StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...
Free

Evidence-based Practice: Nursing care after a total Laryngectomy - Essay Example

Cite this document
Summary
This is a mutilative procedure where patients are at least for a temporary period forced to remain voiceless due to extirpation of voice box or tongue. As…
Download full paper File format: .doc, available for editing
GRAB THE BEST PAPER95.8% of users find it useful
Evidence-based Practice: Nursing care after a total Laryngectomy
Read Text Preview

Extract of sample "Evidence-based Practice: Nursing care after a total Laryngectomy"

Evidence-based Practice: Nursing Care after a Total Laryngectomy Introduction There are certain clinical conditions where the patients have no options other than total laryngectomy as a treatment. This is a mutilative procedure where patients are at least for a temporary period forced to remain voiceless due to extirpation of voice box or tongue. As indicated by Dobbins et al. (2005) this is particularly true at least in the early postoperative period when nursing care depends on mainly vocal communication between the patients and nurses.

Apart from loss of voice, due to innate nature of the conditions for which this surgery is offered, there are certain postoperative complications associated with total laryngectomy that can be severely distressing, associated with suffering and discomfort, and would need close care of the patients which nursing can only offer. This demands specialized knowledge, skill, and experience on the parts of the nurses who are in charge of care of such patients (Dobbins et al., 2005). In one sense, the patient experience in the postoperative period is large unknown due to issues related to communication failure largely arising from induced loss of voice and most of the patients being those of cancer, they remain voiceless politically speaking.

De Santana et al. (2008) commented that these patients must receive care that is dictated by evidence of scientific knowledge and practice surrounding these patients must be based on evidence (de Santana and Sawada, 2008). In such complicated cases, the nurses must attempt to apply the principles of Quality and Safety Education for Nurses which help the nurses to gather knowledge, skills, and attitudes so the quality and safety in care of these patients improve. This can be achieved through employment of the evidence-based practice (QSEN, 2009).

This is an imperative for the nurses since the nurses hold key positions in ensuring and improving the quality through patient safety, and all quality assurance models of nursing care highlight accomplishment of quality and hence safety through evidenced based practice (Hughes, 2008).Review of LiteratureReview of literature has been accepted to be one of the methods to search available evidence, and hence it was decided that available literature from databases such as Cochrane, Pubmed, Sagepub and others will be searched with the key words “nursing”, “care”, “nursing care”, and “total laryngectomy.

” It was surprising to note that there is a paucity of literature on this topic. However, the findings from the available literature have been presented below.The review article of Santana et al. (2008) demonstrated that pharyngocutaneous fistula is one of the commonest complications of total laryngectomy that needs quality nursing care. They reviewed 37 articles which demonstrated evidence that most of the conservative treatments that are commonly offered to these patients are based on nursing care.

These include intensive hygiene and wound treatment. This leads to the evidence that conservative treatment executed by nurses could be one management modality with effectiveness, and all nurses must use these in care of such patients (Santana et al., 2008). In her article Sigler (1989) also indicates that nursing care holds the pivotal position in postoperative care of these patients with total laryngectomy. These care may include acute and intensive care nursing educating patients, general and medical surgical nursing, rehabilitative nursing, and psychological counseling.

These multidisciplinary forms are achievable only though knowledge, eye on patient safety, and coordination of care through different disciplines involved and patients and their families (Sigler 1989). Orgill et al. (2002) indicated the importance of pain management in the postoperative patients with total laryngectomy and the role of nurses in accomplishing adequate pain management (Orgill et al. 2002).Summary and ConclusionThis brief review indicates that nurses can ensure safety in care of the patients with total laryngectomy and this would qualify enhancement of quality of care.

It has been known that evidence based care can achieve quality through application of evidence in nursing practice. Many complications following total laryngectomy can be effectively treated by the nurses, the most dreaded of which are pharyngocutaneous fistula. These are amenable to conservative care offered by the nurses such as dressing of the wounds. Pain management can be also effectively offered by the nurses. There are several aspects of care of such patients which can be effectively coordinated by the nurses.

Referencesde Santana, ME. and Sawada, NO., (2008). Pharyngocutaneous fistulae after total laryngectomy: a systematic review. Rev Lat Am Enfermagem, 16:772-8Dobbins, M., Gunson, J., Bale, S., Neary, M., Ingrams, D., and Brown, M., (2005). Improving patient care and quality of life after laryngectomy/glossectomy. Br J Nurs., 14:634-40Hughes, RG. (eds) (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. U.S. Department of Health and Human Services. Rockville, MD p 1-22.Orgill, R.

, Krempl, GA., and Medina, JE., (2002). Acute Pain Management Following Laryngectomy Arch Otolaryngol Head Neck Surg; 128: 829 - 832.QSEN (2009). Quality and Safety Education for Nurses. Available from http://www.qsen.org/about_qsen.php accessed on November 27, 2009.Sigler, BA., (1989). Nursing care of patients with laryngeal carcinoma. Semin Oncol Nurs.;5(3):160-5.

