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
- Ineffective Airway Clearance — Thyroidectomy
- Impaired Verbal Communication — Thyroidectomy
- Risk for Injury — Thyroidectomy
- Knowledge Deficit — Thyroidectomy
- Reverse/manage hyperthyroid state preoperatively.
- Prevent complications.
- Relieve pain.
- Provide information about surgical procedure, prognosis, and treatment needs.
- Complications prevented/minimized.
- Pain alleviated.
- Surgical procedure/prognosis and therapeutic regimen understood.
- Plan in place to meet needs after discharge.