie jak tomografia komputerowa (CT), rezonans magnetyczny (MRI) lub pozytonowa tomografia emisyjna (PET) w celu sprawdzenia rozległości raka23
- Badania laboratoryjne – w tym badania krwi do oceny funkcji tarczycy24
- Badanie rentgenowskie klatki piersiowej – w celu sprawdzenia, czy nie doszło do rozprzestrzenienia się nowotworu do płuc25
- Testy mowy i połykania – do oceny rehabilitacji26
- Badania stomatologiczne – w celu sprawdzenia próchnicy27
Opieka pielęgniarska w raku krtani
Pielęgniarki odgrywają kluczową rolę w kompleksowej opiece nad osobami z rakiem krtani. Ich obowiązki obejmują nie tylko opiekę fizyczną i zarządzanie objawami, ale także zapewnienie wsparcia emocjonalnego, edukacji i rzecznictwa pacjentów i ich rodzin28. Pacjent z rakiem krtani może stanowić wyzwanie dla personelu pielęgniarskiego, gdyż opieka obejmuje wszystkie aspekty zarządzania pielęgniarskiego29.
Ocena pielęgniarska
Pielęgniarka ocenia pacjenta pod kątem następujących objawów: chrypka, ból gardła, duszność, dysfagia lub ból i pieczenie w gardle30. Ta kompleksowa ocena pielęgniarska stanowi podstawę do opracowania zindywidualizowanego planu opieki dla pacjenta z rakiem krtani31.
Diagnozy pielęgniarskie
Najczęstsze diagnozy pielęgniarskie występujące u pacjentów z rakiem krtani obejmują:
- Nieefektywne oczyszczanie dróg oddechowych związane ze zmienioną zdolnością do oddychania, kaszlu i połykania32
- Zaburzenia komunikacji werbalnej związane z deficytem anatomicznym (usunięcie strun głosowych), barierą fizyczną (rurka tracheostomijna) lub wymaganym odpoczynkiem głosowym33
- Uszkodzenie integralności skóry/tkanek związane z chirurgicznym usunięciem tkanek i przeszczepami, środkami radioterapeutycznymi lub chemioterapeutycznymi, zmienionym krążeniem lub zmniejszonym dopływem krwi, stanem odżywienia, tworzeniem się obrzęków, gromadzeniem się lub ciągłym wypływem wydzielin34
- Uszkodzenie błony śluzowej jamy ustnej związane z odwodnieniem lub brakiem przyjmowania pokarmu doustnie, zmniejszonym wydzielaniem śliny w wyniku radioterapii lub zabiegu chirurgicznego, złą lub niewystarczającą higieną jamy ustnej, patologicznym stanem (nowotwór jamy ustnej), urazem mechanicznym (chirurgia jamy ustnej), trudnościami w połykaniu i gromadzeniem się wydzielin35
- Ostry ból związany z nacięciem chirurgicznym i obrzękiem tkanek36
- Niezrównoważone odżywianie: mniej niż zapotrzebowanie organizmu37
- Zaburzony obraz ciała/nieefektywne pełnienie roli38
- Deficyt wiedzy dotyczący rokowania, leczenia, samoopieki i potrzeb związanych z wypisem39
- Zaburzone połykanie40
- Ryzyko infekcji41
Interwencje pielęgniarskie
Interwencje pielęgniarskie mają na celu zapewnienie kompleksowej opieki i wsparcia pacjentom z rakiem krtani, zaspokajając ich potrzeby fizyczne, emocjonalne i psychospołeczne42. Obejmują one:
Opieka po laryngektomii całkowitej
- Zapewnienie komfortu i zarządzanie drogami oddechowymi:
- Podnieś głowę łóżka o 45 stopni
- Zachęcaj do głębokiego oddychania co 4 godziny
- Utrzymuj podawanie tlenu przez kołnierz tracheostomijny
- Oceniaj drożność dróg oddechowych podczas każdej zmiany
- Oceniaj parametry życiowe – jakość, częstość oddechów i kolor skóry (bladość, sinica)
- Opieka nad linią szwów i miejscem stomii:
- Oceniaj linię szwów i miejsce stomii co 4 godziny
- Monitoruj funkcję i odpływ z drenów
- Utrzymuj ssanie drenów na zaleconym poziomie
- Czyść miejsce stomii i linię szwów nadtlenkiem wodoru, solą fizjologiczną i osuszaj suchą gazą
- Zgłaszaj zmiany w ilości i kolorze drenażu lub przecieku powietrza
- Dbanie o płyny, żywność i higienę:
- Monitoruj nawodnienie i zapewnij odpowiednie przyjmowanie płynów
- Zapewnij pielęgnację jamy ustnej co najmniej trzy razy dziennie
- Rejestruj podaż i wydalanie płynów podczas każdej zmiany
- Wsparcie i edukacja dla pacjenta i rodziny:
- Oceniaj poziom lęku i zapewniaj wsparcie emocjonalne
- Pomagaj pacjentowi w komunikacji
- Zapewnij pacjentowi materiały do pisania lub tablicę z obrazkami
- Instruuj o używaniu sztucznego urządzenia mowy i zachęcaj do jego stosowania
Zapobieganie infekcjom
- Utrzymuj ścisłą aseptykę podczas wykonywania procedur u pacjenta
- Aseptyka zapobiega przedostawaniu się organizmów do pacjenta, chroniąc go przed infekcją
- Praktykuj dokładne mycie rąk przed i po kontakcie z pacjentem
- Częste, dokładne mycie rąk znacznie zmniejsza ryzyko rozprzestrzeniania się infekcji
- Sprawdzaj obecność inwazyjnych urządzeń i monitoruj ich stan
- Sprawdzanie stanu linii lub urządzeń, czasu ich założenia pomoże pielęgniarce zidentyfikować możliwe źródła infekcji, które można usunąć
- Monitoruj parametry życiowe, szczególnie temperaturę co 4 godziny
- Gorączka lub hipotermia mogą wskazywać na obecność infekcji
- Sprawdzaj rany/nacięcia pod kątem oznak infekcji
- Skóra i błony śluzowe stanowią pierwszą linię obrony przed mikroorganizmami
- Oczyszczaj nadżerki jamy ustnej, jeśli nie jest to przeciwwskazane
- Zapewnia to czystość rany i zapobiega infekcjom
- Zapewnij dokładną pielęgnację skóry (kąpiel oczyszczająca)
- Aby zapobiec uszkodzeniom skóry, które są możliwą drogą infekcji
- Pomagaj w pielęgnacji jamy ustnej (Orahex) w razie potrzeby
- Zapewnia opiekę, jeśli pacjent nie jest w stanie jej wykonać
- Promuj częste i odpowiednie przyjmowanie płynów
- Aby upłynnić wydzieliny i ułatwić odkrztuszanie, zapobiec zastojowi płynów ustrojowych i utrzymać wilgotne błony śluzowe
- Zachęcaj do stosowania środków nawilżających (wazelina) na usta i przeszczep skóry
- Utrzymuje obszary wilgotne
- Zachęcaj do częstych zmian pozycji/chodzenia, kaszlu i ćwiczeń głębokiego oddychania
- Aby promować wentylację we wszystkich segmentach płuc i pomóc w mobilizacji wydzielin, zapobiegając zapaleniu płuc
Wsparcie żywieniowe
Trudności w połykaniu, suchość w ustach i problemy stomatologiczne mogą prowadzić do złego odżywiania i utraty masy ciała60. Zarejestrowany dietetyk może często pomóc osobom radzić sobie z utratą apetytu61.
Interwencje żywieniowe obejmują:
- Informowanie o planie dietetycznym dla pacjenta
- Aby zapewnić bieżące wsparcie i zwiększyć prawdopodobieństwo osiągnięcia celów dietetycznych
- Instruowanie pacjenta, aby unikał nieprzyjemnych widoków, zapachów, dźwięków w otoczeniu podczas posiłków
- Zmniejszenie dyskomfortu podczas posiłków
- Zapewnienie karmienia przez sondę, jeśli pacjent nie może połykać
- Gdy nie będziesz mógł jeść, dopóki gardło się nie zagoi, co u większości osób trwa co najmniej 1 lub 2 tygodnie
- W trakcie gojenia się gardła będziesz musiał być karmiony przez rurkę, która przechodzi przez nos i do żołądka
Wsparcie w komunikacji
Jeśli masz całkowicie usuniętą krtań (laryngektomia całkowita), nie będziesz mógł normalnie mówić, ponieważ nie będziesz już miał strun głosowych65. Istnieje kilka różnych sposobów, dzięki którym można nauczyć się ponownie komunikować, chociaż ich nauka może zająć tygodnie lub miesiące66.
Interwencje komunikacyjne obejmują:
- Zapewnienie materiałów do pisania lub tablicy z obrazkami zaraz po operacji
- Bezpośrednio po operacji nie będziesz mógł mówić. Logopeda może dać ci papier i długopis, tablicę suchościeralną lub tablicę z obrazkami, aby pomóc ci powiedzieć innym, czego potrzebujesz
- Wsparcie w rehabilitacji mowy
- Gdy zagoił się, logopeda będzie z tobą pracować, aby znaleźć nowy sposób na wytwarzanie głosu
- Logopeda (specjalista od patologii mowy i języka) może pomóc ci poradzić sobie ze zmianami w twoim głosie i nauczyć się ponownie mówić
- Edukacja na temat protezy głosowej
- Proteza głosowa to sztuczna zastawka wszczepiana do szyi
- Logopeda dopasuje zastawkę, zwaną protezą, i pokaże ci, jak jej używać i jak o nią dbać
- Nauka mowy przełykowej
- Mowa przełykowa to technika mówienia, której może cię nauczyć twój logopeda
- Regularne ćwiczenia samodzielne i z logopedą mogą pomóc ci się poprawić
- Wykorzystanie elektrokrtani
- Elektrokrtań to małe, zasilane baterią urządzenie elektryczne, które wibruje i wytwarza dźwięk
Pielęgnacja stomii
Ważne jest, aby czyścić stomię co najmniej raz dziennie, w przeciwnym razie może się pokryć strupami i stać się podatna na infekcje74. Pielęgniarka specjalistyczna może nauczyć cię, jak utrzymać stomię w czystości75.
Interwencje w zakresie pielęgnacji stomii obejmują:
- Edukacja pacjenta w zakresie pielęgnacji stomii
- Otrzymasz specjalne filtry do umieszczenia na stomii, które mogą pomóc utrzymać ją wilgotną i wolną od zarazków
- Zostaniesz przeszkolony w zakresie utrzymania stomii w czystości
- Monitorowanie stomii pod kątem infekcji
- Ważne jest zatem zgłaszanie wszelkich objawów potencjalnej infekcji swojemu zespołowi MDT, takich jak wysoka temperatura, dreszcze lub uporczywy kaszel
- Należy również unikać bliskiego kontaktu z osobami, o których wiadomo, że mają infekcję
Wsparcie psychospołeczne
Rak krtani i jego leczenie mogą wpłynąć na samoocenę i obraz ciała danej osoby79. Osoby z nowotworami głowy i szyi, w tym rakiem krtani, często doświadczają cierpienia emocjonalnego80.
Interwencje psychospołeczne obejmują:
- Ocena poziomu lęku i zapewnienie wsparcia emocjonalnego
- Poinformuj lekarza o swoich uczuciach. Możesz otrzymać leki i zostać skierowany do doradcy, który pomoże ci przepracować swoje uczucia
- Zapewnienie informacji o dostępnych grupach wsparcia
- Dostarczenie pacjentowi listy skierowań i grup wsparcia, takich jak pielęgniarki środowiskowe
- Wsparcie w przystosowaniu się do zmian w wyglądzie i funkcji
- Lekarz, pielęgniarka i logopeda mogą udzielić informacji i wsparcia
Przygotowanie do wypisu
Przygotowanie pacjenta do wypisu jest kluczowym elementem opieki pielęgniarskiej. Obejmuje ono edukację pacjenta i rodziny na temat zarządzania opieką po wyjściu ze szpitala84.
Wytyczne dotyczące wypisu i opieki zdrowotnej w domu dla pacjenta z rakiem krtani obejmują:
- Nauczenie pacjenta rozpoznawania oznak i objawów potencjalnych powikłań oraz odpowiednich działań, które należy podjąć
8586 - Nauczenie pacjenta odpowiednich urządzeń i technik zapewniających drożność dróg oddechowych i zapobiegających powikłaniom
87 - Zapewnienie pacjentowi informacji o środkach rehabilitacji mowy (w tym mowa krtaniowa, mowa przełykowa, sztuczna krtań i różne urządzenia mechaniczne)
88 - Rozpoczęcie nauczania pielęgnacji laryngektomii i zapewnienie informacji o miękkiej diecie
89 - Skierowanie pacjenta do logopedy w celu rehabilitacji głosu i mowy
90
Leczenie raka krtani
Leczenie raka krtani jest złożone ze względu na kluczowe funkcje tego obszaru anatomicznego. Jeśli to możliwe, celem leczenia jest usunięcie guza i zapobieganie nawrotom przy jednoczesnym zachowaniu funkcji krtani91. Idealne leczenie różni się w zależności od stadium choroby i lokalizacji guza pierwotnego (głośnia, nadgłośnia lub podgłośnia)92.
Opcje leczenia
Główne metody leczenia raka krtani to radioterapia, chirurgia, chemioterapia i celowane leki przeciwnowotworowe93. Leczenie raka krtani może powodować skutki uboczne, które wymagają specjalistycznego wsparcia i opieki94.
Leczenie wczesnego stadium
Wczesne stadium raka krtani (stadium I-II) jest idealnie leczone za pomocą radioterapii lub technik chirurgicznych (endoskopowych lub otwartych), które zachowują funkcję krtani95.
- W przypadku raka in situ lub wczesnego stadium inwazyjnego raka głośni lub nadgłośni, endoskopowe wycięcie chirurgiczne lub radioterapia są równie skuteczne, z podobnymi wynikami funkcjonalnymi96
- Dla niewielkich lub średniej wielkości guzów rzadko stosujemy radioterapię ze względu na nasze długoterminowe doświadczenie i sukces w minimalnie inwazyjnym leczeniu laserowym97
Leczenie zaawansowanego stadium
Historycznie, zaawansowane stadium raka krtani (stadium III-IV) było leczone za pomocą całkowitej laryngektomii, rekonstrukcji i uzupełniającej pooperacyjnej chemioradioterapii98. Jednak w ciągu ostatnich 20 lat dokonano znacznego postępu w leczeniu raka krtani99.
- Chociaż całkowita laryngektomia jest nadal wymagana w przypadkach agresywnych lub rozległych guzów, strategie zachowania krtani wykorzystujące protokoły chemioterapii i radioterapii stały się obecnie standardem opieki w przypadku wielu zaawansowanych raków krtani100
- Bieżące zalecenia NCCN Practice Guidelines in Oncology dotyczące zachowania krtani w przypadkach miejscowo zaawansowanego raka krtani to jednoczesna radioterapia i cisplatyna 100 mg/m2 w dniach 1, 22 i 43101
Pomimo zwiększonego wykorzystania chemioradioterapii w leczeniu zaawansowanego raka krtani, operacja jest nadal często wymagana102. Pierwotne leczenie chirurgiczne należy rozważyć u pacjentów z chorobą o dużej objętości, pacjentów z guzami T4a lub pacjentów z przewidywanymi złymi wynikami funkcjonalnymi (np. słaba funkcja krtani, nieuleczalna aspiracja)103.
Opieka pielęgniarska w trakcie leczenia
Zespół opieki zdrowotnej (MDT) będzie prawdopodobnie obejmował chirurga, onkologa klinicznego (specjalistę w leczeniu niechirurgicznym raka) i specjalistyczną pielęgniarkę onkologiczną, która będzie odpowiedzialna za koordynację opieki104. Zespół MDT będzie monitorował wszelkie skutki uboczne i leczył je, gdy to możliwe105.
Opieka podczas radioterapii
Radioterapia w przypadku raka krtani może powodować skutki uboczne. Mogą być one łagodne lub bardziej poważne. Niektóre z nich występują kilka dni po rozpoczęciu leczenia. Inne mogą wystąpić wkrótce po zakończeniu leczenia106.
