Client perception of pre-operative consultation before Laryngectomy
Tracks
7
Adult
Cancer
Interprofessional collaborative practice
Laryngectomy
Multidisciplinary practice
Service delivery
| Sunday, June 15, 2025 |
| 12:10 PM - 12:20 PM |
| Knowledge Hub | Halls MNO, Ground Level |
Overview
Thamali Rathnayake Arachchillage
Details
⏫ Rapid impact
⏲️ 12.10pm - 12.20pm
⌛ 10-minutes
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)
⏲️ 12.10pm - 12.20pm
⌛ 10-minutes
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)
Presenter
Ms Thamali Rathnayake Arachchillage
Client perception of pre-operative consultation before Laryngectomy
12:10 PM - 12:20 PMPresentation summary
This presentation primarily focuses on describing client perceptions of pre-operative consultations before a laryngectomy. The general objective is to analyse the sources and content of pre-operative consultations, as well as patient perceptions of these consultations. Specific objectives include identifying the sources of information for laryngectomy patients, determining the percentage of patients who received pre-operative consultations, exploring the topics covered, and understanding the perceptions of service recipients.
This descriptive cross-sectional study was conducted at Apeksha Hospital, Maharagama, Sri Lanka, and the Laryngectomees' Association at the National Hospital, Sri Lanka, from October 2017 to May 2018. The study involved 30 participants selected through purposive sampling. Data was collected using a structured interview and questionnaire, with quantitative analysis performed using SPSS (Version 22) and qualitative data analysed through thematic analysis.
87% of clients reported that pre-operative consultation is essential. A highly significant (p<0.01) correlation was found between receiving pre-operative consultation and the quality of life post-operation. Additionally, there was a significant (p<0.05) correlation between the number of pre-operative providers and post-operative quality of life, highlighting the importance of involving all relevant professionals in the consultation process.
Twenty-nine patients received pre-operative consultations from doctors, but only seven consulted with speech pathologists (SPs), resulting in missed information on critical topics such as speech and nutrition. Oral communication was the most used medium (85%), with 58% of clients preferring oral consultations and 42% preferring video or printed media.
The study suggests that offering pre-operative consultations in a medium preferred by the client would be more effective. Additionally, involving a family member in the consultation process is crucial for supporting post-operative rehabilitation. The recommendation is to provide pre-operative consultations based on client preferences.
This descriptive cross-sectional study was conducted at Apeksha Hospital, Maharagama, Sri Lanka, and the Laryngectomees' Association at the National Hospital, Sri Lanka, from October 2017 to May 2018. The study involved 30 participants selected through purposive sampling. Data was collected using a structured interview and questionnaire, with quantitative analysis performed using SPSS (Version 22) and qualitative data analysed through thematic analysis.
87% of clients reported that pre-operative consultation is essential. A highly significant (p<0.01) correlation was found between receiving pre-operative consultation and the quality of life post-operation. Additionally, there was a significant (p<0.05) correlation between the number of pre-operative providers and post-operative quality of life, highlighting the importance of involving all relevant professionals in the consultation process.
Twenty-nine patients received pre-operative consultations from doctors, but only seven consulted with speech pathologists (SPs), resulting in missed information on critical topics such as speech and nutrition. Oral communication was the most used medium (85%), with 58% of clients preferring oral consultations and 42% preferring video or printed media.
The study suggests that offering pre-operative consultations in a medium preferred by the client would be more effective. Additionally, involving a family member in the consultation process is crucial for supporting post-operative rehabilitation. The recommendation is to provide pre-operative consultations based on client preferences.
Refrences
Berkowitz, J. F., & Lucente, F. E. (1985). Counseling before laryngectomy. The Laryngoscope, 95(11), 1332-1336.
