NURSING CARE PLAN

ASSESSMENT NURSING PLANNING NURSING RATIONALE EVALUATION /

DIAGNOSIS INTERVENTION OUTCOME
Subjective Cues: Independent:

> Patient writes, Impaired verbal Within 8 hours patient

“ When will my voice communication will: Established rapport. > Rapport helps gain Goal met. Patient
return? ” related to removal of patient’s cooperation communicates
vocal cords > indicate and active constantly through
understanding of participation in writing and gestures
communication therapeutic and has requested for
problems and ways of communication an appointment with a
handling it speech therapist.
Objective Cues: (The state in which an Reviewed preoperative > Reinforces
individual experiences discussion regarding preoperative teaching
> participate actively
> inability to speak a decreased or absent loss of voice using and encourages
in therapeutic anatomical drawings
ability to use or communication understanding of
> anger understand language to assist in
communication
in human interaction.) explanations.
> communicate needs problems
> irritability in an effective manner
Determined whether > Presence of other
> frustration
patient has other communication
communication problems influences
impairments. plan for alternative
communication

> Reassures patient

Provided call light/bell that the nursing staff
at bedside.
is vigilant and will
respond promptly to
patient’s call

Provided alternative > Allows patient to

methods of express needs and
communication such concerns
as paper and pencil,
slate board, letter or
picture board, and
hand/eye signals.

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 Kept communication > Loss of speech can
simple and unhurried. cause frustration and
block expression so
patient must be given
sufficient time to
respond

Provided therapeutic > Communicates

touch and physical concern for patient
presence; anticipated and reduces feelings
needs and validated of anxiety and
nonverbal cues as frsutration
necessary.

Encouraged patient to > Promotes a normal

watch television, lifestyle and
listen to the radio, encourages
and read newspapers. communication using
methods other than
speech.
Arranged for meetings > Provides role model
with a volunteer and enhances
laryngectomy client.
cooperation.

Collaborative:
> Ability to use
Consulted a speech alternative voice and
therapist regarding the speech methods
use esophageal speech depends on patient’s
and/or artificial age, emotional state,
larynx. and motivation to
return to an active life

Consulted with > Rehabilitation is

rehabilitation agencies lengthy and the
on the availability of patient may need
support and resources additional resources to
for patients with a facilitate learning and
laryngectomy. adaptation

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