Interwencje pielęgniarskie podczas radioterapii obejmują:
- Poinformowanie pacjenta o możliwych skutkach ubocznych
- Przed rozpoczęciem radioterapii ktoś z zespołu opieki zdrowotnej omówi twoje leczenie, abyś wiedział, czego się spodziewać
- Monitorowanie i łagodzenie problemów ze skórą
- Twój radiolog lub pielęgniarka specjalistyczna udzieli ci porad dotyczących pielęgnacji skóry
- Jeśli twoja skóra stanie się bolesna lub swędząca lub zmieni kolor, powiedz im od razu. Mogą udzielić ci porad i w razie potrzeby zalecić leczenie
- Wsparcie w problemach z połykaniem
- Twój logopeda (SLT) porozmawia z tobą o wszelkich problemach z połykaniem lub jedzeniem, które możesz mieć
- Ważne jest, aby starać się nadal jeść i pić tak długo, jak to możliwe podczas leczenia
- Jeśli kaszlesz podczas połykania, ważne jest, aby natychmiast powiedzieć o tym swojemu SLT. Mogą udzielić ci porad i pokazać, jak wykonywać ćwiczenia, które pomogą zapobiec przedostawaniu się jedzenia i picia do niewłaściwej drogi
- Wsparcie żywieniowe
- Twój zespół udzieli ci porad dotyczących pokarmów, które łatwo się połyka
- Mogą również podać ci odżywcze lub wysokokaloryczne napoje
- Jeśli to nastąpi, twój lekarz może zasugerować wsparcie żywieniowe, abyś nie stracił zbyt dużo wagi
- Pielęgnacja jamy ustnej
- Twój zespół opieki zdrowotnej doradzi ci, czy używać płynu do płukania jamy ustnej. Ważne jest, aby przestrzegać wszelkich instrukcji, które daje ci specjalistyczna pielęgniarka lub lekarz
- Monitorowanie zmian głosu
- Twój onkolog lub logopeda (SLT) poinformuje cię o ryzyku trwałych zmian głosu
- Zachęcanie do jedzenia
- Ważne jest, aby starać się jeść, nawet jeśli nie masz na to ochoty
- Twoje poczucie smaku może się zmienić lub możesz uznać, że wszystko smakuje tak samo
- Monitorowanie obrzęku gardła
- Radioterapia może powodować obrzęk gardła. Bardzo rzadko może to powodować problemy z oddychaniem, które wymagają natychmiastowego leczenia
- Opieka nad rurką do karmienia
- Ważne jest, aby przestrzegać porad zespołu opieki zdrowotnej, gdy masz założoną rurkę do karmienia
Opieka podczas i po operacji
Jeśli miałeś część lub całą krtań usuniętą (laryngektomia), prawdopodobnie będziesz musiał spędzić 1 lub 2 dni na oddziale intensywnej terapii, dopóki nie wrócisz do zdrowia116.
Interwencje pielęgniarskie podczas i po operacji obejmują:
- Monitorowanie oddychania i drożności dróg oddechowych
- Twój chirurg może potrzebować utworzyć tymczasowy otwór w szyi, który zostanie połączony z rurką, przez którą będziesz oddychać. Jest to znane jako tymczasowa tracheostomia
- Jeśli masz całkowitą laryngektomię, twój chirurg będzie musiał również stworzyć stały otwór w szyi (zwany stomią), aby pomóc ci oddychać po operacji
- Monitorowanie gojenia ran
- Po operacji nie będziesz mógł jeść, dopóki twoje gardło się nie zagoi, co u większości osób trwa co najmniej 1 lub 2 tygodnie
- Wsparcie w komunikacji
- Może to oznaczać, że prawdopodobnie będziesz musiał używać różnych sposobów komunikacji, takich jak używanie długopisu lub papieru, podczas pierwszych kilku tygodni lub miesięcy po operacji
- Edukacja w zakresie pielęgnacji stomii
- Zostaniesz przeszkolony w zakresie utrzymania stomii w czystości. Posiadanie stomii może wydawać się przytłaczające i przerażające na początku, ale większość ludzi przyzwyczaja się do niej po kilku miesiącach
Rehabilitacja i wsparcie
Kompleksowa rehabilitacja i wsparcie są kluczowe dla pacjentów z rakiem krtani, aby pomóc im przystosować się do zmian spowodowanych przez chorobę i jej leczenie121.
Usługi rehabilitacyjne i wsparcia obejmują:
- Terapia mowy i połykania
- Terapia mowy i połykania może być stosowana w trakcie leczenia, aby zachować jak najwięcej funkcji. Może być również stosowana po leczeniu, aby pomóc ci odzyskać lub zrekompensować utracone funkcje
- Wsparcie żywieniowe
- Jeśli rak krtani lub jego leczenie utrudnia połykanie, możesz potrzebować oceny odżywiania i planu dietetycznego
- Dietetycy w centrum onkologicznym mogą pomóc zapewnić, że otrzymujesz potrzebne składniki odżywcze, zalecając łatwe do połknięcia pokarmy w trakcie leczenia i rekonwalescencji
- Wsparcie psychospołeczne
- Pracownicy socjalni są dostępni, aby pomóc ci rozwiązać wszelkie sprawy finansowe lub wyzwania logistyczne – na przykład dojazdy na wizyty lekarskie – które mogą pojawić się podczas twojej opieki
- Leczenie objawowe
- Zespół opieki paliatywnej zarządza wszelkimi trwającymi objawami związanymi z rakiem lub leczeniem, takimi jak ból, zmęczenie, utrata apetytu lub stres, pomagając poprawić jakość życia
- Pomoc w codziennych czynnościach
- Pielęgniarki specjalistyczne ds. paliatywnej opieki środowiskowej to między innymi pielęgniarki Macmillan i pielęgniarki hospicyjne. Specjalizują się w zarządzaniu objawami, takimi jak kontrola bólu, nudności i inne objawy nowotworowe. Zapewniają również wsparcie emocjonalne dla ciebie i twoich opiekunów
- Koordynacja opieki przez lekarza rodzinnego
- Twój lekarz rodzinny zarządza twoją opieką zdrowotną, gdy jesteś w domu. Może pomóc w przypadku wszelkich problemów medycznych, które się pojawią. Może również kierować cię do usług środowiskowych
- Wsparcie socjalne
- Pracownicy socjalni mogą pomóc w wsparciu twojej sytuacji w domu. Mogą zorganizować pomoc domową do pomocy w zakupach lub pracach domowych, asystentów opieki domowej do mycia i ubierania, posiłki na kółkach i opiekę wytchnieniową
- Wczesne uzyskanie pomocy w tych sprawach może oznaczać, że nie staną się one dużym problemem później. Może być pomocne spotkanie z pracownikiem socjalnym. Wiele szpitali ma pracownika socjalnego dostępnego dla osób z rakiem
Opieka po zakończeniu leczenia
Obserwacja po leczeniu jest ważną częścią opieki onkologicznej. Obserwacja raka krtani jest często dzielona między specjalistów onkologów (chirurg, onkolog radioterapii i onkolog medyczny) oraz lekarza rodzinnego, dentystę i logopedę. Twój zespół opieki zdrowotnej będzie współpracował z tobą, aby zdecydować o opiece następczej, która spełni twoje potrzeby129.
Harmonogram wizyt kontrolnych
Ryzyko nawrotu raka krtani jest największe w ciągu pierwszych kilku lat, dlatego będziesz potrzebował ścisłej obserwacji w tym czasie130. Wizyty kontrolne w przypadku raka krtani są zwykle planowane131:
- co 4 do 8 tygodni przez pierwsze 2 lata
- co 3 miesiące w 3. roku
- co 6 miesięcy w latach 4. i 5.
- następnie raz w roku
Badania kontrolne
Podczas wizyty kontrolnej twój zespół opieki zdrowotnej zwykle zada pytania dotyczące skutków ubocznych leczenia i tego, jak sobie radzisz132. Twój lekarz może przeprowadzić badanie fizykalne głowy i szyi, w tym133:
- wyczuwanie wszelkich guzków, obrzęku lub powiększonych węzłów chłonnych w szyi
- wyczuwanie guzków lub obrzęku wewnątrz jamy ustnej, w tym policzków i warg
- badanie dna jamy ustnej i podstawy języka
- badanie podniebienia i tylnej części gardła
- badanie nosa i uszu
Badania są często częścią opieki następczej. Możesz mieć134:
- laryngoskopię, aby obejrzeć krtań i pobrać biopsję, jeśli istnieje obszar, który nie wygląda normalnie
- biopsję, aby sprawdzić, czy rak powrócił
- badania obrazowe, takie jak tomografia komputerowa, rezonans magnetyczny lub PET do sprawdzenia rozprzestrzeniania się raka
- badania krwi w celu sprawdzenia funkcji tarczycy co 6 do 12 miesięcy
- rentgen klatki piersiowej w celu sprawdzenia rozprzestrzenienia raka do płuc
- testy mowy i połykania w celu oceny rehabilitacji
- badania stomatologiczne w celu sprawdzenia próchnicy
Radzenie sobie z długoterminowymi skutkami
Jeśli byłeś leczony z powodu raka krtani, możesz potrzebować pomocy w radzeniu sobie z długoterminowymi skutkami. Zarówno radioterapia, jak i operacja mogą wpłynąć na twoją zdolność do połykania, mówienia lub słyszenia. Rehabilitacja z logopedą może być niezbędna dla twojego powrotu do zdrowia135.
Strategie radzenia sobie z długoterminowymi skutkami obejmują:
- Regularne wizyty kontrolne
- Regularne wizyty kontrolne po diagnozie i leczeniu są bardzo ważne, aby zwiększyć szanse na przeżycie
- Terapia mowy
- Po leczeniu potrzebna jest terapia, która pomoże w mówieniu i połykaniu. Jeśli osoba nie jest w stanie połykać, potrzebna będzie rurka do karmienia
- Wsparcie w codziennych czynnościach
- Terapia, która pomoże w żuciu i połykaniu
- Nauka jedzenia wystarczającej ilości białka i kalorii, aby utrzymać wagę. Zapytaj swojego dostawcę o płynne suplementy żywnościowe, które mogą pomóc
- Pomoc przy suchości w ustach
- Grupy wsparcia
- Możesz złagodzić stres związany z chorobą, dołączając do grupy wsparcia dla osób z rakiem. Dzielenie się z innymi, którzy mają wspólne doświadczenia i problemy, może pomóc ci nie czuć się samotnym
Wnioski
Rak krtani, poważny przeciwnik, wymaga kompleksowego i pełnego współczucia podejścia do opieki, które rozpoznaje wieloaspektowe potrzeby osoby stojącej w obliczu tej trudnej diagnozy140. Pielęgniarki są niezachwianymi rzecznikami i opiekunami, zajmując centralne miejsce w opiece i wsparciu osób zmagających się z rakiem krtani141.
Leczenie pacjenta z rakiem krtani wymaga współdziałania multidyscyplinarnego zespołu specjalistów, w którym pielęgniarki koordynują opiekę we wszystkich etapach terapii. Ich rola obejmuje zarówno fizyczne aspekty opieki, jak i wsparcie psychoemocjonalne, edukację oraz pomoc w adaptacji do nowej sytuacji życiowej po leczeniu.
Dzięki postępowi w leczeniu raka krtani, wielu pacjentów może zachować funkcje krtani, co przyczynia się do lepszej jakości życia. Jednakże niezależnie od zastosowanej metody leczenia, kompleksowa opieka pielęgniarska pozostaje nieodzownym elementem terapii, zapewniającym pacjentom profesjonalne wsparcie zarówno w trakcie leczenia, jak i długoterminowej rehabilitacji.
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 What Every Patient Should Know About Laryngeal Cancer | Larynx Cancer | Voice Box Cancer | University of Michigan Rogel Cancer Centerhttps://www.rogelcancercenter.org/head-and-neck-cancer/voicebox/what-patients-should-know
Cancers arising in the larynx (voice box) are devastating malignancies that account for roughly 200,000 deaths annually worldwide. […] In the United States, it is estimated that over 12,000 new cases are diagnosed each year and that this incidence is increasing during a time that many other cancers are decreasing. […] Tobacco use is known to be the major predisposing factor for laryngeal cancer. […] Common symptoms are hoarseness, painful swallowing, earache or development of a mass in the neck. […] When diagnosed early, these cancers are readily curable. […] Modern treatment approaches have become increasingly complex, as sophisticated methods have been developed to try and preserve vocal function. […] Because of this, a variety of treatment options are available and selecting the optimal treatment has become a complex and often confusing process for patients.
- #2 What Every Patient Should Know About Laryngeal Cancer | Larynx Cancer | Voice Box Cancer | University of Michigan Rogel Cancer Centerhttps://www.rogelcancercenter.org/head-and-neck-cancer/voicebox/what-patients-should-know
Cancers arising in the larynx (voice box) are devastating malignancies that account for roughly 200,000 deaths annually worldwide. […] In the United States, it is estimated that over 12,000 new cases are diagnosed each year and that this incidence is increasing during a time that many other cancers are decreasing. […] Tobacco use is known to be the major predisposing factor for laryngeal cancer. […] Common symptoms are hoarseness, painful swallowing, earache or development of a mass in the neck. […] When diagnosed early, these cancers are readily curable. […] Modern treatment approaches have become increasingly complex, as sophisticated methods have been developed to try and preserve vocal function. […] Because of this, a variety of treatment options are available and selecting the optimal treatment has become a complex and often confusing process for patients.
- #3 Laryngeal Cancers |Symptoms and Diagnosis | MedStar Healthhttps://www.medstarhealth.org/services/laryngeal-cancers
Laryngeal cancers are malignant (cancerous) growths found in the larynx (voice box). Because of their location, they are highly treatable if caught early, with a cure rate of around 90 percent. […] Treatment options for oral cancer depend on: […] Early-stage laryngeal cancers are usually treated with radiation, surgery, or a combination of the two. We also offer non-invasive, bloodless laser surgery for smaller tumors, leaving the option of full surgery available later, if needed […] Advanced cancers are treated similarly, with the possibility of chemotherapy, either combined with radiation or with radiation and surgery. Receiving chemotherapy and radiation together can help patients avoid the removal of the voice box (laryngectomy) […] While we try to avoid it, sometimes the best treatment is removing your voice box (a laryngectomy). If that happens, we offer the latest tools to restore your voice, as well as speech therapy. […] Patients who have had laryngeal cancer are at risk of developing a second head or neck cancer, and our doctors also want to catch any original cancer that might return (recur). After treatment, they will ask you to come in for regular checkups, as frequently as once a month for the first year.
- #4 What Every Patient Should Know About Laryngeal Cancer | Larynx Cancer | Voice Box Cancer | University of Michigan Rogel Cancer Centerhttps://www.rogelcancercenter.org/head-and-neck-cancer/voicebox/what-patients-should-know
The larynx is important in communication. […] The upper part is called the supraglottic larynx and consists of the epiglottis; false vocal cords and supporting muscles within the framework of the cartilaginous „box” called the thyroid cartilage. […] When cancers grow here, they interfere with swallowing and cause pain in the ear, but only affect the voice in a minor way, leading to „thick” speech, „hot potato” voice or change in timbre. […] The lower part of the voice box contains the true vocal cords and extends down to the top of the windpipe, the cricoid cartilage. […] Cancer in this region, termed the glottis, causes significant hoarseness as the primary symptom. […] Many factors enter into decision-making when it comes to the treatment or laryngeal cancer. […] A skilled practitioner experienced in the diagnosis and staging of these cancers can only provide such advice.
- #5 Cancer of Larynx- Easy ppt for Nurses | PPThttps://www.slideshare.net/sunnymumu/cancer-of-larynx-easy-ppt-for-nurses
Cancer of the larynx accounts for approximately half of all head and neck cancers. Almost all malignant tumors of the larynx arise from the surface epithelium and are classified as squamous cell carcinoma. […] Risk factors include male gender, age 60 to 70 years, tobacco use (including smokeless), alcohol use, vocal straining, chronic laryngitis, occupational exposure to carcinogens, nutritional deficiencies (riboflavin), and family predisposition. […] Clinical manifestations include hoarseness, noted early with cancer in the glottic area; harsh, raspy, low-pitched voice. Persistent cough; pain and burning in the throat when drinking hot liquids and citrus juices. Lump felt in the neck. Late symptoms: dysphagia, dyspnea, unilateral nasal obstruction or discharge, persistent hoarseness or ulceration, and foul breath. Enlarged cervical nodes, weight loss, general debility, and pain radiating to the ear may occur with metastasis.