Branche, Kaleelah (2016). Preoperative Education for Patients Undergoing Total Laryngectomy. American Nurse Today. https://www.americannursetoday.com
Brook, I. (2009). My voice: a physician's personal experience with throat cancer. Retrieved from http://dribrook.blogspot.com
Ceachir., Hainarosie,O.,Viorel Zai,R. (2014). Total Laryngectomy – Past, Present, Future. Journal of Clinical Medicine, 9(2): 210-216 210–216.
Di Donato Chaves, A., De Araújo Pernambuco, L., Balata, P. M. M., Da Silva Santos, V., De Lima, L. M., De Souza, S. R., & Da Silva, H. J. (2012). Limits on quality of life in communication after total laryngectomy. International Archives of Otorhinolaryngology, 16(4), 482–491. doi:10.7162/S1809-97772012000400009.
Attieh, A. Y., Searl, J., Shahaltough, N. H., Wreikat, M. M., & Lundy, D. S. (2008). Voice restoration following total laryngectomy by tracheoesophageal prosthesis: effect on patients' quality of life and voice handicap in Jordan. Health and quality of life outcomes, 6, 26. https://doi.org/10.1186/1477-7525-6-26
Hunt Raleigh, E., Lepczyk, M., & Rowley, C. (1990). Significant others benefit from preoperative information. Journal of Advanced Nursing, 15(8), 941-945.
Johansson, K., Nuutila, L., Virtanen, H., Katajisto, J., & Salanterä, S. (2005). Preoperative education for orthopaedic patients: Systematic review. Journal of Advanced Nursing, 50(2), 212–223. http://doi.org/10.1111/j.1365-2648.2005.03381
Krishna, M. S., Jayanthy, A. K., Divakar, C., & Mekhala, R. (2005). Design and fabrication of a new electrolarynx and voice amplifier for laryngectomees. In Engineering in Medicine and Biology Society, 2005. IEEE-EMBS 2005. 27th Annual International Conference of the (pp. 6832-6835). IEEE.
Kunneman, M., Marijnen, C. A. M., Rozema, T., Ceha, H. M., Grootenboers, D. A. R. H., Neelis, K. J., Pieterse, A. H. (2015). Decision consultations on preoperative radiotherapy for rectal cancer: large variation in benefits and harms that are addressed. British Journal of Cancer, 112(1), 39–43. http://doi.org/10.1038/bjc.2014.546
Mordiffi., Zubaidah,S., Peng Tan,S.,& Kin Wong,M. (2003).Information provided to surgical patients versus information needed. AORN journal 77(3), 546-562.
National Cancer Control Programme Ministry of health, (2007). Cancer incidence data: Sri lanka year 2010. Colombo: © National Cancer Control Programme - 2010. http://www.nccp.health.gov.lk
Renner, M. J. (1995, August). Counseling laryngectomees and families. In Seminars in speech and language (Vol. 16, No. 03, pp. 215-220). © 1995 by Thieme Medical Publishers, Inc.
Rivera, R. A., Nguyen, M. T., Martinez-Osorio, J. I., McNeill, M. F., Ali, S. K., & Mansi, I. A. (2012). Preoperative medical consultation: maximizing its benefits. The American Journal of Surgery, 204(5), 787-797.
Snijders, H. S., Kunneman, M., Bonsing, B. A., de Vries, A. C., Tollenaar, R. A. E. M., Pieterse, A. H., & Stiggelbout, A. M. (2014). Preoperative risk information and patient involvement in surgical treatment for rectal and sigmoid cancer. Colorectal Disease, 16(2), 43–50. https://doi.org/10.1111/codi.12481
Branche, Kaleelah (2016). Preoperative Education for Patients Undergoing Total Laryngectomy. American Nurse Today. https://www.americannursetoday.com
Brook, I. (2009). My voice: a physician's personal experience with throat cancer. Retrieved from http://dribrook.blogspot.com
Ceachir., Hainarosie,O.,Viorel Zai,R. (2014). Total Laryngectomy – Past, Present, Future. Journal of Clinical Medicine, 9(2): 210-216 210–216.
