What should be included in the assessment for a child post-tonsillectomy regarding swallowing behaviors?

Frequent swallowing after a tonsillectomy is a critical behavioral indicator worth assessing in a post-operative child. This action may suggest discomfort or pain in the throat, which could signify bleeding or the presence of other complications requiring further evaluation or intervention. After tonsillectomy, the healing process involves significant changes in the throat, and pain may cause the child to swallow more frequently, possibly in an attempt to alleviate discomfort or clear the throat.

In contrast, bright red drooling is not considered normal and could indicate bleeding, which is a serious concern post-surgery. A refusal to drink is not typical; children are encouraged to maintain hydration and may even need coaxing, so this behavior is not appropriate. Clear speech is also generally not expected immediately following surgery due to swelling and soreness, which can affect how a child speaks in the days post-op.

Thus, frequent swallowing serves as an essential assessment indicator for post-operative care, enabling caregivers and medical professionals to monitor for potential complications and ensure proper recovery.