Hypothyroidism nursing care plan for hyperthyroidism pdf
Here we will formulate sample Hypothyroidism nursing care plans based on a hypothetical case scenario. Show
It will include three hypothyroidism nursing care plans with NANDA nursing diagnoses, nursing assessment, expected outcome, and nursing interventions with rationales. Hypothyroidism Case ScenarioA 47-year-old woman presents to her primary care physician with complaints of fatigue and unexplained weight gain. The patient complains of feeling mildly unwell for the last 6 months and has experienced a variety of miscellaneous symptoms. She has noticed her skin is more dry than usual and she has been experiencing frequent constipation. Thinking she was dehydrated, she tried to increase her water intake but noticed no improvement. She also has been unable to participate in her daily walking club due to fatigue. Over the last 6 months, she has gained 12 kg and states “I expected some weight gain because I wasn’t walking as much, but this seems excessive!” Upon assessment, the patient is alert and oriented. Her temperature is 37.5 ˚C, heart rate is 56 BPM, blood pressure is 124/82 mmHg, respirations 20 breaths per minute, and oxygen saturation is 99% on room air. Aside from some dry skin and mild ankle swelling, her assessment is within normal limits. The patient’s blood work reveals an elevated TSH level of 5.2 IU/mL and a decreased T4 level of 0.8 ng/dL. The patient is diagnosed with Hypothyroidism. Nursing AssessmentSubjective Data:
Objective Data:
AdvertisementsHypothyroidism Nursing DiagnosisFatigue related to hormone deficiency as evidenced by weight gain, bradycardia, and inability to complete her regular exercise routine. Goal/Desired OutcomeShort-term goal: The patient will be able to list a few strategies for managing fatigue in the short term. AdvertisementsLong-term goal: The patient will return to normal levels of activity and exercise. Hypothyroidism Nursing Interventions with Rationales – Fatigue
#2 Sample Nursing Care Plan for Hypothyroidism – Risk for overweightNursing AssessmentSubjective Data:
Objective Data:
Hypothyroidism Nursing DiagnosisRisk for overweight related to decreased metabolic process as evidenced by weight gain of 12 kg in 6 months. Goal/Desired OutcomeShort-term goal: By the end of the shift the patient will state the relationship between excess weight and hypothyroidism. Long-term goal: The patient will lose excess weight and maintain a normal BMI. Hypothyroidism Nursing Interventions with Rationales – Risk for overweight
#3 Sample Nursing Care Plan for Hypothyroidism – Deficient KnowledgeAdvertisementsNursing AssessmentSubjective Data:
Objective Data:
Hypothyroidism Nursing DiagnosisDeficient knowledge related to new diagnosis as evidenced by confusion about symptoms of hypothyroidism. Goal/Desired OutcomeShort-term goal: By the end of the shift the patient will state the importance of hormone replacement therapy and taking the medication in the morning, at the same time every day, and on an empty stomach. Long-term goal: The patient will take Synthroid regularly and her TSH and T4 levels will return to normal. Hypothyroidism Nursing Interventions with Rationales – Deficient knowledge
Related Hypothyroidism Nursing Diagnosis (NANDA)Additional hypothyroidism nursing diagnoses are listed below.
ConclusionTo conclude, here we have formulated a scenario-based sample nursing care plan for Hypothyroidism. Prioritized nursing diagnosis includes fatigue, risk for overweight, and deficient knowledge. Additionally, these sample hypothyroidism nursing care plans comprise nursing assessment, NANDA nursing diagnosis, goal, and interventions with rationales. Recommended Readings & ReferencesAckley, B., Ladwig, G., Makic, M., Martinez-Kratz, M., & Zanotti, M. (2020). Nursing Diagnoses Handbook: An Evidence-based Guide to Planning Care (12th ed.). Elsevier. Comer, S. and Sagel, B. (1998). CRITICAL CARE NURSING CARE PLANS. Skidmore-Roth Publications. Doenges, M., Moorhouse, M., & Murr, A. (2013). Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales (13th ed.). F. A. Davis Company. Herdman, T., Kamitsuru, S. & Lopes, C. (2021). NURSING DIAGNOSES: Definitions and Classifications 2021-2023 (12th ed.). Thieme. Swearingen, P. (2016). ALL-IN-ONE CARE PLANNING RESOURCE (4th ed.). Elsevier/Mosby. How do I write a care plan for hypothyroidism?Encourage the intake of foods rich in fiber. Hypothyroidism slows the action of the digestive tract causing constipation. Encourage the client to follow a low-cholesterol, low-calorie, low-saturated-fat diet.. Decreased appetite.. Sedentary activity level.. Weight gain.. What is a nursing diagnosis for hypothyroidism?Diagnosis. Based on the assessment data, the nursing diagnoses appropriate for a patient with hypothyroidism are: Activity intolerance related to fatigue and depressed cognitive process. Risk for imbalanced body temperature related to cold intolerance.
What are some nursing interventions for hyperthyroidism?Nursing Management. Monitor vital signs, especially heart rate and blood pressure (both increase in hyperthyroidism). Ask if the patient has chest pain (Due to increased heart work). Listen to the heart for murmurs.. Obtain ECG (atrial arrhythmias may occur in hyperthyroidism). Teach the patient to relax.. What is a nursing priority when caring for a patient with hypothyroidism?Nursing Interventions
Monitor vital signs, including heart rate and rhythm. Administer thyroid replacement, levothyroxine sodium (Synthroid) is most commonly prescribed. Instruct the client about thyroid replacement therapy. Instruct the client in low-calorie, low-cholesterol, low-saturated-fate diet.
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