- #6 What Every Patient Should Know About Laryngeal Cancer | Larynx Cancer | Voice Box Cancer | University of Michigan Rogel Cancer Centerhttps://www.rogelcancercenter.org/head-and-neck-cancer/voicebox/what-patients-should-know
Cancers arising in the larynx (voice box) are devastating malignancies that account for roughly 200,000 deaths annually worldwide. […] In the United States, it is estimated that over 12,000 new cases are diagnosed each year and that this incidence is increasing during a time that many other cancers are decreasing. […] Tobacco use is known to be the major predisposing factor for laryngeal cancer. […] Common symptoms are hoarseness, painful swallowing, earache or development of a mass in the neck. […] When diagnosed early, these cancers are readily curable. […] Modern treatment approaches have become increasingly complex, as sophisticated methods have been developed to try and preserve vocal function. […] Because of this, a variety of treatment options are available and selecting the optimal treatment has become a complex and often confusing process for patients.
- #7 Cancer of Larynx- Easy ppt for Nurses | PPThttps://www.slideshare.net/sunnymumu/cancer-of-larynx-easy-ppt-for-nurses
Cancer of the larynx accounts for approximately half of all head and neck cancers. Almost all malignant tumors of the larynx arise from the surface epithelium and are classified as squamous cell carcinoma. […] Risk factors include male gender, age 60 to 70 years, tobacco use (including smokeless), alcohol use, vocal straining, chronic laryngitis, occupational exposure to carcinogens, nutritional deficiencies (riboflavin), and family predisposition. […] Clinical manifestations include hoarseness, noted early with cancer in the glottic area; harsh, raspy, low-pitched voice. Persistent cough; pain and burning in the throat when drinking hot liquids and citrus juices. Lump felt in the neck. Late symptoms: dysphagia, dyspnea, unilateral nasal obstruction or discharge, persistent hoarseness or ulceration, and foul breath. Enlarged cervical nodes, weight loss, general debility, and pain radiating to the ear may occur with metastasis.
- #8 Larynx Cancer | Conditions | UCSF Healthhttps://www.ucsfhealth.org/conditions/larynx-cancer
Larynx cancer, also called laryngeal cancer, occurs when malignant cells form in the tissues of the larynx. Many cancers of the larynx, which is part of the respiratory tract, begin in the vocal cords. […] Our goal is to eliminate the cancer while preserving speech and swallowing functions as much as possible. […] These include head and neck surgeons, otolaryngologists, medical oncologists, reconstructive surgeons and radiation oncologists, as well as experts in speech-language pathology, nutrition and psycho-oncology, which focuses on psychological factors affecting cancer patients. […] The symptoms of cancer of the larynx depend mainly on the size and location of the tumor. […] Most cancers of the larynx begin on the vocal cords. These tumors are seldom painful, but they almost always cause hoarseness or other changes in the voice.
- #9 Larynx Cancer | Conditions | UCSF Healthhttps://www.ucsfhealth.org/conditions/larynx-cancer
Larynx cancer, also called laryngeal cancer, occurs when malignant cells form in the tissues of the larynx. Many cancers of the larynx, which is part of the respiratory tract, begin in the vocal cords. […] Our goal is to eliminate the cancer while preserving speech and swallowing functions as much as possible. […] These include head and neck surgeons, otolaryngologists, medical oncologists, reconstructive surgeons and radiation oncologists, as well as experts in speech-language pathology, nutrition and psycho-oncology, which focuses on psychological factors affecting cancer patients. […] The symptoms of cancer of the larynx depend mainly on the size and location of the tumor. […] Most cancers of the larynx begin on the vocal cords. These tumors are seldom painful, but they almost always cause hoarseness or other changes in the voice.
- #10 Laryngeal Cancer – Ear, Nose, and Throat Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/ear-nose-and-throat-disorders/tumors-of-the-head-and-neck/laryngeal-cancer
Hoarseness is common early in glottic cancers but is a late symptom for supraglottic and subglottic cancers. […] All patients who have hoarseness for 2 to 3 weeks should have their larynx examined by a head and neck specialist. […] Treat early-stage (T1 and T2) supraglottic, glottic, and subglottic cancer with surgery or radiation therapy. […] Treat moderately advanced (T3) supraglottic, glottic, and subglottic cancer with radiation therapy and sometimes chemotherapy. […] Treat most advanced (T4) supraglottic, glottic, and subglottic cancer that extends outside of the larynx with surgery and then postoperative chemotherapy and radiation therapy. […] Some minimally invasive T4 cancers can be considered for primary treatment with chemotherapy and radiation.
- #11 Cancer of Larynx- Easy ppt for Nurses | PPThttps://www.slideshare.net/sunnymumu/cancer-of-larynx-easy-ppt-for-nurses
Cancer of the larynx accounts for approximately half of all head and neck cancers. Almost all malignant tumors of the larynx arise from the surface epithelium and are classified as squamous cell carcinoma. […] Risk factors include male gender, age 60 to 70 years, tobacco use (including smokeless), alcohol use, vocal straining, chronic laryngitis, occupational exposure to carcinogens, nutritional deficiencies (riboflavin), and family predisposition. […] Clinical manifestations include hoarseness, noted early with cancer in the glottic area; harsh, raspy, low-pitched voice. Persistent cough; pain and burning in the throat when drinking hot liquids and citrus juices. Lump felt in the neck. Late symptoms: dysphagia, dyspnea, unilateral nasal obstruction or discharge, persistent hoarseness or ulceration, and foul breath. Enlarged cervical nodes, weight loss, general debility, and pain radiating to the ear may occur with metastasis.
- #12 Larynx Cancer | Conditions | UCSF Healthhttps://www.ucsfhealth.org/conditions/larynx-cancer
A cough that doesn’t go away or the feeling of a lump in the throat may also be warning signs of cancer of the larynx. As the tumor grows, it may cause pain, weight loss, bad breath, and choking on food. In some cases, a tumor in the larynx can make it hard to swallow. […] If abnormal areas are found, you will need a biopsy. A biopsy is the only sure way to know if cancer is present. […] Cancer of the larynx is usually treated with surgery or radiation therapy, also called radiotherapy. Some patients may receive chemotherapy at the time of radiation therapy. […] Radiation therapy uses high-energy rays to damage cancer cells and stop them from growing. […] Surgery may be recommended as primary treatment for some tumors, thus avoiding radiation. […] A partial laryngectomy preserves the voice. […] In a total laryngectomy, the whole voice box is removed and the stoma or opening is permanent. The patient breathes through the stoma and must learn to talk in a new way. […] Chemotherapy is the use of drugs to kill cancer cells. Your doctor may suggest one drug or a combination of drugs.
- #13 Cancer of Larynx- Easy ppt for Nurses | PPThttps://www.slideshare.net/sunnymumu/cancer-of-larynx-easy-ppt-for-nurses
Cancer of the larynx accounts for approximately half of all head and neck cancers. Almost all malignant tumors of the larynx arise from the surface epithelium and are classified as squamous cell carcinoma. […] Risk factors include male gender, age 60 to 70 years, tobacco use (including smokeless), alcohol use, vocal straining, chronic laryngitis, occupational exposure to carcinogens, nutritional deficiencies (riboflavin), and family predisposition. […] Clinical manifestations include hoarseness, noted early with cancer in the glottic area; harsh, raspy, low-pitched voice. Persistent cough; pain and burning in the throat when drinking hot liquids and citrus juices. Lump felt in the neck. Late symptoms: dysphagia, dyspnea, unilateral nasal obstruction or discharge, persistent hoarseness or ulceration, and foul breath. Enlarged cervical nodes, weight loss, general debility, and pain radiating to the ear may occur with metastasis.
- #14 Cancer of Larynx- Easy ppt for Nurses | PPThttps://www.slideshare.net/sunnymumu/cancer-of-larynx-easy-ppt-for-nurses
Cancer of the larynx accounts for approximately half of all head and neck cancers. Almost all malignant tumors of the larynx arise from the surface epithelium and are classified as squamous cell carcinoma. […] Risk factors include male gender, age 60 to 70 years, tobacco use (including smokeless), alcohol use, vocal straining, chronic laryngitis, occupational exposure to carcinogens, nutritional deficiencies (riboflavin), and family predisposition. […] Clinical manifestations include hoarseness, noted early with cancer in the glottic area; harsh, raspy, low-pitched voice. Persistent cough; pain and burning in the throat when drinking hot liquids and citrus juices. Lump felt in the neck. Late symptoms: dysphagia, dyspnea, unilateral nasal obstruction or discharge, persistent hoarseness or ulceration, and foul breath. Enlarged cervical nodes, weight loss, general debility, and pain radiating to the ear may occur with metastasis.
- #15 Laryngeal Cancer | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/cancer/laryngeal-cancer.html
Laryngeal cancer develops in the larynx, or voice box, in the throat. Our head and neck cancer specialists have extensive experience treating laryngeal cancer while minimizing treatment side effects like hoarseness and swallowing difficulties. With todays advanced treatments, many patients can avoid a total laryngectomy (completely removing the voice box). […] Laryngeal cancer symptoms can be similar to those of other conditions. They may include: coughing up blood or bloody sputum, ear pain, hoarseness, lump in the neck or throat, sore throat or cough that does not go away, trouble or pain when swallowing. […] Your Stanford specialists conduct a thorough evaluation to diagnose larynx cancer. Tests may include: laryngoscopy, endoscopy, imaging tests, biopsy, and lab work.
- #16 Laryngeal Cancer | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/cancer/laryngeal-cancer.html
Laryngeal cancer develops in the larynx, or voice box, in the throat. Our head and neck cancer specialists have extensive experience treating laryngeal cancer while minimizing treatment side effects like hoarseness and swallowing difficulties. With todays advanced treatments, many patients can avoid a total laryngectomy (completely removing the voice box). […] Laryngeal cancer symptoms can be similar to those of other conditions. They may include: coughing up blood or bloody sputum, ear pain, hoarseness, lump in the neck or throat, sore throat or cough that does not go away, trouble or pain when swallowing. […] Your Stanford specialists conduct a thorough evaluation to diagnose larynx cancer. Tests may include: laryngoscopy, endoscopy, imaging tests, biopsy, and lab work.
- #17 Laryngeal Cancer | Stanford Health Carehttps://stanfordhealthcare.org/medical-conditions/cancer/laryngeal-cancer.html
Laryngeal cancer develops in the larynx, or voice box, in the throat. Our head and neck cancer specialists have extensive experience treating laryngeal cancer while minimizing treatment side effects like hoarseness and swallowing difficulties. With todays advanced treatments, many patients can avoid a total laryngectomy (completely removing the voice box). […] Laryngeal cancer symptoms can be similar to those of other conditions. They may include: coughing up blood or bloody sputum, ear pain, hoarseness, lump in the neck or throat, sore throat or cough that does not go away, trouble or pain when swallowing. […] Your Stanford specialists conduct a thorough evaluation to diagnose larynx cancer. Tests may include: laryngoscopy, endoscopy, imaging tests, biopsy, and lab work.
- #18 Cancer of Larynx- Easy ppt for Nurses | PPThttps://www.slideshare.net/sunnymumu/cancer-of-larynx-easy-ppt-for-nurses
Cancer of the larynx accounts for approximately half of all head and neck cancers. Almost all malignant tumors of the larynx arise from the surface epithelium and are classified as squamous cell carcinoma. […] Risk factors include male gender, age 60 to 70 years, tobacco use (including smokeless), alcohol use, vocal straining, chronic laryngitis, occupational exposure to carcinogens, nutritional deficiencies (riboflavin), and family predisposition. […] Clinical manifestations include hoarseness, noted early with cancer in the glottic area; harsh, raspy, low-pitched voice. Persistent cough; pain and burning in the throat when drinking hot liquids and citrus juices. Lump felt in the neck. Late symptoms: dysphagia, dyspnea, unilateral nasal obstruction or discharge, persistent hoarseness or ulceration, and foul breath. Enlarged cervical nodes, weight loss, general debility, and pain radiating to the ear may occur with metastasis.
- #19 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Care Plan for Laryngeal Cancer by lifenurses on 2:11AM No comments Cancer of the larynx is a malignant tumor in the larynx (voice box). It is potentially curable if detected early. […] Nursing Assessment for Laryngeal Cancer The nurse assesses the patient for the following symptoms: hoarseness, sore throat, dyspnea, dysphagia, or pain and burning in the throat. […] Nursing Diagnosis Common Nursing Diagnosis found in patient with Laryngeal Cancer Ineffective airway clearance Impaired verbal communication Impaired skin/tissue integrity Impaired oral mucous membrane Acute pain Imbalanced nutrition: less than body requirements Disturbed body image/ineffective role performance deficient knowledge [learning need] regarding prognosis, treatment, self-care, and discharge needs Impaired swallowing Risk for infection
- #20 What Every Patient Should Know About Laryngeal Cancer | Larynx Cancer | Voice Box Cancer | University of Michigan Rogel Cancer Centerhttps://www.rogelcancercenter.org/head-and-neck-cancer/voicebox/what-patients-should-know
Cancers arising in the larynx (voice box) are devastating malignancies that account for roughly 200,000 deaths annually worldwide. […] In the United States, it is estimated that over 12,000 new cases are diagnosed each year and that this incidence is increasing during a time that many other cancers are decreasing. […] Tobacco use is known to be the major predisposing factor for laryngeal cancer. […] Common symptoms are hoarseness, painful swallowing, earache or development of a mass in the neck. […] When diagnosed early, these cancers are readily curable. […] Modern treatment approaches have become increasingly complex, as sophisticated methods have been developed to try and preserve vocal function. […] Because of this, a variety of treatment options are available and selecting the optimal treatment has become a complex and often confusing process for patients.
- #21 Throat Cancer Types, Symptoms, and Diagnosishttps://www.ahn.org/services/cancer/types/throat
Throat cancer, also known as laryngeal cancer, is a type of cancer that develops in the larynx, the voice box located in the throat. Its a relatively rare cancer, but it can be serious if not diagnosed and treated early. […] At the Head and Neck Cancer Center of Excellence, we have extensive experience in treating patients with these cancers. […] You can also be seen by our excellent speech and language pathologists and therapists who can help play a role in your treatment and recovery. […] Our Cancer Institute team has a deep understanding of the latest throat cancer treatments. […] We use minimally invasive techniques whenever possible, so your recovery is shorter and more comfortable. […] A laryngoscopy allows your doctor to directly visualize the larynx (voice box) and surrounding areas of the throat.
- #22 Throat Cancer Types, Symptoms, and Diagnosishttps://www.ahn.org/services/cancer/types/throat
A biopsy will give your care team the answers it needs to help create a comprehensive and specific treatment plan for you. […] Because a biopsy will confirm the type of laryngeal cancer, your doctors will be able to determine the type of treatment and care you need all tailored to your specific diagnosis. […] Treatment for throat cancer depends on the type, stage, and your overall health. […] Surgery plays a crucial role in treating throat cancer, depending on the type, stage, and location of the cancer, as well as your overall health. […] Treating throat cancer with radiation therapy aims to destroy cancer cells while minimizing damage to healthy surrounding tissues. […] Chemotherapy for throat cancer uses powerful drugs to kill cancer cells throughout the body. […] Targeted therapies that treat throat cancer focus on attacking specific molecules or pathways involved in the growth and survival of cancer cells. […] The best treatment plan will be determined by your doctor based on your individual circumstances.
