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Diagnosis Nursing Diagnoses Based on all the assessment data, major nursing diagnoses could embrace the next: Decient information concerning the surgical process and postoperative course Anxiety and depression related to the prognosis of most cancers and impending surgery Ineffective airway clearance related to excess mucus pro duction secondary to surgical alterations in the airway Impaired verbal communication related to anatomic decit secondary to elimination of the larynx and to edema Imbalanced diet: lower than physique necessities, associated to lack of ability to ingest food secondary to swallowing difficulties Disturbed physique picture and low vanity secondary to major neck surgery, change in appearance, and altered construction and function Self-care decit related to pain, weak point, and fatigue; musculoskeletal impairment associated to surgical procedure and postoperative course Cancer of the Larynx 167 Collaborative Problems/Potential Complications Based on evaluation knowledge, potential issues that will develop include the next: C Respiratory misery (hypoxia, airway obstruction, tracheal edema) Hemorrhage, an infection, wound breakdown Aspiration Tracheostomal stenosis Planning and Goals the main targets for the patient may embody knowledge about remedy, lowered anxiousness, upkeep of a patent airway, efficient use of different technique of communication, optimum levels of nutrition and hydration, enchancment in body picture and vanity, improved self-care management, and absence of problems. 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