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Diagnosis Nursing Diagnoses Based on all the assessment data, main nursing diagnoses could embody the following: � Deficient information concerning the surgical process and postoperative course � Anxiety and despair related to the prognosis of most cancers and impending surgery � Ineffective airway clearance associated to extra mucus manufacturing secondary to surgical alterations in the airway � Impaired verbal communication related to anatomic deficit secondary to removal of the larynx and to edema � Imbalanced vitamin: lower than physique necessities, associated to incapability to ingest food secondary to swallowing difficulties � Disturbed body picture and low shallowness secondary to major neck surgical procedure, change in look, and altered structure and performance � Self-care deficit related to ache, weak spot, and fatigue; musculoskeletal impairment associated to surgical process and postoperative course Cancer of the Larynx 167 Collaborative Problems/Potential Complications Based on assessment information, potential problems that will develop embrace the following: C � Respiratory misery (hypoxia, airway obstruction, tracheal edema) � Hemorrhage, infection, wound breakdown � Aspiration � Tracheostomal stenosis Planning and Goals the major objectives for the patient could embody knowledge about remedy, reduced anxiousness, maintenance of a patent airway, efficient use of other means of communication, optimal ranges of diet and hydration, improvement in physique image and vanity, improved self-care administration, and absence of complications women's health of rocky mount cheap clomiphene 100 mg without a prescription.