Read More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Evidence-based Practice: Nursing care after a total Laryngectomy Essay”, n.d.)
Evidence-based Practice: Nursing care after a total Laryngectomy Essay. Retrieved from https://studentshare.org/miscellaneous/1559836-evidence-based-practice-nursing-care-after-a-total-laryngectomy
(Evidence-Based Practice: Nursing Care After a Total Laryngectomy Essay)
Evidence-Based Practice: Nursing Care After a Total Laryngectomy Essay. https://studentshare.org/miscellaneous/1559836-evidence-based-practice-nursing-care-after-a-total-laryngectomy.
“Evidence-Based Practice: Nursing Care After a Total Laryngectomy Essay”, n.d. https://studentshare.org/miscellaneous/1559836-evidence-based-practice-nursing-care-after-a-total-laryngectomy.
  • Cited: 0 times

CHECK THESE SAMPLES OF Evidence-based Practice: Nursing care after a total Laryngectomy

Laryngectomy and Tracheoesophageal Puncture

Even though healthy cells can recuperate after a while, a person may face some side effects from the treatment such as vomiting, nausea, loss of hunger, exhaustion, hair loss as well as an increased threat of infection.... Running Head: laryngectomy laryngectomy laryngectomy Laryngeal Cancer In laryngeal cancer, malignant cells develop on the tissues of the larynx.... A surgery to eradicate all or part of the larynx is known as laryngectomy....
7 Pages (1750 words) Research Paper

Evidence-Based Practice - St Catherines Nursing Home

hellip; The clients of this facility are the elderly patients who require nursing care services.... This proposal provides an analysis about how evidence-based practice in pain assessment and management can be incorporated in the palliative care provided by St Catherine's Nursing Home to improve the quality in palliative care and physiotherapy.... Pain Assessment and Management (Name) (Institution) St Catherine's Nursing Home St Catherine is a care home with nursing for the aged, located in Newport city (St Catherine's Nursing Home, 2013)....
13 Pages (3250 words) Essay

Sources of Information to Develop an Evidence Base in Nursing

Two articles published by the British researchers in two prominent nursing journals (Coulling, 2005 & Maclellan) are dedicated to the problem of nursing care providing to the patients with the post-operative pain syndrome.... RCTs play the central role in the system of evidence-based practice; their results are "gold standard" of evidence-based practice.... By bringing together the results of research in a systematic way, appraising its quality in the light of question being asked synthesizing the results in an explicit way and making the knowledge base more accessible, it is hoped to foster a greater sensitivity to the evidence by researchers, policy makers, health practitioners and the public. It is assumed by most of the public and patients that the activities of health care professionals is "scientific", based firmly on the results of scientific research and subject to resource constraints of high quality....
6 Pages (1500 words) Essay

Evidence-Based Practice In Nursing

The aim of the paper "evidence-based practice In Nursing" is to define the role of specific modalities of both diagnostic and therapeutic value for the management of patients.... osby's Medical Dictionary (2009) defines evidence-based practice as health care practice in which the practitioner, be it the doctor, nurse or any other healthcare professional, finds sifts through and then uses the latest and appropriate research findings for his clinical decision making....
4 Pages (1000 words) Essay

Nursing Research and Evidence-Based Practice

ith development being noted within the field of nursing, it has been observed that it was only possible because evidence-based practice (EBP).... With the lack of EBP, these nodes have not been reported by either scan because of patient's critical situation after chemotherapy.... The recent clinical experience also focused on the gland swelling after chemotherapy.... 2- Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale....
1 Pages (250 words) Essay

Evidence-Based Practice

This study attempts to develop a study that informs how evidence-based practice evidence-based practice in Nursing & Healthcare Introduction Evidence-based practices in health care are understood to be those that use the most recent evidences to make enriched contributions that fit in with situational circumstances of each patient, to assist in establishing effective treatments and diagnosis to clinical problems.... This study attempts to develop a study that informs how evidence-based practice supports nursing and healthcare by exploring what this practice is all about and how it is associated to patients' care and the value it adds in the process....
2 Pages (500 words) Coursework

Evidence base practice

As a GI nurse, I work in a very busy organization in which, as a… One of the major strategies applied in my organization is the principle of evidence-based practice.... ne of the major strategies applied in my organization is the principle of evidence-based practice.... evidence-based practice in nursing & healthcare: A guide to best practice.... "Advancing evidence-based practice: A Primer.... after all, a nurse should also be ready to discharge duties of a researcher who looks for knowledge, apply and disseminate it to others for the sake of improving the patients' health conditions....
1 Pages (250 words) Essay

Nursing Informatics- evidence-based practice and technology

It is possible to use health information technology to search online journals for evidence-based practice on how to optimize the flow of patients in and out the emergency rooms.... Health Information Technology has made it possible to disseminate information fast, which helps in improving efficiency in evidence-based practice.... The flow of patients in the emergency rooms is a key component of quality care in any emergency department.... Journal of Emergency nursing, 39(5), 481-484....
1 Pages (250 words) Article
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.
Contact Us