- #23 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Your doctor may do a physical exam of the head and neck, including: feeling for any lumps, swelling or enlarged lymph nodes in the neck, feeling for lumps or swelling on the inside of the mouth, including the cheeks and lips, feeling the floor of the mouth and the base of the tongue, examining the roof of the mouth and the back of the throat, examining the nose and ears. […] Tests are often part of follow-up care. You may have: a laryngoscopy to look at the larynx and take a biopsy if there is an area that doesn’t look normal, a biopsy to check if the cancer has come back, imaging tests such as a CT scan, an MRI or a PET scan to check for spread of the cancer, blood tests to check thyroid function every 6 to 12 months, a chest x-ray to check for spread of the cancer to the lungs, speech and swallowing tests to evaluate rehabilitation, dental exams to check for cavities. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #24 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Your doctor may do a physical exam of the head and neck, including: feeling for any lumps, swelling or enlarged lymph nodes in the neck, feeling for lumps or swelling on the inside of the mouth, including the cheeks and lips, feeling the floor of the mouth and the base of the tongue, examining the roof of the mouth and the back of the throat, examining the nose and ears. […] Tests are often part of follow-up care. You may have: a laryngoscopy to look at the larynx and take a biopsy if there is an area that doesn’t look normal, a biopsy to check if the cancer has come back, imaging tests such as a CT scan, an MRI or a PET scan to check for spread of the cancer, blood tests to check thyroid function every 6 to 12 months, a chest x-ray to check for spread of the cancer to the lungs, speech and swallowing tests to evaluate rehabilitation, dental exams to check for cavities. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #25 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Your doctor may do a physical exam of the head and neck, including: feeling for any lumps, swelling or enlarged lymph nodes in the neck, feeling for lumps or swelling on the inside of the mouth, including the cheeks and lips, feeling the floor of the mouth and the base of the tongue, examining the roof of the mouth and the back of the throat, examining the nose and ears. […] Tests are often part of follow-up care. You may have: a laryngoscopy to look at the larynx and take a biopsy if there is an area that doesn’t look normal, a biopsy to check if the cancer has come back, imaging tests such as a CT scan, an MRI or a PET scan to check for spread of the cancer, blood tests to check thyroid function every 6 to 12 months, a chest x-ray to check for spread of the cancer to the lungs, speech and swallowing tests to evaluate rehabilitation, dental exams to check for cavities. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #26 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Your doctor may do a physical exam of the head and neck, including: feeling for any lumps, swelling or enlarged lymph nodes in the neck, feeling for lumps or swelling on the inside of the mouth, including the cheeks and lips, feeling the floor of the mouth and the base of the tongue, examining the roof of the mouth and the back of the throat, examining the nose and ears. […] Tests are often part of follow-up care. You may have: a laryngoscopy to look at the larynx and take a biopsy if there is an area that doesn’t look normal, a biopsy to check if the cancer has come back, imaging tests such as a CT scan, an MRI or a PET scan to check for spread of the cancer, blood tests to check thyroid function every 6 to 12 months, a chest x-ray to check for spread of the cancer to the lungs, speech and swallowing tests to evaluate rehabilitation, dental exams to check for cavities. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #27 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Your doctor may do a physical exam of the head and neck, including: feeling for any lumps, swelling or enlarged lymph nodes in the neck, feeling for lumps or swelling on the inside of the mouth, including the cheeks and lips, feeling the floor of the mouth and the base of the tongue, examining the roof of the mouth and the back of the throat, examining the nose and ears. […] Tests are often part of follow-up care. You may have: a laryngoscopy to look at the larynx and take a biopsy if there is an area that doesn’t look normal, a biopsy to check if the cancer has come back, imaging tests such as a CT scan, an MRI or a PET scan to check for spread of the cancer, blood tests to check thyroid function every 6 to 12 months, a chest x-ray to check for spread of the cancer to the lungs, speech and swallowing tests to evaluate rehabilitation, dental exams to check for cavities. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #28 Nursing Care Plan For Laryngeal Cancer – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-laryngeal-cancer/
Laryngeal cancer, a challenging and life-altering diagnosis, presents complex physical, emotional, and psychosocial challenges for individuals and their families. […] Nurses play an essential role in the comprehensive care of individuals with laryngeal cancer. Our responsibilities encompass not only the physical care and symptom management but also providing emotional support, education, and advocacy for patients and their families. […] This nursing care plan stands as a testament to our dedication to providing compassionate, evidence-based, and patient-centered care to those facing the challenges of laryngeal cancer. […] This comprehensive nursing assessment forms the foundation for developing an individualized care plan for the patient with laryngeal cancer. […] These nursing diagnoses address the multifaceted challenges that patients with laryngeal cancer may face, including communication difficulties, pain management, nutritional concerns, psychosocial support, and potential complications related to treatment and airway management.
- #29 Nursing care of patients with laryngeal carcinoma – PubMedhttps://pubmed.ncbi.nlm.nih.gov/2669073/
The patient with cancer of the larynx can provide a challenge to the nursing staff. All aspects of nursing management are encompassed in providing care to this unique group of patients. Prevention and early detection are mandatory in the treatment of the patient with cancer of the larynx. Acute care/intensive care nursing, teaching, general medical surgical nursing, rehabilitative nursing, and psychological counseling are all required for any patient undergoing treatment for a cancer of the larynx. The nurse is in a key position to coordinate the care received by these patients and their family members in order for the patient to resume a reasonable quality of life.
- #30 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Care Plan for Laryngeal Cancer by lifenurses on 2:11AM No comments Cancer of the larynx is a malignant tumor in the larynx (voice box). It is potentially curable if detected early. […] Nursing Assessment for Laryngeal Cancer The nurse assesses the patient for the following symptoms: hoarseness, sore throat, dyspnea, dysphagia, or pain and burning in the throat. […] Nursing Diagnosis Common Nursing Diagnosis found in patient with Laryngeal Cancer Ineffective airway clearance Impaired verbal communication Impaired skin/tissue integrity Impaired oral mucous membrane Acute pain Imbalanced nutrition: less than body requirements Disturbed body image/ineffective role performance deficient knowledge [learning need] regarding prognosis, treatment, self-care, and discharge needs Impaired swallowing Risk for infection
- #31 Nursing Care Plan For Laryngeal Cancer – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-laryngeal-cancer/
Laryngeal cancer, a challenging and life-altering diagnosis, presents complex physical, emotional, and psychosocial challenges for individuals and their families. […] Nurses play an essential role in the comprehensive care of individuals with laryngeal cancer. Our responsibilities encompass not only the physical care and symptom management but also providing emotional support, education, and advocacy for patients and their families. […] This nursing care plan stands as a testament to our dedication to providing compassionate, evidence-based, and patient-centered care to those facing the challenges of laryngeal cancer. […] This comprehensive nursing assessment forms the foundation for developing an individualized care plan for the patient with laryngeal cancer. […] These nursing diagnoses address the multifaceted challenges that patients with laryngeal cancer may face, including communication difficulties, pain management, nutritional concerns, psychosocial support, and potential complications related to treatment and airway management.
- #32 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
Teach the patient appropriate devices and technique to ensure patent airway and prevent complications. […] Provide the patient with a list of referrals and support groups such as visiting nurses. […] Nursing diagnosis:- Ineffective airway clearance related to altering ability to breath, cough and swallow. Acute pain related to surgical incision and tissue swelling. Impaired skin/ tissue integrity related to surgical removal of tissues and grafting, radiation or chemotherapeutic agents, reduced blood supply and edema formation. […] Impaired verbal communication related to anatomical deficit removal of vocal cords. […] Summary:- Cancer of the larynx is a malignant tumour in and around the larynx (voice box). […] Most common treatment of laryngeal cancer is laryngectomy. Other treatments are Radiation therapy Chemotherapy.
- #33 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Diagnosis Impaired Verbal Communication related to: Anatomical deficit removal of vocal cords Physical barrier tracheostomy tube Required voice rest […] Nursing Diagnosis Impaired Skin/Tissue Integrity related to: Surgical removal of tissues and grafting Radiation or chemotherapeutic agents Altered circulation or reduced blood supply Compromised nutritional status Edema formation Pooling or continuous drainage of secretions oral, lymph, or chyle […] Nursing Diagnosis Impaired Oral Mucous Membrane related to Dehydration or absence of oral intake, decreased saliva production secondary to radiation or surgical procedure Poor or inadequate oral hygiene Pathological condition oral cancer, mechanical trauma oral surgery Difficulty swallowing and pooling of secretions and drooling Nutritional deficits
- #34 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Diagnosis Impaired Verbal Communication related to: Anatomical deficit removal of vocal cords Physical barrier tracheostomy tube Required voice rest […] Nursing Diagnosis Impaired Skin/Tissue Integrity related to: Surgical removal of tissues and grafting Radiation or chemotherapeutic agents Altered circulation or reduced blood supply Compromised nutritional status Edema formation Pooling or continuous drainage of secretions oral, lymph, or chyle […] Nursing Diagnosis Impaired Oral Mucous Membrane related to Dehydration or absence of oral intake, decreased saliva production secondary to radiation or surgical procedure Poor or inadequate oral hygiene Pathological condition oral cancer, mechanical trauma oral surgery Difficulty swallowing and pooling of secretions and drooling Nutritional deficits
- #35 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Diagnosis Impaired Verbal Communication related to: Anatomical deficit removal of vocal cords Physical barrier tracheostomy tube Required voice rest […] Nursing Diagnosis Impaired Skin/Tissue Integrity related to: Surgical removal of tissues and grafting Radiation or chemotherapeutic agents Altered circulation or reduced blood supply Compromised nutritional status Edema formation Pooling or continuous drainage of secretions oral, lymph, or chyle […] Nursing Diagnosis Impaired Oral Mucous Membrane related to Dehydration or absence of oral intake, decreased saliva production secondary to radiation or surgical procedure Poor or inadequate oral hygiene Pathological condition oral cancer, mechanical trauma oral surgery Difficulty swallowing and pooling of secretions and drooling Nutritional deficits
- #36 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
Teach the patient appropriate devices and technique to ensure patent airway and prevent complications. […] Provide the patient with a list of referrals and support groups such as visiting nurses. […] Nursing diagnosis:- Ineffective airway clearance related to altering ability to breath, cough and swallow. Acute pain related to surgical incision and tissue swelling. Impaired skin/ tissue integrity related to surgical removal of tissues and grafting, radiation or chemotherapeutic agents, reduced blood supply and edema formation. […] Impaired verbal communication related to anatomical deficit removal of vocal cords. […] Summary:- Cancer of the larynx is a malignant tumour in and around the larynx (voice box). […] Most common treatment of laryngeal cancer is laryngectomy. Other treatments are Radiation therapy Chemotherapy.
- #37 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Care Plan for Laryngeal Cancer by lifenurses on 2:11AM No comments Cancer of the larynx is a malignant tumor in the larynx (voice box). It is potentially curable if detected early. […] Nursing Assessment for Laryngeal Cancer The nurse assesses the patient for the following symptoms: hoarseness, sore throat, dyspnea, dysphagia, or pain and burning in the throat. […] Nursing Diagnosis Common Nursing Diagnosis found in patient with Laryngeal Cancer Ineffective airway clearance Impaired verbal communication Impaired skin/tissue integrity Impaired oral mucous membrane Acute pain Imbalanced nutrition: less than body requirements Disturbed body image/ineffective role performance deficient knowledge [learning need] regarding prognosis, treatment, self-care, and discharge needs Impaired swallowing Risk for infection
- #38 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Care Plan for Laryngeal Cancer by lifenurses on 2:11AM No comments Cancer of the larynx is a malignant tumor in the larynx (voice box). It is potentially curable if detected early. […] Nursing Assessment for Laryngeal Cancer The nurse assesses the patient for the following symptoms: hoarseness, sore throat, dyspnea, dysphagia, or pain and burning in the throat. […] Nursing Diagnosis Common Nursing Diagnosis found in patient with Laryngeal Cancer Ineffective airway clearance Impaired verbal communication Impaired skin/tissue integrity Impaired oral mucous membrane Acute pain Imbalanced nutrition: less than body requirements Disturbed body image/ineffective role performance deficient knowledge [learning need] regarding prognosis, treatment, self-care, and discharge needs Impaired swallowing Risk for infection
- #39 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Care Plan for Laryngeal Cancer by lifenurses on 2:11AM No comments Cancer of the larynx is a malignant tumor in the larynx (voice box). It is potentially curable if detected early. […] Nursing Assessment for Laryngeal Cancer The nurse assesses the patient for the following symptoms: hoarseness, sore throat, dyspnea, dysphagia, or pain and burning in the throat. […] Nursing Diagnosis Common Nursing Diagnosis found in patient with Laryngeal Cancer Ineffective airway clearance Impaired verbal communication Impaired skin/tissue integrity Impaired oral mucous membrane Acute pain Imbalanced nutrition: less than body requirements Disturbed body image/ineffective role performance deficient knowledge [learning need] regarding prognosis, treatment, self-care, and discharge needs Impaired swallowing Risk for infection
- #40 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Care Plan for Laryngeal Cancer by lifenurses on 2:11AM No comments Cancer of the larynx is a malignant tumor in the larynx (voice box). It is potentially curable if detected early. […] Nursing Assessment for Laryngeal Cancer The nurse assesses the patient for the following symptoms: hoarseness, sore throat, dyspnea, dysphagia, or pain and burning in the throat. […] Nursing Diagnosis Common Nursing Diagnosis found in patient with Laryngeal Cancer Ineffective airway clearance Impaired verbal communication Impaired skin/tissue integrity Impaired oral mucous membrane Acute pain Imbalanced nutrition: less than body requirements Disturbed body image/ineffective role performance deficient knowledge [learning need] regarding prognosis, treatment, self-care, and discharge needs Impaired swallowing Risk for infection
- #41 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Nursing Care Plan for Laryngeal Cancer by lifenurses on 2:11AM No comments Cancer of the larynx is a malignant tumor in the larynx (voice box). It is potentially curable if detected early. […] Nursing Assessment for Laryngeal Cancer The nurse assesses the patient for the following symptoms: hoarseness, sore throat, dyspnea, dysphagia, or pain and burning in the throat. […] Nursing Diagnosis Common Nursing Diagnosis found in patient with Laryngeal Cancer Ineffective airway clearance Impaired verbal communication Impaired skin/tissue integrity Impaired oral mucous membrane Acute pain Imbalanced nutrition: less than body requirements Disturbed body image/ineffective role performance deficient knowledge [learning need] regarding prognosis, treatment, self-care, and discharge needs Impaired swallowing Risk for infection
- #42 Nursing Care Plan For Laryngeal Cancer – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-laryngeal-cancer/
These nursing interventions aim to provide comprehensive care and support to patients with laryngeal cancer, addressing their physical, emotional, and psychosocial needs. […] Laryngeal cancer, a formidable adversary, demands a comprehensive and compassionate approach to care that recognizes the multifaceted needs of the individual facing this challenging diagnosis. […] Nurses are steadfast advocates and caregivers, occupying a central role in the care and support of individuals facing laryngeal cancer.
- #43 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
Laryngeal cancer – contain detailed information of definition, etiology and causes, pathophysiology, management of cancer, nursing management, medical management, patient teaching, nursing diagnosis, nursing research, complication, diet management. […] Nursing management of laryngectomy:- Pre-operative care: Explain the patient that after total laryngectomy the breathing will occur through a permanent opening made in the neck and that normal speech will not be possible. […] Care of the patient after total laryngectomy: 1. Provide comfort care and airway management- Elevate head of bed 45 degrees. Encourage deep breathing every 4 hours. Maintain oxygen to tracheostomy collar. Assess airway patency every shift as needed. Assess vitals- quality, rate of respiration and skin color(pallor , cyanosis) 2. Provide care for suture line and stoma site- Assess suture line and stoma site every 4 hours. Monitor drain function and output. Maintain suction to drain at level ordered. Clean the stoma site and suture line with hydrogen peroxide , normal saline and dry it with dry gauze. Report changes in amount and colour of drainage of air leak.
- #44 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
Laryngeal cancer – contain detailed information of definition, etiology and causes, pathophysiology, management of cancer, nursing management, medical management, patient teaching, nursing diagnosis, nursing research, complication, diet management. […] Nursing management of laryngectomy:- Pre-operative care: Explain the patient that after total laryngectomy the breathing will occur through a permanent opening made in the neck and that normal speech will not be possible. […] Care of the patient after total laryngectomy: 1. Provide comfort care and airway management- Elevate head of bed 45 degrees. Encourage deep breathing every 4 hours. Maintain oxygen to tracheostomy collar. Assess airway patency every shift as needed. Assess vitals- quality, rate of respiration and skin color(pallor , cyanosis) 2. Provide care for suture line and stoma site- Assess suture line and stoma site every 4 hours. Monitor drain function and output. Maintain suction to drain at level ordered. Clean the stoma site and suture line with hydrogen peroxide , normal saline and dry it with dry gauze. Report changes in amount and colour of drainage of air leak.
- #45 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
3. Attention to fluid , food and hygiene needs- Monitor hydration and ensure adequate fluid intake to maintain healthy oral mucosa. Provide mouth care at least three times in a day. Record intake and output every shift. […] 4. Provide support and education for the patient family- Assess anxiety level and provide emotional support. Assist patient in communicating. Provide patient with writing materials or picture board. Instruct about use of artificial speech device and encourage its use. […] Prepare patient for discharge. Begin teaching laryngectomy care. Provide information about soft diet. Refer the patient to a speech pathologist for voice and speech rehabilitation. […] Patient teaching Discharge and home health care guidelines for patient with laryngeal cancer:- Teach the patient Signs and symptoms of potential complications and appropriate actions to be taken.
- #46 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
3. Attention to fluid , food and hygiene needs- Monitor hydration and ensure adequate fluid intake to maintain healthy oral mucosa. Provide mouth care at least three times in a day. Record intake and output every shift. […] 4. Provide support and education for the patient family- Assess anxiety level and provide emotional support. Assist patient in communicating. Provide patient with writing materials or picture board. Instruct about use of artificial speech device and encourage its use. […] Prepare patient for discharge. Begin teaching laryngectomy care. Provide information about soft diet. Refer the patient to a speech pathologist for voice and speech rehabilitation. […] Patient teaching Discharge and home health care guidelines for patient with laryngeal cancer:- Teach the patient Signs and symptoms of potential complications and appropriate actions to be taken.
