title: Back to the beginning. Nursing case management of the older client with alaryngeal speech needs.
abstract: A laryngectomy is a devastating event with many responses, the most dramatic of which is the loss of normal voice production. The three most common methods of alaryngeal speech are esophageal speech, artificial larynx, and tracheoesophageal puncture. A nurse case manager who functions as coordinator of formal and informal support systems will help ensure the outcome of satisfactory alaryngeal speech for older laryngectomees.
authors: M
authors: M
authors: Oleson
authors: T W
authors: TW
authors: King
mesh_terms: D000368:Aged; D003266:Continuity of Patient Care; D006801:Humans; D007825:Laryngectomy / Q000451:nursing* / Q000523:psychology; D010347:Patient Care Planning; D010351:Patient Discharge; D011182:Postoperative Care; D011300:Preoperative Care