A 65-year-old man is referred for home care after a total laryngectomy performed to treat cancer of the larynx. As the home health nurse, you are responsible for providing continued patient education...

A 65-year-old man is referred for home care after a total laryngectomy performed to treat cancer of the larynx. As the home health nurse, you are responsible for providing continued patient education regarding tracheostomy care and gastric tube feedings. The overall plan is for the patient to begin oral feedings; however, both the patient and his wife believe that he is not ready to begin to eat. What are your priorities in terms of assessment of this patient? What are your recommendations to the patient regarding fear, anxiety, communication, and nutrition? What additional medical and support services will the patient need to assist him in his recovery? How would your care differ if this patient lived alone?