Friday, May 12, 2006

TRACHEOSTOMY

PREOPERATIVE PERIOD
Nursing Diagnosis

  • Anxiety related to lack of knowledge of impending surgery and implication of condition on life style (chronic)

POSTOPERATIVE PERIOD
Collaborative Problems

Potential Complications

  • Hypoxia
  • Hemorrhage
  • Tracheal edema
  • Subcutaneous emphysema
  • Pheumothorax
  • Tracheoesophageal fistula
  • Displaced tracheostomy tube
  • Accidental extubation

Nursing Diagnosis

  • High risk for ineffective airway clearance related to increased secretions secondary to tracheostomy, obstruction of inner cannula, or displacement or tracheostomy tube
  • High risk for infection related to excessive pooling of secretions and bypassing of upper respiratory defenses
  • Impaired verbal communication related to inability to produce speech secondary to tracheostomy
  • High risk for altered nutrition: less than body requirements related to postoperative NPO status, dysphagia, odynophagia, anorexia, aspiration
  • High risk for altered sexuality patterns related to change in appearance or fear of rejection
  • High risk for ineffective management of therapeutic regimen related to insufficient knowledge of tracheostomy care, precautions, signs and symptoms of complications, emergency care, and follow-up care
Lynda Juall Carpenito
NURSING CARE PLANS AND DOCUMENTATION, 2nd Edition

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