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NAME : KRISHNAJA KUNNUMPURATH SHAJI STUDENT ID: 190750 COHORT : N20S CAMPUS : LUTON UNIT : PLANNING, DELIVERING AND COORIDNATING CARE.
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INTRODUCTION. Evaluate the context of a person's health condition, their health needs, and impact of the condition on the patient and their family..
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PATIENT CONDITION. Mr DAVID (PSEUDONYM) (NMC,2018).
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DIAGNOSIS AND TREATMENT. MR. DAVID REVIEWED BY EAR,NOSE AND THOART SPEACIALIST Plan: Blood test, CT scan and Biopsy of Larynx ( Michaels, 2012) DIAGNOSED WITH LARYNGEAL CANCER OR LARYNX CANCER Obtained consent and explained the care planning-Treatment plan was to undergo Total Laryngectomy (TL) (Atef et al . 2019). MR.DAVID UNDERWENT TOTAL LARYNGECTOMY SUCCESSFULLY After TL, a permanent hole called stoma was made to breathe through (Jackson et al , 2019)..
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ANATOMY OF LARYNX AND TOTAL LARYNGECTOMY. Areas Where Laryngeal Cancer May Form or Spread Upper part Of the spinal column Carotid artery Lymph n in the neck Esophagus Cartilage around the thyroid and trachea Epiglotti hyroid Trachea Chest Supraglotti Glottis (vocal cords) Subglottis Larynx Trachea Esophagus.
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ADMISSION. Admitted to the Surgical ward Handover Skin Checks and Physical Observation. Assessments Past Medical History Completed Pre-Assessment and Care plan. MDT Referrals sent SALT Head and neck specialist Family History Physician Dietician.
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BIOPYSCHOSOCIAL CAUSES. The Bio-psychosocial Model explains that, laryngeal cancer can affect a person in Biological, psychological and sociological aspects (Lauriola and Tomai, 2019)..
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ERICKSON’S THEORY. ERICKSON’S THEORY (1950) -PYSCHOSOCIAL DEVELOPMENT 8 TH STAGE INTEGRITY VS DESPAIR (Knight,2017) HAPPINESS OR REGRET MR. DAVID HAD REGRET OVER HIS LIFE. (Dunkel & Harbke,2017 ).
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IMPACT ON MR.DAVID’S LIFE. 1. After the surgery Mr. David felt worthless and as a burden to his family..
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ROLE OF MULTI-DISCIPLINARY TEAM. Physician prescribed painkiller ( Davis et al. 2012) Nutritional nurse reviewed PEG feed after the admission Dietician assessed-Food regimen. ( Steuer et al. 2017) Speech and Language Therapist team (SALT). (Starmer et al . 2015) Head and Neck Nurse- Stoma care, suctioning and focused care. (Hewett and Ross, 2012).
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PROGRESS. Mr. David showed more progress towards the treatment. Accepted Communication difficulties and managed to use alternative solution. Positive response towards life and Accepted his health condition..
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ROLE OF FAMILY AND DISCHARGE. Mr. David’s family Supported him emotionally and psychologically, Accepted his communication difficulties..
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ROLE OF STUDENT NURSE. The role of student nurse in clinical settings is limited..
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Received handover. Administered pain relief and PRN medication..
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POLICIES AND LEGISLATION. Consent Policy (Placement hospital,2021).