Di Donato Chaves, A., De Araújo Pernambuco, L., Balata, P. M. M., Da Silva Santos, V., De Lima, L. M., De Souza, S. R., & Da Silva, H. J. (2012). Limits on quality of life in communication after total laryngectomy. International Archives of Otorhinolaryngology, 16(4), 482–491. doi:10.7162/S1809-97772012000400009.
Attieh, A. Y., Searl, J., Shahaltough, N. H., Wreikat, M. M., & Lundy, D. S. (2008). Voice restoration following total laryngectomy by tracheoesophageal prosthesis: effect on patients' quality of life and voice handicap in Jordan. Health and quality of life outcomes, 6, 26. https://doi.org/10.1186/1477-7525-6-26
Hunt Raleigh, E., Lepczyk, M., & Rowley, C. (1990). Significant others benefit from preoperative information. Journal of Advanced Nursing, 15(8), 941-945.
Johansson, K., Nuutila, L., Virtanen, H., Katajisto, J., & Salanterä, S. (2005). Preoperative education for orthopaedic patients: Systematic review. Journal of Advanced Nursing, 50(2), 212–223. http://doi.org/10.1111/j.1365-2648.2005.03381
Krishna, M. S., Jayanthy, A. K., Divakar, C., & Mekhala, R. (2005). Design and fabrication of a new electrolarynx and voice amplifier for laryngectomees. In Engineering in Medicine and Biology Society, 2005. IEEE-EMBS 2005. 27th Annual International Conference of the (pp. 6832-6835). IEEE.
Kunneman, M., Marijnen, C. A. M., Rozema, T., Ceha, H. M., Grootenboers, D. A. R. H., Neelis, K. J., Pieterse, A. H. (2015). Decision consultations on preoperative radiotherapy for rectal cancer: large variation in benefits and harms that are addressed. British Journal of Cancer, 112(1), 39–43. http://doi.org/10.1038/bjc.2014.546
Mordiffi., Zubaidah,S., Peng Tan,S.,& Kin Wong,M. (2003).Information provided to surgical patients versus information needed. AORN journal 77(3), 546-562.
National Cancer Control Programme Ministry of health, (2007). Cancer incidence data: Sri lanka year 2010. Colombo: © National Cancer Control Programme - 2010. http://www.nccp.health.gov.lk
Renner, M. J. (1995, August). Counseling laryngectomees and families. In Seminars in speech and language (Vol. 16, No. 03, pp. 215-220). © 1995 by Thieme Medical Publishers, Inc.
Rivera, R. A., Nguyen, M. T., Martinez-Osorio, J. I., McNeill, M. F., Ali, S. K., & Mansi, I. A. (2012). Preoperative medical consultation: maximizing its benefits. The American Journal of Surgery, 204(5), 787-797.
Snijders, H. S., Kunneman, M., Bonsing, B. A., de Vries, A. C., Tollenaar, R. A. E. M., Pieterse, A. H., & Stiggelbout, A. M. (2014). Preoperative risk information and patient involvement in surgical treatment for rectal and sigmoid cancer. Colorectal Disease, 16(2), 43–50. https://doi.org/10.1111/codi.12481
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Thamali Rathnayake is a skilled speech pathologist with five years of experience working in hospitals, private clinics, and educational settings in Sri Lanka. She holds a BSc(Special) degree in Speech and Hearing Sciences. Currently, she works as an Assistant Speech Pathologist in New South Wales, Australia, with two years of experience in this role. Her expertise lies in providing client-centred, evidence-based interventions. She has collaborated with multidisciplinary teams in hospital settings and provided guidance to the educational and social sectors in managing communication disorders. Thamali also has experience as a volunteer counsellor, broadening her ability to offer compassionate care.
Session chair
Dai Pu
Monash University & Little Birds Allied Health
The information contained in this program is current at of the time of publishing but is subject to changes made without notice.
Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.
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