- #47 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
During nursing intervention, the student nurse will: 1. Maintain strict asepsis when performing procedures to client. […] R: Asepsis will prevent client from entry of organisms thus, protecting her from infection. […] 2. Exercise meticulous handwashing before and after handling patient. […] R: Frequent, meticulous handwashing greatly decreases the chances of spreading infection. […] 3. Check presence of invasive devices and monitor their present condition. […] R: Checking of condition of lines or devices, their duration of attachment will help the nurse identify possible sources of infection, which she then can remove. […] 4. Monitor vital signs especially temperature every 4 hours. […] R: Fever or hypothermia may indicate presence of infection. […] 5. Check incisions/wounds for signs of infection.
- #48 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
During nursing intervention, the student nurse will: 1. Maintain strict asepsis when performing procedures to client. […] R: Asepsis will prevent client from entry of organisms thus, protecting her from infection. […] 2. Exercise meticulous handwashing before and after handling patient. […] R: Frequent, meticulous handwashing greatly decreases the chances of spreading infection. […] 3. Check presence of invasive devices and monitor their present condition. […] R: Checking of condition of lines or devices, their duration of attachment will help the nurse identify possible sources of infection, which she then can remove. […] 4. Monitor vital signs especially temperature every 4 hours. […] R: Fever or hypothermia may indicate presence of infection. […] 5. Check incisions/wounds for signs of infection.
- #49 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
During nursing intervention, the student nurse will: 1. Maintain strict asepsis when performing procedures to client. […] R: Asepsis will prevent client from entry of organisms thus, protecting her from infection. […] 2. Exercise meticulous handwashing before and after handling patient. […] R: Frequent, meticulous handwashing greatly decreases the chances of spreading infection. […] 3. Check presence of invasive devices and monitor their present condition. […] R: Checking of condition of lines or devices, their duration of attachment will help the nurse identify possible sources of infection, which she then can remove. […] 4. Monitor vital signs especially temperature every 4 hours. […] R: Fever or hypothermia may indicate presence of infection. […] 5. Check incisions/wounds for signs of infection.
- #50 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
During nursing intervention, the student nurse will: 1. Maintain strict asepsis when performing procedures to client. […] R: Asepsis will prevent client from entry of organisms thus, protecting her from infection. […] 2. Exercise meticulous handwashing before and after handling patient. […] R: Frequent, meticulous handwashing greatly decreases the chances of spreading infection. […] 3. Check presence of invasive devices and monitor their present condition. […] R: Checking of condition of lines or devices, their duration of attachment will help the nurse identify possible sources of infection, which she then can remove. […] 4. Monitor vital signs especially temperature every 4 hours. […] R: Fever or hypothermia may indicate presence of infection. […] 5. Check incisions/wounds for signs of infection.
- #51 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
During nursing intervention, the student nurse will: 1. Maintain strict asepsis when performing procedures to client. […] R: Asepsis will prevent client from entry of organisms thus, protecting her from infection. […] 2. Exercise meticulous handwashing before and after handling patient. […] R: Frequent, meticulous handwashing greatly decreases the chances of spreading infection. […] 3. Check presence of invasive devices and monitor their present condition. […] R: Checking of condition of lines or devices, their duration of attachment will help the nurse identify possible sources of infection, which she then can remove. […] 4. Monitor vital signs especially temperature every 4 hours. […] R: Fever or hypothermia may indicate presence of infection. […] 5. Check incisions/wounds for signs of infection.
- #52 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
R: Skin and mucosa provide first line defense against microorganisms. […] 6. Cleanse mouth erosions, if not contraindicated. […] R: Ensures that wound is free from infection-causing organisms and is kept clean to prevent infections. […] 7. Provide meticulous skin care (cleansing bath). […] R: To prevent skin breakdown which is a possible way of infection. […] 8. Assist with oral care (Orahex) if needed. […] R: Provides care if client is unable. […] 9. Promote frequent and adequate fluid intake. […] R: To liquefy secretions and facilitate expectorations to prevent stasis of body fluids and promotes moist mucus membranes. […] 10. Encourage to apply lubricant (petroleum jelly) to lips and skin graft. […] R: Keeps areas moist. […] 11. Encourage frequent position changes/ambulation, coughing, and deep breathing exercises.
- #53 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
R: Skin and mucosa provide first line defense against microorganisms. […] 6. Cleanse mouth erosions, if not contraindicated. […] R: Ensures that wound is free from infection-causing organisms and is kept clean to prevent infections. […] 7. Provide meticulous skin care (cleansing bath). […] R: To prevent skin breakdown which is a possible way of infection. […] 8. Assist with oral care (Orahex) if needed. […] R: Provides care if client is unable. […] 9. Promote frequent and adequate fluid intake. […] R: To liquefy secretions and facilitate expectorations to prevent stasis of body fluids and promotes moist mucus membranes. […] 10. Encourage to apply lubricant (petroleum jelly) to lips and skin graft. […] R: Keeps areas moist. […] 11. Encourage frequent position changes/ambulation, coughing, and deep breathing exercises.
- #54 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
R: Skin and mucosa provide first line defense against microorganisms. […] 6. Cleanse mouth erosions, if not contraindicated. […] R: Ensures that wound is free from infection-causing organisms and is kept clean to prevent infections. […] 7. Provide meticulous skin care (cleansing bath). […] R: To prevent skin breakdown which is a possible way of infection. […] 8. Assist with oral care (Orahex) if needed. […] R: Provides care if client is unable. […] 9. Promote frequent and adequate fluid intake. […] R: To liquefy secretions and facilitate expectorations to prevent stasis of body fluids and promotes moist mucus membranes. […] 10. Encourage to apply lubricant (petroleum jelly) to lips and skin graft. […] R: Keeps areas moist. […] 11. Encourage frequent position changes/ambulation, coughing, and deep breathing exercises.
- #55 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
R: Skin and mucosa provide first line defense against microorganisms. […] 6. Cleanse mouth erosions, if not contraindicated. […] R: Ensures that wound is free from infection-causing organisms and is kept clean to prevent infections. […] 7. Provide meticulous skin care (cleansing bath). […] R: To prevent skin breakdown which is a possible way of infection. […] 8. Assist with oral care (Orahex) if needed. […] R: Provides care if client is unable. […] 9. Promote frequent and adequate fluid intake. […] R: To liquefy secretions and facilitate expectorations to prevent stasis of body fluids and promotes moist mucus membranes. […] 10. Encourage to apply lubricant (petroleum jelly) to lips and skin graft. […] R: Keeps areas moist. […] 11. Encourage frequent position changes/ambulation, coughing, and deep breathing exercises.
- #56 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
R: Skin and mucosa provide first line defense against microorganisms. […] 6. Cleanse mouth erosions, if not contraindicated. […] R: Ensures that wound is free from infection-causing organisms and is kept clean to prevent infections. […] 7. Provide meticulous skin care (cleansing bath). […] R: To prevent skin breakdown which is a possible way of infection. […] 8. Assist with oral care (Orahex) if needed. […] R: Provides care if client is unable. […] 9. Promote frequent and adequate fluid intake. […] R: To liquefy secretions and facilitate expectorations to prevent stasis of body fluids and promotes moist mucus membranes. […] 10. Encourage to apply lubricant (petroleum jelly) to lips and skin graft. […] R: Keeps areas moist. […] 11. Encourage frequent position changes/ambulation, coughing, and deep breathing exercises.
- #57 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
R: Skin and mucosa provide first line defense against microorganisms. […] 6. Cleanse mouth erosions, if not contraindicated. […] R: Ensures that wound is free from infection-causing organisms and is kept clean to prevent infections. […] 7. Provide meticulous skin care (cleansing bath). […] R: To prevent skin breakdown which is a possible way of infection. […] 8. Assist with oral care (Orahex) if needed. […] R: Provides care if client is unable. […] 9. Promote frequent and adequate fluid intake. […] R: To liquefy secretions and facilitate expectorations to prevent stasis of body fluids and promotes moist mucus membranes. […] 10. Encourage to apply lubricant (petroleum jelly) to lips and skin graft. […] R: Keeps areas moist. […] 11. Encourage frequent position changes/ambulation, coughing, and deep breathing exercises.
- #58 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
R: Skin and mucosa provide first line defense against microorganisms. […] 6. Cleanse mouth erosions, if not contraindicated. […] R: Ensures that wound is free from infection-causing organisms and is kept clean to prevent infections. […] 7. Provide meticulous skin care (cleansing bath). […] R: To prevent skin breakdown which is a possible way of infection. […] 8. Assist with oral care (Orahex) if needed. […] R: Provides care if client is unable. […] 9. Promote frequent and adequate fluid intake. […] R: To liquefy secretions and facilitate expectorations to prevent stasis of body fluids and promotes moist mucus membranes. […] 10. Encourage to apply lubricant (petroleum jelly) to lips and skin graft. […] R: Keeps areas moist. […] 11. Encourage frequent position changes/ambulation, coughing, and deep breathing exercises.
- #59 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
R: To promote ventilation in all lung segments and aids in mobilizing secretions to prevent pneumonia. […] 12. Provide health teaching on: – possible individual causes of infection to establish an information background for the patient. […] – techniques to prevent or reduce risk of infection to initialize learning of patient. […] – proper handwashing technique to client because it is the most basic technique to prevent infection. […] – thorough handwashing technique to other patients and caregivers to encourage client to practice learned skill. […] – avoidance of people with respiratory infections and respiratory diseases. […] – effect of chemotherapy and radiation therapy on body. […] Goal: By the end of the duty, the client will maintain nutritional status, minimize weight loss and experience less nausea and vomiting.
- #60 Supportive care for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/supportive-care
Supportive care helps people meet the physical, practical, emotional and spiritual challenges of laryngeal cancer. It is an important part of cancer care. […] Recovering from laryngeal cancer and adjusting to life after treatment is different for each person, depending on the stage of the cancer, the type of treatment and many other factors. […] A speech therapist (speech-language pathologist) can help you deal with changes in your voice and learn to speak again. […] A speech therapist can help you with swallowing problems. […] Laryngeal cancer and its treatments can affect a persons self-esteem and body image. […] The doctor, nurse and speech therapist can give information and support. […] The healthcare team takes steps to check for, prevent and manage a dry mouth. […] Difficulty swallowing, dry mouth and dental problems can lead to poor nutrition and weight loss.
- #61 Supportive care for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/supportive-care
A registered dietitian can often help people deal with loss of appetite. […] People with head and neck cancers, including laryngeal cancer, often experience emotional distress. […] Tell your doctor about your feelings. You may be given medicines and referred to a counsellor who will help you work through your feelings.
- #62 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
By the end of the nursing intervention, the client will: 1. Identify predisposing factors that lead to undernourishment of patient. […] 2. Follow the dietary plan for patient. […] During the nursing intervention, the student nurse will: 1. Teach mother the possible predisposing factors that lead to undernourishment of patient. […] R: To initiate learning. […] 2. Provide information regarding the dietary plan for the client. […] R: To provide ongoing support and increase likelihood of accomplishing dietary goals. […] 3. Instruct patient to avoid unpleasant sights, odor, sounds in the environment during mealtime. […] R: Decrease in discomfort during meals.
- #63 NCP Laryngeal Cancer | PDF | Nausea | Infectionhttps://www.scribd.com/doc/123382165/NCP-Laryngeal-Cancer
By the end of the nursing intervention, the client will: 1. Identify predisposing factors that lead to undernourishment of patient. […] 2. Follow the dietary plan for patient. […] During the nursing intervention, the student nurse will: 1. Teach mother the possible predisposing factors that lead to undernourishment of patient. […] R: To initiate learning. […] 2. Provide information regarding the dietary plan for the client. […] R: To provide ongoing support and increase likelihood of accomplishing dietary goals. […] 3. Instruct patient to avoid unpleasant sights, odor, sounds in the environment during mealtime. […] R: Decrease in discomfort during meals.
- #64https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
If you have had some or all of your larynx removed (laryngectomy), it’s likely that you’ll need to spend 1 or 2 days in an intensive care unit until you have recovered. […] You will not be able to eat until your throat has healed, which for most people takes at least 1 or 2 weeks. […] While your throat heals, you’ll need to be fed through a tube that’s passed through your nose and into your stomach. […] If you have had all of your larynx removed (total laryngectomy), you will not be able to speak normally, because you’ll no longer have vocal cords. […] There are a number of different ways you can learn to communicate again, although they can take weeks or months to learn. […] This means it’s likely that you’ll need to use different ways to communicate, such as using a pen or paper, during the first few weeks or months after surgery.
- #65https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
If you have had some or all of your larynx removed (laryngectomy), it’s likely that you’ll need to spend 1 or 2 days in an intensive care unit until you have recovered. […] You will not be able to eat until your throat has healed, which for most people takes at least 1 or 2 weeks. […] While your throat heals, you’ll need to be fed through a tube that’s passed through your nose and into your stomach. […] If you have had all of your larynx removed (total laryngectomy), you will not be able to speak normally, because you’ll no longer have vocal cords. […] There are a number of different ways you can learn to communicate again, although they can take weeks or months to learn. […] This means it’s likely that you’ll need to use different ways to communicate, such as using a pen or paper, during the first few weeks or months after surgery.
- #66https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
If you have had some or all of your larynx removed (laryngectomy), it’s likely that you’ll need to spend 1 or 2 days in an intensive care unit until you have recovered. […] You will not be able to eat until your throat has healed, which for most people takes at least 1 or 2 weeks. […] While your throat heals, you’ll need to be fed through a tube that’s passed through your nose and into your stomach. […] If you have had all of your larynx removed (total laryngectomy), you will not be able to speak normally, because you’ll no longer have vocal cords. […] There are a number of different ways you can learn to communicate again, although they can take weeks or months to learn. […] This means it’s likely that you’ll need to use different ways to communicate, such as using a pen or paper, during the first few weeks or months after surgery.
- #67 Laryngeal Cancerhttps://www.asha.org/public/speech/disorders/laryngeal-cancer/?srsltid=AfmBOooxqmiu0fVv7Z5SOgkk4ku-bOusW7XzfH3tmidMqPEbvBiQknRN
Speech-language pathologists, or SLPs, play an important role before, during, and after your cancer treatment to help with any speech or swallowing problems that you may have. […] The SLP will talk to you about your larynx and how surgery will change it. You will learn more about what will happen after surgery and what communication options you have. […] Right after surgery, you will not be able to talk. The SLP can give you paper and a pen, a dry-erase board, or a picture board to help you tell others what you need. […] As you heal, the SLP will work with you to find a new way to produce voice. […] Your SLP will fit the valve, called a prosthesis, and will show you how to use and care for it.
- #68 Laryngeal Cancerhttps://www.asha.org/public/speech/disorders/laryngeal-cancer/?srsltid=AfmBOooxqmiu0fVv7Z5SOgkk4ku-bOusW7XzfH3tmidMqPEbvBiQknRN
Speech-language pathologists, or SLPs, play an important role before, during, and after your cancer treatment to help with any speech or swallowing problems that you may have. […] The SLP will talk to you about your larynx and how surgery will change it. You will learn more about what will happen after surgery and what communication options you have. […] Right after surgery, you will not be able to talk. The SLP can give you paper and a pen, a dry-erase board, or a picture board to help you tell others what you need. […] As you heal, the SLP will work with you to find a new way to produce voice. […] Your SLP will fit the valve, called a prosthesis, and will show you how to use and care for it.
- #69 Supportive care for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/supportive-care
Supportive care helps people meet the physical, practical, emotional and spiritual challenges of laryngeal cancer. It is an important part of cancer care. […] Recovering from laryngeal cancer and adjusting to life after treatment is different for each person, depending on the stage of the cancer, the type of treatment and many other factors. […] A speech therapist (speech-language pathologist) can help you deal with changes in your voice and learn to speak again. […] A speech therapist can help you with swallowing problems. […] Laryngeal cancer and its treatments can affect a persons self-esteem and body image. […] The doctor, nurse and speech therapist can give information and support. […] The healthcare team takes steps to check for, prevent and manage a dry mouth. […] Difficulty swallowing, dry mouth and dental problems can lead to poor nutrition and weight loss.
