مريض بعد استئصال الحنجرة الكامل في اليوم الأول، ولا يستطيع الكلام. ما أفضل طريقة للتواصل معه الآن؟

On day 1 after total laryngectomy the client cannot speak. What is the best way to communicate now?

1. Talk only to the family about his needs
2. Ask him to speak quietly until he adapts
3. Wait a week for recovery before communicating
4. A writing board or picture board and yes/no questions

Answer: D) A writing board or picture board and yes/no questions. After laryngectomy there is no natural voice. Communication aids are prepared pre-operatively: writing, picture boards, yes/no questions and a call bell within reach. Later options include a voice prosthesis or electrolarynx.