5 Thyroidectomy Nursing Care Plan (NCP)

Thyroidectomy, although rare, may be performed for patients with thyroid cancer, hyperthyroidism, and drug reactions to antithyroid agents; pregnant women who cannot be managed with drugs; patients who do not want radiation therapy; and patients with large goiters who do not respond to antithyroid drugs. The two types of thyroidectomy include:
Total thyroidectomy: The gland is removed completely. Usually done in the case of malignancy. Thyroid replacement therapy is necessary for life.
Subtotal thyroidectomy: Up to five-sixths of the gland is removed when antithyroid drugs do not correct hyperthyroidism or RAI therapy is contraindicated.

5 Thyroidectomy Nursing Care Plan (NCP)

Acute Pain — Thyroidectomy Nursing Care Plan (NCP)
Ineffective Airway Clearance — Thyroidectomy Nursing Care Plan (NCP)
Impaired Verbal Communication — Thyroidectomy Nursing Care Plan (NCP)
Risk for Injury — Thyroidectomy Nursing Care Plan (NCP)
Knowledge Deficit — Thyroidectomy Nursing Care Plan (NCP)

Nursing Priorities
Reverse/manage hyperthyroid state preoperatively.

Prevent complications.
Relieve pain.
Provide information about surgical procedure, prognosis, and treatment needs.
Discharge Goals Complications prevented/minimized.
Pain alleviated.
Surgical procedure/prognosis and therapeutic regimen understood.
Plan in place to meet needs after discharge.