- #70https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
It’s important to clean your stoma at least once a day, otherwise it can become crusty and may become vulnerable to infection. […] A specialist nurse can teach you how to keep your stoma clean. […] You’ll be given special filters to place over your stoma that can help keep your stoma moist and free of germs. […] If your larynx has been completely removed as part of your treatment for laryngeal cancer, you’ll need additional treatment to help restore your voice or learn new ways of speaking. […] Before your laryngectomy, you may meet a speech and language therapist (SLT) to discuss possible treatment options. […] A voice prosthesis is an artificial valve implanted into your neck. […] If you choose to have a voice prosthesis, it can be fitted during the surgery to remove your larynx.
- #71 Laryngeal Cancerhttps://www.asha.org/public/speech/disorders/laryngeal-cancer/?srsltid=AfmBOooxqmiu0fVv7Z5SOgkk4ku-bOusW7XzfH3tmidMqPEbvBiQknRN
Speech-language pathologists, or SLPs, play an important role before, during, and after your cancer treatment to help with any speech or swallowing problems that you may have. […] The SLP will talk to you about your larynx and how surgery will change it. You will learn more about what will happen after surgery and what communication options you have. […] Right after surgery, you will not be able to talk. The SLP can give you paper and a pen, a dry-erase board, or a picture board to help you tell others what you need. […] As you heal, the SLP will work with you to find a new way to produce voice. […] Your SLP will fit the valve, called a prosthesis, and will show you how to use and care for it.
- #72https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
Oesophageal speech is a technique for speaking that your SLT can teach you. […] Regular practise by yourself and with your SLT can help you improve. […] An electrolarynx is a small battery-operated electrical device that vibrates and produces sound. […] Treatment for laryngeal cancer can make your throat very sore and will cause difficulty swallowing. […] You may have to have food given through a tube in your nose or stomach after radiotherapy or surgery. […] You may also have to avoid certain foods and make changes to your diet when you’re able to eat normally again.
- #73https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
Oesophageal speech is a technique for speaking that your SLT can teach you. […] Regular practise by yourself and with your SLT can help you improve. […] An electrolarynx is a small battery-operated electrical device that vibrates and produces sound. […] Treatment for laryngeal cancer can make your throat very sore and will cause difficulty swallowing. […] You may have to have food given through a tube in your nose or stomach after radiotherapy or surgery. […] You may also have to avoid certain foods and make changes to your diet when you’re able to eat normally again.
- #74https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
It’s important to clean your stoma at least once a day, otherwise it can become crusty and may become vulnerable to infection. […] A specialist nurse can teach you how to keep your stoma clean. […] You’ll be given special filters to place over your stoma that can help keep your stoma moist and free of germs. […] If your larynx has been completely removed as part of your treatment for laryngeal cancer, you’ll need additional treatment to help restore your voice or learn new ways of speaking. […] Before your laryngectomy, you may meet a speech and language therapist (SLT) to discuss possible treatment options. […] A voice prosthesis is an artificial valve implanted into your neck. […] If you choose to have a voice prosthesis, it can be fitted during the surgery to remove your larynx.
- #75https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
It’s important to clean your stoma at least once a day, otherwise it can become crusty and may become vulnerable to infection. […] A specialist nurse can teach you how to keep your stoma clean. […] You’ll be given special filters to place over your stoma that can help keep your stoma moist and free of germs. […] If your larynx has been completely removed as part of your treatment for laryngeal cancer, you’ll need additional treatment to help restore your voice or learn new ways of speaking. […] Before your laryngectomy, you may meet a speech and language therapist (SLT) to discuss possible treatment options. […] A voice prosthesis is an artificial valve implanted into your neck. […] If you choose to have a voice prosthesis, it can be fitted during the surgery to remove your larynx.
- #76https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
It’s important to clean your stoma at least once a day, otherwise it can become crusty and may become vulnerable to infection. […] A specialist nurse can teach you how to keep your stoma clean. […] You’ll be given special filters to place over your stoma that can help keep your stoma moist and free of germs. […] If your larynx has been completely removed as part of your treatment for laryngeal cancer, you’ll need additional treatment to help restore your voice or learn new ways of speaking. […] Before your laryngectomy, you may meet a speech and language therapist (SLT) to discuss possible treatment options. […] A voice prosthesis is an artificial valve implanted into your neck. […] If you choose to have a voice prosthesis, it can be fitted during the surgery to remove your larynx.
- #77https://www.nhs.uk/conditions/laryngeal-cancer/treatment/
The main treatments are radiotherapy, surgery, chemotherapy and targeted cancer medicines. […] Members of your MDT will probably include a surgeon, a clinical oncologist (a specialist in non-surgical treatment of cancer), and a specialist cancer nurse who will be responsible for co-ordinating your care. […] Your MDT will monitor any side effects and treat them when possible. […] Your surgeon may need to create a temporary hole in your neck, which will be attached to a tube you can breathe through. This is known as a temporary tracheostomy. […] If you have a total laryngectomy, your surgeon will also need to create a permanent hole in your neck (called a stoma) to help you breath after the operation. […] You’ll be given training on how to keep your stoma clean. Having a stoma can seem daunting and frightening at first, but most people get used to it after a few months. […] It’s therefore important to report any symptoms of a potential infection to your MDT, such as a high temperature, chills or a persistent cough. You should also avoid close contact with people known to have an infection. […] Speak to your care team about other side effects of immunotherapy.
- #78https://www.nhs.uk/conditions/laryngeal-cancer/treatment/
The main treatments are radiotherapy, surgery, chemotherapy and targeted cancer medicines. […] Members of your MDT will probably include a surgeon, a clinical oncologist (a specialist in non-surgical treatment of cancer), and a specialist cancer nurse who will be responsible for co-ordinating your care. […] Your MDT will monitor any side effects and treat them when possible. […] Your surgeon may need to create a temporary hole in your neck, which will be attached to a tube you can breathe through. This is known as a temporary tracheostomy. […] If you have a total laryngectomy, your surgeon will also need to create a permanent hole in your neck (called a stoma) to help you breath after the operation. […] You’ll be given training on how to keep your stoma clean. Having a stoma can seem daunting and frightening at first, but most people get used to it after a few months. […] It’s therefore important to report any symptoms of a potential infection to your MDT, such as a high temperature, chills or a persistent cough. You should also avoid close contact with people known to have an infection. […] Speak to your care team about other side effects of immunotherapy.
- #79 Supportive care for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/supportive-care
Supportive care helps people meet the physical, practical, emotional and spiritual challenges of laryngeal cancer. It is an important part of cancer care. […] Recovering from laryngeal cancer and adjusting to life after treatment is different for each person, depending on the stage of the cancer, the type of treatment and many other factors. […] A speech therapist (speech-language pathologist) can help you deal with changes in your voice and learn to speak again. […] A speech therapist can help you with swallowing problems. […] Laryngeal cancer and its treatments can affect a persons self-esteem and body image. […] The doctor, nurse and speech therapist can give information and support. […] The healthcare team takes steps to check for, prevent and manage a dry mouth. […] Difficulty swallowing, dry mouth and dental problems can lead to poor nutrition and weight loss.
- #80 Supportive care for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/supportive-care
A registered dietitian can often help people deal with loss of appetite. […] People with head and neck cancers, including laryngeal cancer, often experience emotional distress. […] Tell your doctor about your feelings. You may be given medicines and referred to a counsellor who will help you work through your feelings.
- #81 Supportive care for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/supportive-care
A registered dietitian can often help people deal with loss of appetite. […] People with head and neck cancers, including laryngeal cancer, often experience emotional distress. […] Tell your doctor about your feelings. You may be given medicines and referred to a counsellor who will help you work through your feelings.
- #82 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
Teach the patient appropriate devices and technique to ensure patent airway and prevent complications. […] Provide the patient with a list of referrals and support groups such as visiting nurses. […] Nursing diagnosis:- Ineffective airway clearance related to altering ability to breath, cough and swallow. Acute pain related to surgical incision and tissue swelling. Impaired skin/ tissue integrity related to surgical removal of tissues and grafting, radiation or chemotherapeutic agents, reduced blood supply and edema formation. […] Impaired verbal communication related to anatomical deficit removal of vocal cords. […] Summary:- Cancer of the larynx is a malignant tumour in and around the larynx (voice box). […] Most common treatment of laryngeal cancer is laryngectomy. Other treatments are Radiation therapy Chemotherapy.
- #83 Supportive care for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/supportive-care
Supportive care helps people meet the physical, practical, emotional and spiritual challenges of laryngeal cancer. It is an important part of cancer care. […] Recovering from laryngeal cancer and adjusting to life after treatment is different for each person, depending on the stage of the cancer, the type of treatment and many other factors. […] A speech therapist (speech-language pathologist) can help you deal with changes in your voice and learn to speak again. […] A speech therapist can help you with swallowing problems. […] Laryngeal cancer and its treatments can affect a persons self-esteem and body image. […] The doctor, nurse and speech therapist can give information and support. […] The healthcare team takes steps to check for, prevent and manage a dry mouth. […] Difficulty swallowing, dry mouth and dental problems can lead to poor nutrition and weight loss.
- #84 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
3. Attention to fluid , food and hygiene needs- Monitor hydration and ensure adequate fluid intake to maintain healthy oral mucosa. Provide mouth care at least three times in a day. Record intake and output every shift. […] 4. Provide support and education for the patient family- Assess anxiety level and provide emotional support. Assist patient in communicating. Provide patient with writing materials or picture board. Instruct about use of artificial speech device and encourage its use. […] Prepare patient for discharge. Begin teaching laryngectomy care. Provide information about soft diet. Refer the patient to a speech pathologist for voice and speech rehabilitation. […] Patient teaching Discharge and home health care guidelines for patient with laryngeal cancer:- Teach the patient Signs and symptoms of potential complications and appropriate actions to be taken.
- #85 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Patient Teaching Discharge and Home Healthcare Guidelines for Patient with Laryngeal Cancer. Teach the patient signs and symptoms of potential complications and the appropriate actions to be taken. […] Reassure the patient that speech rehabilitation measures (including laryngeal speech, esophageal speech, an artificial larynx, and various mechanical devices) may help him communicate again.
- #86 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
Teach the patient appropriate devices and technique to ensure patent airway and prevent complications. […] Provide the patient with a list of referrals and support groups such as visiting nurses. […] Nursing diagnosis:- Ineffective airway clearance related to altering ability to breath, cough and swallow. Acute pain related to surgical incision and tissue swelling. Impaired skin/ tissue integrity related to surgical removal of tissues and grafting, radiation or chemotherapeutic agents, reduced blood supply and edema formation. […] Impaired verbal communication related to anatomical deficit removal of vocal cords. […] Summary:- Cancer of the larynx is a malignant tumour in and around the larynx (voice box). […] Most common treatment of laryngeal cancer is laryngectomy. Other treatments are Radiation therapy Chemotherapy.
- #87 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
Teach the patient appropriate devices and technique to ensure patent airway and prevent complications. […] Provide the patient with a list of referrals and support groups such as visiting nurses. […] Nursing diagnosis:- Ineffective airway clearance related to altering ability to breath, cough and swallow. Acute pain related to surgical incision and tissue swelling. Impaired skin/ tissue integrity related to surgical removal of tissues and grafting, radiation or chemotherapeutic agents, reduced blood supply and edema formation. […] Impaired verbal communication related to anatomical deficit removal of vocal cords. […] Summary:- Cancer of the larynx is a malignant tumour in and around the larynx (voice box). […] Most common treatment of laryngeal cancer is laryngectomy. Other treatments are Radiation therapy Chemotherapy.
- #88 Nursing Care Plan for Laryngeal Cancer ~ Lifenurseshttp://www.lifenurses.com/2011/02/nursing-care-plan-for-laryngeal-cancer.html
Patient Teaching Discharge and Home Healthcare Guidelines for Patient with Laryngeal Cancer. Teach the patient signs and symptoms of potential complications and the appropriate actions to be taken. […] Reassure the patient that speech rehabilitation measures (including laryngeal speech, esophageal speech, an artificial larynx, and various mechanical devices) may help him communicate again.
- #89 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
3. Attention to fluid , food and hygiene needs- Monitor hydration and ensure adequate fluid intake to maintain healthy oral mucosa. Provide mouth care at least three times in a day. Record intake and output every shift. […] 4. Provide support and education for the patient family- Assess anxiety level and provide emotional support. Assist patient in communicating. Provide patient with writing materials or picture board. Instruct about use of artificial speech device and encourage its use. […] Prepare patient for discharge. Begin teaching laryngectomy care. Provide information about soft diet. Refer the patient to a speech pathologist for voice and speech rehabilitation. […] Patient teaching Discharge and home health care guidelines for patient with laryngeal cancer:- Teach the patient Signs and symptoms of potential complications and appropriate actions to be taken.
- #90 Cancer of larynx and laryngeal cancer ppt | PPThttps://www.slideshare.net/slideshow/cancer-of-larynx-and-laryngeal-cancer-ppt/237737121
3. Attention to fluid , food and hygiene needs- Monitor hydration and ensure adequate fluid intake to maintain healthy oral mucosa. Provide mouth care at least three times in a day. Record intake and output every shift. […] 4. Provide support and education for the patient family- Assess anxiety level and provide emotional support. Assist patient in communicating. Provide patient with writing materials or picture board. Instruct about use of artificial speech device and encourage its use. […] Prepare patient for discharge. Begin teaching laryngectomy care. Provide information about soft diet. Refer the patient to a speech pathologist for voice and speech rehabilitation. […] Patient teaching Discharge and home health care guidelines for patient with laryngeal cancer:- Teach the patient Signs and symptoms of potential complications and appropriate actions to be taken.
- #91 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Treatment of patients with laryngeal carcinoma is complex because of the crucial functions of this anatomic area. If possible, the goal of treatment is to remove the tumor and prevent recurrence while maintaining laryngeal function. The ideal treatment varies for laryngeal cancer depending on the stage of the disease. Location of the primary tumor (ie, glottic, supraglottic or subglottic) is also an important consideration when selecting therapy. […] Early stage laryngeal carcinomas (stage I-II) are ideally treated with either radiation or surgical techniques (either endoscopic or open) that preserve laryngeal function. […] For carcinoma in situ or early stage invasive glottic or supraglottic cancer, endoscopic surgical excision or radiation therapy are both equally effective, with similar functional outcomes.
- #92 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Treatment of patients with laryngeal carcinoma is complex because of the crucial functions of this anatomic area. If possible, the goal of treatment is to remove the tumor and prevent recurrence while maintaining laryngeal function. The ideal treatment varies for laryngeal cancer depending on the stage of the disease. Location of the primary tumor (ie, glottic, supraglottic or subglottic) is also an important consideration when selecting therapy. […] Early stage laryngeal carcinomas (stage I-II) are ideally treated with either radiation or surgical techniques (either endoscopic or open) that preserve laryngeal function. […] For carcinoma in situ or early stage invasive glottic or supraglottic cancer, endoscopic surgical excision or radiation therapy are both equally effective, with similar functional outcomes.
- #93https://www.nhs.uk/conditions/laryngeal-cancer/treatment/
The main treatments are radiotherapy, surgery, chemotherapy and targeted cancer medicines. […] Members of your MDT will probably include a surgeon, a clinical oncologist (a specialist in non-surgical treatment of cancer), and a specialist cancer nurse who will be responsible for co-ordinating your care. […] Your MDT will monitor any side effects and treat them when possible. […] Your surgeon may need to create a temporary hole in your neck, which will be attached to a tube you can breathe through. This is known as a temporary tracheostomy. […] If you have a total laryngectomy, your surgeon will also need to create a permanent hole in your neck (called a stoma) to help you breath after the operation. […] You’ll be given training on how to keep your stoma clean. Having a stoma can seem daunting and frightening at first, but most people get used to it after a few months. […] It’s therefore important to report any symptoms of a potential infection to your MDT, such as a high temperature, chills or a persistent cough. You should also avoid close contact with people known to have an infection. […] Speak to your care team about other side effects of immunotherapy.
- #94 Laryngeal Cancer Treatment – NCIhttps://www.cancer.gov/types/head-and-neck/patient/adult/laryngeal-treatment-pdq
Treatment for laryngeal cancer may cause side effects. […] Patients may want to think about taking part in a clinical trial. […] Follow-up tests may be needed. […] Treatment of newly diagnosed stage I laryngeal cancer depends on where cancer is found in the larynx. […] Treatment of newly diagnosed stage II laryngeal cancer depends on where cancer is found in the larynx. […] Treatment of newly diagnosed stage III laryngeal cancer depends on where cancer is found in the larynx. […] Treatment of newly diagnosed stage IVA, IVB, and IVC laryngeal cancer depends on where cancer is found in the larynx. […] Treatment of metastatic and recurrent laryngeal cancer may include the following: Surgery with or without radiation therapy, Radiation therapy, Chemotherapy, Immunotherapy with pembrolizumab or nivolumab.
