Name: Date:
Group:
Clinical Instructor:
I. TITLE: Tonsillectomy and Adenoidectomy
AUTHOR: Colin Bohr; Carl Shermetaro.
SOURCE: Bohr, C. (2023, June 26). Tonsillectomy and adenoidectomy. StatPearls
- NCBIBookshelf.[Link]
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II. SUMMARY
Over 500,000 tonsillectomy surgeries are done on children under the age of 15 each year in the
United States. Sleep disordered breathing (SDB) and recurring throat infections are the major causes
of this operation. Dehydration, hemorrhage, and velopharyngeal insufficiency are among risks
associated with tonsillectomy. The tonsils are completely removed during a tonsillectomy, either
utilizing "hot" extracapsular procedures that require cautery or "cold" techniques that entail precise
dissection. The choice of procedure is influenced by the surgeon's experience, the cost, and the
results for the patient. Clinical recommendations also stress pain treatment and consequence
monitoring and prescribe precise criteria for proposing tonsillectomy in situations of recurring throat
infections.
III. NURSING IMPLICATIONS
A. Nursing Practice
Nurses should provide full preoperative and postoperative instruction on pain
management in addition to giving intravenous dexamethasone for pain control. They should
also keep a close eye out for any signs of post-tonsillectomy bleeding to ensure quick action
when necessary.
B. Nursing Education
Nurses should educate patients and their caregivers about the indications for
tonsillectomy, such as recurrent throat infections or sleep-disordered breathing, ensuring they
understand the decision-making process and potential benefits of the procedure.
C. Nursing Research
In order to enhance the continuity of care and long-term treatment for these patients, the
research might concentrate on the role of nursing education and counseling in preparing
caregivers for the likely persistence or return of sleep-disordered breathing in children
following tonsillectomy.
IV. PERSONAL INSIGHTS
I found the details of tonsillectomy techniques and indications to be pretty fascinating as a
nursing student. My medical knowledge is expanded as a result of learning about the details of this
typical surgical treatment, its many procedures, and the reasons for it.
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