Acute Pain — Thyroidectomy Nursing Care Plan (NCP)

NURSING DIAGNOSIS: Pain, acute

May be related to

• Surgical interruption/manipulation of tissues/muscles
• Postoperative edema

Possibly evidenced by

• Reports of pain
• Narrowed focus; guarding behavior; restlessness
• Autonomic responses

Desired Outcomes
Pain Control (NOC)

• Report pain is relieved/controlled.
• Demonstrate use of relaxation skills and diversional activities appropriate to situation.

Acute Pain — Thyroidectomy Nursing Care Plan (NCP): Nursing Interventions & Rationale

Nursing Interventions	Rationale
Assess verbal/nonverbal reports of pain, noting location, intensity (0–10 scale), and duration.	Useful in evaluating pain, choice of interventions, effectiveness of therapy.
Place in semi-Fowler’s position and support head/neck with sandbags or small pillows.	Prevents hyperextension of the neck and protects integrity of the suture line.
Maintain head/neck in neutral position and support during position changes. Instruct patient to use hands to support neck during movement and to avoid hyperextension of neck.	Prevents stress on the suture line and reduces muscle tension.
Keep call bell and frequently needed items within easy reach.	Limits stretching, muscle strain in operative area.
Give cool liquids or soft foods, such as ice cream or popsicles.	Although both may be soothing to sore throat, soft foods may be tolerated better than liquids if patient experiences difficulty swallowing.
Encourage patient to use relaxation techniques, e.g., guided imagery, soft music, progressive relaxation.	Helps refocus attention and assists patient to manage pain/discomfort more effectively.
Administer analgesics and/or analgesic throat sprays/lozenges as necessary.	Reduces pain and discomfort; enhances rest.
Provide ice collar if indicated.	Reduces tissue edema and decreases perception of pain.

Found through:

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