نبذة مختصرة : Background and Signification : Laryngeal Cancer Patients with Total Laryngectomy is impaired verbal communication, disturbed body image and maybe died from Airway obstruction. So that, nursing care have to be complicate and holistic care for preventing the complication. Objective : To study of disease prognosis, to compare between nursing diagnosis, nursing care plan, nursing intervention and nursing evaluation. Methods : 2 case studies, Laryngeal Cancer Patients with Total Laryngectomy are purposive sampling that are studied by collected data from documents, interviewed the patient and relatives, observed, found out nursing diagnosis, written the nursing care plan, used nursing intervention and evaluated by thefunctional health patterns ofGordon analyzed by using the content analysis. Result of studying : Case study 1st and 2nd are Laryngeal Cancer stage 3rd and 4th respectively, hoarse and dyspnea. Case study 1st is Total Laryngectomy patient. Case study 2nd is Total Laryngectomy patient, Thyroidectomy and Right Radical Lymph node. Both has the same nursing diagnosis as 1) Ineffective breathing pattern 2) Risk for Airway obstruction 3) Infection of surgical wound 4) Impaired comfortable related to pain of surgical wound 5) Impaired verbal communication 6) Anxiety about surgery and body image 7) Risk for imbalanced nutrition 8) Deficient knowledge about using drug and following up. In the difference, Case study 1st is anemia. Case study 2nd is risk for Tetany, Hypothyroidism and Impaired comfortable related to pain of right neck and drop shoulder.The important of nursing care such as prevention of respiration obstruction, infection and complications, reducing painful, efficiency communicate. Encourage and empowerment of patient and family to be confident to take care and chage of image. Result of nursing care : In 2 case studies don’t be airway obstruction, can adapt to changing of body image and have ability of communication. Discussion and Conclusion : Should promote RNs to assess and find out nursing ...
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