LECTURER: MISS CHITRA
TITLE:PRE AND POST OPERATIVE CARE ,NURSING DIAGNOSIS & NURSING INTERVENTION
PRE OPERATIVE:NURSING CARE PLAN
NURSING DIAGNOSIS
Knowledge deficit related to
surgical procedure outcome of
surgery
POST OPERATIVE :NURSING CARE PLAN
NURSING DIAGNOSIS
1.ineffective airway clearance r/t
to secretion
2.altered nutrition, less than
body requirement r/t to surg
intervention
OJECTIVES
Patient will understand and
accept the outcome of the
surgery
OBJECTIVES
Pt will maintain normal
respiratory rate
Pt will maintain nutritional status
NURSING INTERVENTION
1. Explain to pt regarding
the surgery to ensure pt
understanding.
2. Inform the pt she/he will
not able to breath
through the nose after
surgery.
3. Teach pt sign language
4. Provide pen & paper for
pt after surgery
5. Encourage pt & family
to ask question about
the surgery if they have
doubt about it.
NURSING INTERVENTION
1. Monitor respiratory
rate,skin colour of pt.
2. Elevate head of pt to
ease pt breathing.
3. Perform frequent
suctioning.
4. Encourage pt to do
DBE & coughing
exercise.
5. Instil 3-5 of sterile
normal saline into
tracheostomy tube.
dislodge mucous plugs
6. Put call bell near to pt in
case to be alert during
respiratory distress.
1. Monitor input,output &
pt body weight to
evaluate nutritional
status.
2. Maintain iv fluid as
doctor order.
3. Start nasogastric tube
feeding as order.
4. Encourage pt to take 3-
2 liter of fluid intake
daily.
5. Teach pt & family to
administer N/G feeding.
6. Explain to pt the
adequate nutrition.

3.Impair communication, verbal
r/t to surgical procedure
tracheostomy
4.altered body image body r/t to
surgical procedure.
5.potential infection r/t to
surgical wound at stoma.
6.knowledge deficit r/t to care of
tracheostomy after discharge.
Pt will be able to communicate
effectively.
Pt will be able to accept their
condition.
Pt will not experience infection.
Pt will be able to verbalise &
demonstrate tracheostomy care
FOR PT LARYNGECTOMY
7. Start oral feeding on the
10th post operative
days. start with clear
fluid then free fluid.
1. Reassure the pt that
loss of speech is
temporary.
2. Supply paper & pen for
pt to write.
3. Encourage pt to use
sign language
4. Encourage pt to express
to express feeling
1. Encourage pt to share
their feeling.
2. Advice pt to wear or
high collar cloth to cover
the stoma.
3. Encourage pt to meet
other pt with same
condition to share
experience.
1. Monitor vital sign
esp.temperature
because fever indicate
the sign of infection.
2. Maintain aseptic
technique when
changing dressing.
3. Maintain patency of
tracheostomy tube &
observe secretion.
4. Administer antibiotic as
order.
5. Encourage frequent
mouth care.
6. Encourage fluid intake.
1. .teach pt & family
members regarding care of
stoma & tracheostomy tube.
2.encourage pt to
demonstrate on care of
tracheostomy tube & stoma.
3.enourage pt & family to
ask question & ask question to
evaluate their understanding.
4.advice to follow up.