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Thyroid Surgery Nursing Care

Gtgt THE EXPERTISE THAT’S AVAILABLE HERE IN THE PEDIATRIC THYROID CENTER AT CHOP IS MULTIPLE, MULTIPLE LAYERS, WHICH, I THINK, LEAD TO SPECIAL CARE AND SPECIAL RESULTS. gtgt WE ALL WORK VERY CLOSELY TOGETHER gtgt TO MAKE SURE THAT WE REALLY COME TOGETHER AS A TEAM AND GIVE THE BEST CARE THAT THE PATIENT REALLY REQUIRES. gtgt THE DISCIPLINES INCLUDE SURGERY, THE SURGEONS WHO ACTUALLY REMOVE THE TISSUE. gtgt WE HAVE ENDOCRINOLOGISTS WHO ARE WORLDFAMOUS IN WHAT THEY DO IN TERMS OF THE ALL ENDOCRINE GLANDS. COUPLED WITH THAT WE HAVE A VERY GOOD COLLABORATION.

BETWEEN ENDOCRINE AND ONCOLOGY. gtgt RADIOLOGY. gtgt EVERY SINGLE OPERATION IS DONE WITH A PEDIATRIC ANESTHESIOLOGIST. gtgt AND PATHOLOGY AS WELL. gtgt NURSING IS A VERY IMPORTANT COMPONENT BETWEEN DISCIPLINES. gtgt IT’S KIND OF THE SINGLE POINT OF CONTACT gtgt IN TERMS OF GETTING ALL THE INFORMATION NEEDED TO HAVE THE PATIENT EVALUATED IN THE THYROID CENTER. gtgt AND PROVIDING THE PATIENT WITH THE EDUCATION AND THE CARE COORDINATION TO FACILITATE THE MORE DIFFICULT MEDICAL SYSTEM. gtgt WE HAVE PATIENTS WHO ARE REFERRED LOCALLY, REGIONALLY, NATIONALLY AND EVEN INTERNATIONALLY, WHO WANT THAT SORT OF EXPERTISE FOR THEIR CHILDREN,.

BUT COMING FROM SUCH A DISTANCE LEADS TO SPECIAL NEEDS FOR LODGING AND ADVICE AND FINANCIAL SUPPORT, IN SOME CASES. gtgt WE’RE FORTUNATE IN THIS CENTER TO HAVE A SOCIAL WORKER INVOLVED IN THE CARE OF THESE PATIENTS, WHICH IS VERY IMPORTANT SO THE PATIENT IS NOT ONLY CARED FOR IN TERMS OF WHAT THEY NEED MEDICALLY, BUT ALSO WHAT THEY NEED EMOTIONALLY. gtgt FOR A CHILD GOING THROUGH THIS PROCESS, WE HAVE ACCESS TO CHILD LIFE SUPPORT. THE CHILD LIFE SPECIALISTS PROVIDE EXPERTISE IN MANY OF THE PSYCHOLOGICAL ASPECTS OF GOING THROUGH AN OPERATION.

It Takes a Team Pediatric Thyroid Center at CHOP 8 of 9

THAT A CHILD AND A FAMILY REALLY NEED. gtgt ONE OF THE ADVANTAGES OF WHERE CHILDREN’S HOSPITAL OF PHILADELPHIA IS LOCATED IS THAT WE’RE ADJACENT TO THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA. gtgt WE WORK IN PARTNERSHIP WITH THEM AND CAN CULL ALL THEIR EXPERTISE, WHETHER IT BE IN PATHOLOGY OR OTHER ASPECTS OF CARE THAT WE CAN NOW APPLY TO CHILDREN WITH THYROID CANCER. gtgt AND WHEN THE CHILDREN ARE OLD ENOUGH, THEY’RE YOUNG ADULTS, BECAUSE WE SEE KIDS UP TO AGE 23, WHICH AREN’T REALLY KIDS, THEY’RE YOUNG ADULTS, BUT THE TRANSITION OF CARE.

THEN IS EASILY SET IN PLACE. gtgt IT’S VERY IMPORTANT FOR THE PATIENT AND THEIR FAMILY TO BE VERY INVOLVED DURING THE ENTIRE PROCESS. gtgt THE TEAM WAS ALL REALLY HELPFUL IN EXPLAINING IT GETTING US THROUGH IT BECAUSE WE NEVER EXPERIENCED ANY OF THIS BEFORE. gtgt IT WOULD’VE BEEN A LOT MORE DIFFICULT TO GET THROUGH THIS IF WE DIDN’T HAVE THE THYROID CENTER SUPPORTING US. gtgt THEY REALLY NEED TO UNDERSTAND THE PROCESS AND WE ENCOURAGE THEM TO WRITE DOWN QUESTIONS, TO BRING THEM IN, AND WE GO THROUGH THEM.

WE’VE GONE THROUGH LISTS SOMETIMES AS LONG AS 15 TO 20 QUESTIONS LONG. AND THAT’S WHAT WE WANT. WE WANT THEM TO READ. WE WANT THEM TO BE INFORMED. gtgt I DID FEEL LIKE AS PART OF THE TEAM EFFORT BECAUSE IT STARTED OFF WITH DR. BAUER DIAGNOSING ME, BUT THEN HE GAVE ME THE OPTIONS AND ALL THE DOCTORS WERE WILLING TO WORK WITH ME, NO MATTER WHAT ROUTE I TOOK. gtgt THE FAMILY AND THE PATIENT PROVIDE A VERY IMPORTANT PART OF THAT TEAM FOR US BECAUSE THEY KNOW.

THEIR CHILD BEST. THE CHILD KNOWS THEMSELVES BEST. gtgt FROM THE BEGINNING TO THE END, WHEN YOU HAVE YOUR FIRST APPOINTMENT ALL THE WAY THROUGH THE SURGERY, THEY SEEM TO BE VERY MUCH ALL IN COMMUNICATION AND WILLING TO COMMUNICATE WITH YOU AND BACK WITH YOUR CONCERNS. gtgt EVEN THOUGH THERE’S A CERTAIN WAY TO TREAT A DISEASE, THE PATIENT IS NOT A DISEASE. THE PATIENT IS A PATIENT. gtgt WHEN I LOOK IN THE MICROSCOPE, IT’S NOT JUST LOOKING AT A PIECE OF TISSUE. IT’S REALLY BEARING IN MIND THAT THIS IS SOMETHING.

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