This self-instructional model, written for registered nurses, is divided into three sections: (1) anatomy and physiology of the patient before and after laryngectomy; (2) eating and nourishment following the total laryngectomy; and (3) two options for speech following a total laryngectomy--the electrolarynx and esophageal speech. The manual provides the learner with basic information in the care of the patient who undergoes a total laryngectomy to help the caregiver with these patients. Directions, prerequisites, terminal objective (goal), performance objectives, pre- and post-assessment (answers included), and summary are the components of the module. Three appendices contain pre- and post-operative laryngectomy diagrams, placement of electrolarynx, and diagram of esophageal speech. (NLA)