- #95 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Treatment of patients with laryngeal carcinoma is complex because of the crucial functions of this anatomic area. If possible, the goal of treatment is to remove the tumor and prevent recurrence while maintaining laryngeal function. The ideal treatment varies for laryngeal cancer depending on the stage of the disease. Location of the primary tumor (ie, glottic, supraglottic or subglottic) is also an important consideration when selecting therapy. […] Early stage laryngeal carcinomas (stage I-II) are ideally treated with either radiation or surgical techniques (either endoscopic or open) that preserve laryngeal function. […] For carcinoma in situ or early stage invasive glottic or supraglottic cancer, endoscopic surgical excision or radiation therapy are both equally effective, with similar functional outcomes.
- #96 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Treatment of patients with laryngeal carcinoma is complex because of the crucial functions of this anatomic area. If possible, the goal of treatment is to remove the tumor and prevent recurrence while maintaining laryngeal function. The ideal treatment varies for laryngeal cancer depending on the stage of the disease. Location of the primary tumor (ie, glottic, supraglottic or subglottic) is also an important consideration when selecting therapy. […] Early stage laryngeal carcinomas (stage I-II) are ideally treated with either radiation or surgical techniques (either endoscopic or open) that preserve laryngeal function. […] For carcinoma in situ or early stage invasive glottic or supraglottic cancer, endoscopic surgical excision or radiation therapy are both equally effective, with similar functional outcomes.
- #97 Laryngeal Cancerhttps://www.massgeneral.org/surgery/voice-center/treatments-and-services/laryngeal-cancer
Physicians in Massachusetts General Hospital’s Laryngeal Cancer Program provide a wide variety of services, including diagnosis and treatment for laryngeal cancer. […] The Mass General Center for Laryngeal Surgery and Voice Rehabilitation (Voice Center) is recognized nationally and internationally for its highly successful pioneering surgical techniques to preserve voice, swallowing, and breathing function in patients who develop laryngeal cancer. […] The two conventional treatments for vocal cord cancer are surgery and radiation therapy. […] We rarely use radiotherapy for small or mid-sized tumors due to our long-term experience and success with minimally invasive endoscopic laser treatment. […] Patients who have recurrent vocal cord cancer, despite previous radiation treatment, may also be candidates for endoscopic management with the KTP laser.
- #98 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Certain early stage lesions, may require more extensive resection, in which case open partial laryngectomy options exist that provide good oncologic control, although usually with worse voice outcomes than endoscopic surgery or radiation. […] Historically, advanced-stage laryngeal carcinomas (stage III-IV) were treated with total laryngectomy, reconstruction, and adjuvant postoperative chemoradiation therapy. […] However, remarkable progress has been made in the past 20 years in the management of laryngeal cancer. […] Although total laryngectomy is still required in cases of aggressive or extensive tumors, laryngeal preservation strategies using chemotherapy and radiation therapy protocols have now become the standard of care for many advanced laryngeal cancers. […] Current recommendations of the NCCN Practice Guidelines in Oncology for achieving laryngeal preservation in cases of locally advanced laryngeal cancer are concurrent radiation therapy and cisplatin 100mg/m2 on days 1, 22, and 43.
- #99 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Certain early stage lesions, may require more extensive resection, in which case open partial laryngectomy options exist that provide good oncologic control, although usually with worse voice outcomes than endoscopic surgery or radiation. […] Historically, advanced-stage laryngeal carcinomas (stage III-IV) were treated with total laryngectomy, reconstruction, and adjuvant postoperative chemoradiation therapy. […] However, remarkable progress has been made in the past 20 years in the management of laryngeal cancer. […] Although total laryngectomy is still required in cases of aggressive or extensive tumors, laryngeal preservation strategies using chemotherapy and radiation therapy protocols have now become the standard of care for many advanced laryngeal cancers. […] Current recommendations of the NCCN Practice Guidelines in Oncology for achieving laryngeal preservation in cases of locally advanced laryngeal cancer are concurrent radiation therapy and cisplatin 100mg/m2 on days 1, 22, and 43.
- #100 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Certain early stage lesions, may require more extensive resection, in which case open partial laryngectomy options exist that provide good oncologic control, although usually with worse voice outcomes than endoscopic surgery or radiation. […] Historically, advanced-stage laryngeal carcinomas (stage III-IV) were treated with total laryngectomy, reconstruction, and adjuvant postoperative chemoradiation therapy. […] However, remarkable progress has been made in the past 20 years in the management of laryngeal cancer. […] Although total laryngectomy is still required in cases of aggressive or extensive tumors, laryngeal preservation strategies using chemotherapy and radiation therapy protocols have now become the standard of care for many advanced laryngeal cancers. […] Current recommendations of the NCCN Practice Guidelines in Oncology for achieving laryngeal preservation in cases of locally advanced laryngeal cancer are concurrent radiation therapy and cisplatin 100mg/m2 on days 1, 22, and 43.
- #101 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Certain early stage lesions, may require more extensive resection, in which case open partial laryngectomy options exist that provide good oncologic control, although usually with worse voice outcomes than endoscopic surgery or radiation. […] Historically, advanced-stage laryngeal carcinomas (stage III-IV) were treated with total laryngectomy, reconstruction, and adjuvant postoperative chemoradiation therapy. […] However, remarkable progress has been made in the past 20 years in the management of laryngeal cancer. […] Although total laryngectomy is still required in cases of aggressive or extensive tumors, laryngeal preservation strategies using chemotherapy and radiation therapy protocols have now become the standard of care for many advanced laryngeal cancers. […] Current recommendations of the NCCN Practice Guidelines in Oncology for achieving laryngeal preservation in cases of locally advanced laryngeal cancer are concurrent radiation therapy and cisplatin 100mg/m2 on days 1, 22, and 43.
- #102 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Despite the increased use of chemoradiation in the treatment of advanced laryngeal cancer, surgery is still frequently required. […] Primary surgical treatment should be considered in patients with high volume disease, patients with T4a tumors, or patients with anticipated poor functional outcome (eg, poor laryngeal function, intractable aspiration). […] Significant early and late toxicities associated with concurrent chemoradiation protocols led to recent interest in targeted therapies such as monoclonal antibodies (eg, cetuximab). […] In summary, therapy for laryngeal cancer is predicated on the tumor type and staging, patients wishes and compliance, and the surgeons and institutions preferences and experience. Treatment must be individualized to consider each patient and his or her social circumstances.
- #103 Malignant Tumors of the Larynx Treatment & Management: Medical Therapy, Surgical Therapy, Preoperative Detailshttps://emedicine.medscape.com/article/848592-treatment
Despite the increased use of chemoradiation in the treatment of advanced laryngeal cancer, surgery is still frequently required. […] Primary surgical treatment should be considered in patients with high volume disease, patients with T4a tumors, or patients with anticipated poor functional outcome (eg, poor laryngeal function, intractable aspiration). […] Significant early and late toxicities associated with concurrent chemoradiation protocols led to recent interest in targeted therapies such as monoclonal antibodies (eg, cetuximab). […] In summary, therapy for laryngeal cancer is predicated on the tumor type and staging, patients wishes and compliance, and the surgeons and institutions preferences and experience. Treatment must be individualized to consider each patient and his or her social circumstances.
- #104https://www.nhs.uk/conditions/laryngeal-cancer/treatment/
The main treatments are radiotherapy, surgery, chemotherapy and targeted cancer medicines. […] Members of your MDT will probably include a surgeon, a clinical oncologist (a specialist in non-surgical treatment of cancer), and a specialist cancer nurse who will be responsible for co-ordinating your care. […] Your MDT will monitor any side effects and treat them when possible. […] Your surgeon may need to create a temporary hole in your neck, which will be attached to a tube you can breathe through. This is known as a temporary tracheostomy. […] If you have a total laryngectomy, your surgeon will also need to create a permanent hole in your neck (called a stoma) to help you breath after the operation. […] You’ll be given training on how to keep your stoma clean. Having a stoma can seem daunting and frightening at first, but most people get used to it after a few months. […] It’s therefore important to report any symptoms of a potential infection to your MDT, such as a high temperature, chills or a persistent cough. You should also avoid close contact with people known to have an infection. […] Speak to your care team about other side effects of immunotherapy.
- #105https://www.nhs.uk/conditions/laryngeal-cancer/treatment/
The main treatments are radiotherapy, surgery, chemotherapy and targeted cancer medicines. […] Members of your MDT will probably include a surgeon, a clinical oncologist (a specialist in non-surgical treatment of cancer), and a specialist cancer nurse who will be responsible for co-ordinating your care. […] Your MDT will monitor any side effects and treat them when possible. […] Your surgeon may need to create a temporary hole in your neck, which will be attached to a tube you can breathe through. This is known as a temporary tracheostomy. […] If you have a total laryngectomy, your surgeon will also need to create a permanent hole in your neck (called a stoma) to help you breath after the operation. […] You’ll be given training on how to keep your stoma clean. Having a stoma can seem daunting and frightening at first, but most people get used to it after a few months. […] It’s therefore important to report any symptoms of a potential infection to your MDT, such as a high temperature, chills or a persistent cough. You should also avoid close contact with people known to have an infection. […] Speak to your care team about other side effects of immunotherapy.
- #106 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Radiotherapy for laryngeal cancer can cause side effects. Your healthcare team will talk to you about side effects and what can be done to help. […] Radiotherapy to the larynx can cause side effects. They can be mild or more severe. Some of the side effects occur a few days after treatment has started. Others may happen soon after treatment is finished. […] Before you start radiotherapy, someone from your healthcare team will discuss your treatment with you so you know what to expect. […] Tell them about any side effects you have during or after treatment. There are often things that can help. […] Your radiographer or specialist nurse will give you advice on taking care of your skin. If your skin becomes sore or itchy or changes colour, tell them straight away. They can give you advice and treatments if needed.
- #107 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Radiotherapy for laryngeal cancer can cause side effects. Your healthcare team will talk to you about side effects and what can be done to help. […] Radiotherapy to the larynx can cause side effects. They can be mild or more severe. Some of the side effects occur a few days after treatment has started. Others may happen soon after treatment is finished. […] Before you start radiotherapy, someone from your healthcare team will discuss your treatment with you so you know what to expect. […] Tell them about any side effects you have during or after treatment. There are often things that can help. […] Your radiographer or specialist nurse will give you advice on taking care of your skin. If your skin becomes sore or itchy or changes colour, tell them straight away. They can give you advice and treatments if needed.
- #108 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Radiotherapy for laryngeal cancer can cause side effects. Your healthcare team will talk to you about side effects and what can be done to help. […] Radiotherapy to the larynx can cause side effects. They can be mild or more severe. Some of the side effects occur a few days after treatment has started. Others may happen soon after treatment is finished. […] Before you start radiotherapy, someone from your healthcare team will discuss your treatment with you so you know what to expect. […] Tell them about any side effects you have during or after treatment. There are often things that can help. […] Your radiographer or specialist nurse will give you advice on taking care of your skin. If your skin becomes sore or itchy or changes colour, tell them straight away. They can give you advice and treatments if needed.
- #109 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Your speech and language therapist (SLT) will talk to you about any swallowing or eating problems you may have. It is important to try to keep eating and drinking for as long as possible during your treatment. […] If you are coughing when you swallow, it is important to tell your SLT straight away. They can give you advice, and show you how to do exercises that will help stop food and drink going down the wrong way. […] Your team will give you advice on foods that are easy to swallow. They may also give you nutritious or high-calorie drinks. […] If this happens, your doctor might suggest you have nutritional support so that you do not lose too much weight. […] Your healthcare team will advise you on whether to use a mouthwash. It is important to follow any instructions that your specialist nurse or doctor give you.
- #110 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Your speech and language therapist (SLT) will talk to you about any swallowing or eating problems you may have. It is important to try to keep eating and drinking for as long as possible during your treatment. […] If you are coughing when you swallow, it is important to tell your SLT straight away. They can give you advice, and show you how to do exercises that will help stop food and drink going down the wrong way. […] Your team will give you advice on foods that are easy to swallow. They may also give you nutritious or high-calorie drinks. […] If this happens, your doctor might suggest you have nutritional support so that you do not lose too much weight. […] Your healthcare team will advise you on whether to use a mouthwash. It is important to follow any instructions that your specialist nurse or doctor give you.
- #111 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Your speech and language therapist (SLT) will talk to you about any swallowing or eating problems you may have. It is important to try to keep eating and drinking for as long as possible during your treatment. […] If you are coughing when you swallow, it is important to tell your SLT straight away. They can give you advice, and show you how to do exercises that will help stop food and drink going down the wrong way. […] Your team will give you advice on foods that are easy to swallow. They may also give you nutritious or high-calorie drinks. […] If this happens, your doctor might suggest you have nutritional support so that you do not lose too much weight. […] Your healthcare team will advise you on whether to use a mouthwash. It is important to follow any instructions that your specialist nurse or doctor give you.
- #112 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Your cancer doctor or speech and language therapist (SLT) will tell you about the risk of permanent voice changes. […] It is important to try to eat, even if you do not feel like it. […] Your sense of taste may change or you may find everything tastes the same. […] Radiotherapy may cause swelling in your throat. Very rarely, this can cause breathing problems, which need treatment straight away. […] It is important to follow the advice of your healthcare team when you have a feeding tube in.
- #113 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Your cancer doctor or speech and language therapist (SLT) will tell you about the risk of permanent voice changes. […] It is important to try to eat, even if you do not feel like it. […] Your sense of taste may change or you may find everything tastes the same. […] Radiotherapy may cause swelling in your throat. Very rarely, this can cause breathing problems, which need treatment straight away. […] It is important to follow the advice of your healthcare team when you have a feeding tube in.
- #114 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Your cancer doctor or speech and language therapist (SLT) will tell you about the risk of permanent voice changes. […] It is important to try to eat, even if you do not feel like it. […] Your sense of taste may change or you may find everything tastes the same. […] Radiotherapy may cause swelling in your throat. Very rarely, this can cause breathing problems, which need treatment straight away. […] It is important to follow the advice of your healthcare team when you have a feeding tube in.
- #115 Radiotherapy side effects for laryngeal cancer | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/laryngeal-larynx-cancer/side-effects-of-radiotherapy
Your cancer doctor or speech and language therapist (SLT) will tell you about the risk of permanent voice changes. […] It is important to try to eat, even if you do not feel like it. […] Your sense of taste may change or you may find everything tastes the same. […] Radiotherapy may cause swelling in your throat. Very rarely, this can cause breathing problems, which need treatment straight away. […] It is important to follow the advice of your healthcare team when you have a feeding tube in.
- #116https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
If you have had some or all of your larynx removed (laryngectomy), it’s likely that you’ll need to spend 1 or 2 days in an intensive care unit until you have recovered. […] You will not be able to eat until your throat has healed, which for most people takes at least 1 or 2 weeks. […] While your throat heals, you’ll need to be fed through a tube that’s passed through your nose and into your stomach. […] If you have had all of your larynx removed (total laryngectomy), you will not be able to speak normally, because you’ll no longer have vocal cords. […] There are a number of different ways you can learn to communicate again, although they can take weeks or months to learn. […] This means it’s likely that you’ll need to use different ways to communicate, such as using a pen or paper, during the first few weeks or months after surgery.
- #117https://www.nhs.uk/conditions/laryngeal-cancer/treatment/
The main treatments are radiotherapy, surgery, chemotherapy and targeted cancer medicines. […] Members of your MDT will probably include a surgeon, a clinical oncologist (a specialist in non-surgical treatment of cancer), and a specialist cancer nurse who will be responsible for co-ordinating your care. […] Your MDT will monitor any side effects and treat them when possible. […] Your surgeon may need to create a temporary hole in your neck, which will be attached to a tube you can breathe through. This is known as a temporary tracheostomy. […] If you have a total laryngectomy, your surgeon will also need to create a permanent hole in your neck (called a stoma) to help you breath after the operation. […] You’ll be given training on how to keep your stoma clean. Having a stoma can seem daunting and frightening at first, but most people get used to it after a few months. […] It’s therefore important to report any symptoms of a potential infection to your MDT, such as a high temperature, chills or a persistent cough. You should also avoid close contact with people known to have an infection. […] Speak to your care team about other side effects of immunotherapy.
