Total Laryngectomy Clinical Trial
Official title:
Effect of Total Laryngectomy Preoperative Education on Postoperative Complications and Unplanned Hospital Readmission
Patients undergoing total laryngectomy are at high risk for 30-day unplanned readmission.
Many of these readmissions are related to stomal care, and it is thought that the
readmissions could be prevented with better patient and caregiver education. The
investigators are studying the effect of a comprehensive perioperative education program on
30-day unplanned readmission for patients undergoing total laryngectomy.
The comprehensive perioperative education program will include the following additional
interventions:
-Preoperative visit with the speech pathologist for explanation of laryngectomy physiology,
stomal education, and alaryngeal voice rehabilitation. Participants will be expected to
undergo this intervention and to attend it with their "laryngectomy coach" (a family member
or friend to accompany the patient through the education process), but failure to meet with
the speech pathologist will not exclude a patient from the study.
- Preoperative education class with a designated ENT laryngectomy nurse for patient and
caregiver. The hands-on class introduces the patient and laryngectomy coach to the
basics of stomal care. Participants and their "laryngectomy coach" will be expected to
attend the preoperative education class
- Printed laryngectomy journey guide given to patients at time of study enrollment for
patient/caregiver. This journey guide details the preoperative, in-hospital, and
post-discharge course and is provided as a reference throughout their journey.
- Formalized, nursing administered practical evaluation of minimal competency of
laryngectomy care for patient and caregiver/laryngectomy coach.
This study will follow patients prospectively from the time of study commencement and then
assess changes in patient knowledge before and after the education intervention. It will
also compare rate of stomal complications and readmission rates to institutional historical
averages to assess improvement in quality care.
n/a
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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