- #118https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
If you have had some or all of your larynx removed (laryngectomy), it’s likely that you’ll need to spend 1 or 2 days in an intensive care unit until you have recovered. […] You will not be able to eat until your throat has healed, which for most people takes at least 1 or 2 weeks. […] While your throat heals, you’ll need to be fed through a tube that’s passed through your nose and into your stomach. […] If you have had all of your larynx removed (total laryngectomy), you will not be able to speak normally, because you’ll no longer have vocal cords. […] There are a number of different ways you can learn to communicate again, although they can take weeks or months to learn. […] This means it’s likely that you’ll need to use different ways to communicate, such as using a pen or paper, during the first few weeks or months after surgery.
- #119https://www.nhs.uk/conditions/laryngeal-cancer/recovery/
If you have had some or all of your larynx removed (laryngectomy), it’s likely that you’ll need to spend 1 or 2 days in an intensive care unit until you have recovered. […] You will not be able to eat until your throat has healed, which for most people takes at least 1 or 2 weeks. […] While your throat heals, you’ll need to be fed through a tube that’s passed through your nose and into your stomach. […] If you have had all of your larynx removed (total laryngectomy), you will not be able to speak normally, because you’ll no longer have vocal cords. […] There are a number of different ways you can learn to communicate again, although they can take weeks or months to learn. […] This means it’s likely that you’ll need to use different ways to communicate, such as using a pen or paper, during the first few weeks or months after surgery.
- #120https://www.nhs.uk/conditions/laryngeal-cancer/treatment/
The main treatments are radiotherapy, surgery, chemotherapy and targeted cancer medicines. […] Members of your MDT will probably include a surgeon, a clinical oncologist (a specialist in non-surgical treatment of cancer), and a specialist cancer nurse who will be responsible for co-ordinating your care. […] Your MDT will monitor any side effects and treat them when possible. […] Your surgeon may need to create a temporary hole in your neck, which will be attached to a tube you can breathe through. This is known as a temporary tracheostomy. […] If you have a total laryngectomy, your surgeon will also need to create a permanent hole in your neck (called a stoma) to help you breath after the operation. […] You’ll be given training on how to keep your stoma clean. Having a stoma can seem daunting and frightening at first, but most people get used to it after a few months. […] It’s therefore important to report any symptoms of a potential infection to your MDT, such as a high temperature, chills or a persistent cough. You should also avoid close contact with people known to have an infection. […] Speak to your care team about other side effects of immunotherapy.
- #121 Coping | Laryngeal cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/laryngeal-cancer/living-with/coping
Coping with laryngeal cancer and the changes caused by treatment can be difficult. There are things you can do and specialists who can help you cope with a laryngeal cancer diagnosis. […] Specialist nurses can help if you’re finding it difficult to cope or if you have any problems. They can get you the help you need. They can also give you information. […] Laryngeal cancer and the treatment can cause physical changes. For example, after surgery to remove your larynx you might have to cope with changes in how you breathe and speak. […] Speak to your healthcare team about any worries or concerns you have. They can help you get the support you need to help you cope. […] You might need some care and support at home due to laryngeal cancer, its treatment or when you have advanced laryngeal cancer. A lot of practical and emotional support is available to you.
- #122 Support for Laryngeal Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/laryngeal-cancer/support
At NYU Langones Perlmutter Cancer Center, physicians, nurses, physician assistants, social workers, speech and swallowing therapists, and other rehabilitation specialists collaborate to provide support for people with laryngeal cancer throughout diagnosis and treatment and during follow-up appointments. […] Speech and swallowing therapy may be used throughout treatment to preserve as much function as possible. It may also be used after treatment to help you regain or compensate for any lost function. […] If laryngeal cancer or its treatment makes swallowing difficult, you may need a nutritional assessment and dietary plan. […] Nutritionists at Perlmutter Cancer Center can help ensure you are getting the nutrients you need by recommending easy-to-swallow foods throughout your treatment and recovery.
- #123 Support for Laryngeal Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/laryngeal-cancer/support
At NYU Langones Perlmutter Cancer Center, physicians, nurses, physician assistants, social workers, speech and swallowing therapists, and other rehabilitation specialists collaborate to provide support for people with laryngeal cancer throughout diagnosis and treatment and during follow-up appointments. […] Speech and swallowing therapy may be used throughout treatment to preserve as much function as possible. It may also be used after treatment to help you regain or compensate for any lost function. […] If laryngeal cancer or its treatment makes swallowing difficult, you may need a nutritional assessment and dietary plan. […] Nutritionists at Perlmutter Cancer Center can help ensure you are getting the nutrients you need by recommending easy-to-swallow foods throughout your treatment and recovery.
- #124 Support for Laryngeal Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/laryngeal-cancer/support
Doctors and nurses can show you how to use and care for the feeding tube. […] NYU Langone social workers are available to help you address any financial matters or logistical challengesfor example, traveling to your medical appointmentsthat may arise during your care. […] The supportive care team at Perlmutter Cancer Center manages any ongoing cancer-related or treatment-related symptoms, such as pain, fatigue, loss of appetite, or stress, helping improve quality of life.
- #125 Support for Laryngeal Cancer | NYU Langone Healthhttps://nyulangone.org/conditions/laryngeal-cancer/support
Doctors and nurses can show you how to use and care for the feeding tube. […] NYU Langone social workers are available to help you address any financial matters or logistical challengesfor example, traveling to your medical appointmentsthat may arise during your care. […] The supportive care team at Perlmutter Cancer Center manages any ongoing cancer-related or treatment-related symptoms, such as pain, fatigue, loss of appetite, or stress, helping improve quality of life.
- #126 Coping | Laryngeal cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/laryngeal-cancer/living-with/coping
Community specialist palliative care nurses include Macmillan nurses and hospice nurses. They specialise in symptom management such as pain control, sickness, and other cancer symptoms. They also give emotional support to you and your carers. […] Your GP manages your healthcare when you are at home. They can help with any medical problems that come up. They can also make referrals to a community service for you. […] Social workers can help to support you with your situation at home. They can arrange home helps to help with shopping or housework, home care assistants for washing and dressing, meals on wheels, and respite care. […] Getting help early with these things can mean that they don’t become a big issue later. It may be helpful to see a social worker. Many hospitals have a social worker available for people with cancer.
- #127 Coping | Laryngeal cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/laryngeal-cancer/living-with/coping
Community specialist palliative care nurses include Macmillan nurses and hospice nurses. They specialise in symptom management such as pain control, sickness, and other cancer symptoms. They also give emotional support to you and your carers. […] Your GP manages your healthcare when you are at home. They can help with any medical problems that come up. They can also make referrals to a community service for you. […] Social workers can help to support you with your situation at home. They can arrange home helps to help with shopping or housework, home care assistants for washing and dressing, meals on wheels, and respite care. […] Getting help early with these things can mean that they don’t become a big issue later. It may be helpful to see a social worker. Many hospitals have a social worker available for people with cancer.
- #128 Coping | Laryngeal cancer | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/laryngeal-cancer/living-with/coping
Community specialist palliative care nurses include Macmillan nurses and hospice nurses. They specialise in symptom management such as pain control, sickness, and other cancer symptoms. They also give emotional support to you and your carers. […] Your GP manages your healthcare when you are at home. They can help with any medical problems that come up. They can also make referrals to a community service for you. […] Social workers can help to support you with your situation at home. They can arrange home helps to help with shopping or housework, home care assistants for washing and dressing, meals on wheels, and respite care. […] Getting help early with these things can mean that they don’t become a big issue later. It may be helpful to see a social worker. Many hospitals have a social worker available for people with cancer.
- #129 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Follow-up after treatment is an important part of cancer care. Follow-up for laryngeal cancer is often shared among the cancer specialists (surgeon, radiation oncologist and medical oncologist) and your family doctor, dentist and speech therapist. Your healthcare team will work with you to decide on follow-up care to meet your needs. […] The chance that laryngeal cancer will come back (recur) is greatest within the first few years, so you will need close follow-up during this time. […] Follow-up visits for laryngeal cancer are usually scheduled: every 4 to 8 weeks for the first 2 years, every 3 months for year 3, every 6 months for years 4 and 5, then once a year. […] During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping.
- #130 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Follow-up after treatment is an important part of cancer care. Follow-up for laryngeal cancer is often shared among the cancer specialists (surgeon, radiation oncologist and medical oncologist) and your family doctor, dentist and speech therapist. Your healthcare team will work with you to decide on follow-up care to meet your needs. […] The chance that laryngeal cancer will come back (recur) is greatest within the first few years, so you will need close follow-up during this time. […] Follow-up visits for laryngeal cancer are usually scheduled: every 4 to 8 weeks for the first 2 years, every 3 months for year 3, every 6 months for years 4 and 5, then once a year. […] During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping.
- #131 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Follow-up after treatment is an important part of cancer care. Follow-up for laryngeal cancer is often shared among the cancer specialists (surgeon, radiation oncologist and medical oncologist) and your family doctor, dentist and speech therapist. Your healthcare team will work with you to decide on follow-up care to meet your needs. […] The chance that laryngeal cancer will come back (recur) is greatest within the first few years, so you will need close follow-up during this time. […] Follow-up visits for laryngeal cancer are usually scheduled: every 4 to 8 weeks for the first 2 years, every 3 months for year 3, every 6 months for years 4 and 5, then once a year. […] During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping.
- #132 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Follow-up after treatment is an important part of cancer care. Follow-up for laryngeal cancer is often shared among the cancer specialists (surgeon, radiation oncologist and medical oncologist) and your family doctor, dentist and speech therapist. Your healthcare team will work with you to decide on follow-up care to meet your needs. […] The chance that laryngeal cancer will come back (recur) is greatest within the first few years, so you will need close follow-up during this time. […] Follow-up visits for laryngeal cancer are usually scheduled: every 4 to 8 weeks for the first 2 years, every 3 months for year 3, every 6 months for years 4 and 5, then once a year. […] During a follow-up visit, your healthcare team will usually ask questions about the side effects of treatment and how you’re coping.
- #133 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Your doctor may do a physical exam of the head and neck, including: feeling for any lumps, swelling or enlarged lymph nodes in the neck, feeling for lumps or swelling on the inside of the mouth, including the cheeks and lips, feeling the floor of the mouth and the base of the tongue, examining the roof of the mouth and the back of the throat, examining the nose and ears. […] Tests are often part of follow-up care. You may have: a laryngoscopy to look at the larynx and take a biopsy if there is an area that doesn’t look normal, a biopsy to check if the cancer has come back, imaging tests such as a CT scan, an MRI or a PET scan to check for spread of the cancer, blood tests to check thyroid function every 6 to 12 months, a chest x-ray to check for spread of the cancer to the lungs, speech and swallowing tests to evaluate rehabilitation, dental exams to check for cavities. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #134 Follow-up after treatment for laryngeal cancer | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/laryngeal/treatment/follow-up
Your doctor may do a physical exam of the head and neck, including: feeling for any lumps, swelling or enlarged lymph nodes in the neck, feeling for lumps or swelling on the inside of the mouth, including the cheeks and lips, feeling the floor of the mouth and the base of the tongue, examining the roof of the mouth and the back of the throat, examining the nose and ears. […] Tests are often part of follow-up care. You may have: a laryngoscopy to look at the larynx and take a biopsy if there is an area that doesn’t look normal, a biopsy to check if the cancer has come back, imaging tests such as a CT scan, an MRI or a PET scan to check for spread of the cancer, blood tests to check thyroid function every 6 to 12 months, a chest x-ray to check for spread of the cancer to the lungs, speech and swallowing tests to evaluate rehabilitation, dental exams to check for cavities. […] If the cancer has come back, you and your healthcare team will discuss a plan for your treatment and care.
- #135 Throat Cancer: Symptoms, Causes & Treatmenthttps://my.clevelandclinic.org/health/diseases/23136-throat-cancer
Laryngeal cancer affects your voice box. It can start in the upper part (supraglottic cancer), the middle part where your vocal cords are (glottic cancer) or in the lower part (subglottic cancer). […] A common first sign of laryngeal cancer is hoarseness that doesn’t get better. […] Healthcare providers use different therapies to treat throat cancer. If you smoke or use tobacco, they may recommend you stop before starting cancer treatment. This improves treatment effectiveness and reduces the risk of side effects. […] The goal of surgery is to remove as much cancer as possible while preserving your ability to breathe, speak and swallow. […] Your healthcare provider may recommend less common treatments for throat cancer, like targeted therapy or immunotherapy. Targeted therapy blocks proteins cancer cells use to grow. Immunotherapy helps activate your immune system to fight cancer. […] If you’ve been treated for throat cancer, you may need help managing the long-term effects. Both radiation therapy and surgery can affect your ability to swallow, speak or hear. Rehabilitation with a speech-language pathologist may be essential to your recovery.
- #136 Throat or larynx cancer: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/001042.htm
Throat cancer is cancer of the vocal cords, larynx (voice box), pharynx, or other areas of the throat. […] The goal of treatment is to completely remove the cancer and prevent it from spreading to other parts of the body. […] Depending on what type of treatment you require, supportive treatments that may be needed include: Speech therapy. Therapy to help with chewing and swallowing. Learning to eat enough protein and calories to keep your weight up. Ask your provider about liquid food supplements that can help. Help with dry mouth. […] After treatment, therapy is needed to help with speech and swallowing. If the person is not able to swallow, a feeding tube will be needed. […] You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone. […] Regular follow-up after the diagnosis and treatment is very important to increase the chances of survival.
- #137 Throat or larynx cancer: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/001042.htm
Throat cancer is cancer of the vocal cords, larynx (voice box), pharynx, or other areas of the throat. […] The goal of treatment is to completely remove the cancer and prevent it from spreading to other parts of the body. […] Depending on what type of treatment you require, supportive treatments that may be needed include: Speech therapy. Therapy to help with chewing and swallowing. Learning to eat enough protein and calories to keep your weight up. Ask your provider about liquid food supplements that can help. Help with dry mouth. […] After treatment, therapy is needed to help with speech and swallowing. If the person is not able to swallow, a feeding tube will be needed. […] You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone. […] Regular follow-up after the diagnosis and treatment is very important to increase the chances of survival.
- #138 Throat or larynx cancer: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/001042.htm
Throat cancer is cancer of the vocal cords, larynx (voice box), pharynx, or other areas of the throat. […] The goal of treatment is to completely remove the cancer and prevent it from spreading to other parts of the body. […] Depending on what type of treatment you require, supportive treatments that may be needed include: Speech therapy. Therapy to help with chewing and swallowing. Learning to eat enough protein and calories to keep your weight up. Ask your provider about liquid food supplements that can help. Help with dry mouth. […] After treatment, therapy is needed to help with speech and swallowing. If the person is not able to swallow, a feeding tube will be needed. […] You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone. […] Regular follow-up after the diagnosis and treatment is very important to increase the chances of survival.
- #139 Throat or larynx cancer: MedlinePlus Medical EncyclopediaLockhttps://medlineplus.gov/ency/article/001042.htm
Throat cancer is cancer of the vocal cords, larynx (voice box), pharynx, or other areas of the throat. […] The goal of treatment is to completely remove the cancer and prevent it from spreading to other parts of the body. […] Depending on what type of treatment you require, supportive treatments that may be needed include: Speech therapy. Therapy to help with chewing and swallowing. Learning to eat enough protein and calories to keep your weight up. Ask your provider about liquid food supplements that can help. Help with dry mouth. […] After treatment, therapy is needed to help with speech and swallowing. If the person is not able to swallow, a feeding tube will be needed. […] You can ease the stress of illness by joining a cancer support group. Sharing with others who have common experiences and problems can help you not feel alone. […] Regular follow-up after the diagnosis and treatment is very important to increase the chances of survival.
- #140 Nursing Care Plan For Laryngeal Cancer – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-laryngeal-cancer/
These nursing interventions aim to provide comprehensive care and support to patients with laryngeal cancer, addressing their physical, emotional, and psychosocial needs. […] Laryngeal cancer, a formidable adversary, demands a comprehensive and compassionate approach to care that recognizes the multifaceted needs of the individual facing this challenging diagnosis. […] Nurses are steadfast advocates and caregivers, occupying a central role in the care and support of individuals facing laryngeal cancer.
- #141 Nursing Care Plan For Laryngeal Cancer – Made For Medicalhttps://www.madeformedical.com/nursing-care-plan-for-laryngeal-cancer/
These nursing interventions aim to provide comprehensive care and support to patients with laryngeal cancer, addressing their physical, emotional, and psychosocial needs. […] Laryngeal cancer, a formidable adversary, demands a comprehensive and compassionate approach to care that recognizes the multifaceted needs of the individual facing this challenging diagnosis. […] Nurses are steadfast advocates and caregivers, occupying a central role in the care and support of individuals facing laryngeal cancer.