Question

Scenario:

Mrs. Barber has a diagnosis of hypothyroidism, she is 50 years old, 5'9" and weighs 110 lbs.

Do a full head to toe assessment and type out what you are doing

Create a care plan by documenting:

Subjective and objective signs and symptoms would you expect for Mrs. Barber to present during your assessment, then document your nursing diagnosis, goal, implementation, and evaluation

How would you prepare Mrs. Barber for the diagnostic tests she will be going through?

How would you approach her having a test with iodine contrast?

What therapy would be appropriate for her?

Answer 1

Pathophysiology: Hypothyroidism is a common condition where the thyroid gland does not produce enough thyroid hormone which control how the body uses energy and can,therefore,affect every organ system.When the body does not have enough of these hormones,all of the body functions begin to slow down.

Subjective Data: Fatigue,weakenss,sensitivity to cold,irritability, depressions, decreased libido,memory loss,muscle cramps,joint pain/stiffness,constipation

Objective Data

Dry hair and skin,hair loss,weight gain,bradycardia

Nursing Diagnosis

• Imbalanced nutrition: more than body requirements
• Deficient knowledge
• Fatigue

Intervention: Imbalanced nutrition evidenced by weight gain,decreased appetite and sedentary active life

Goal: Client will maintain a stable weight and takes in required nutrients

Intervention:

• Assess clients weight ,Assess clients appetite,Educate client and family regarding weight change in hypothyroidism ,collaborate with dietician to Assess calorie needs,encourage the intake of food rich in fiber.

Defficient knowledge : evidenced by limited questioning about hypothyroidism and taking thyroid hormone replacement.Lack of information about the disease and its management

Goal: Client and family members will correctly verbalize about the disease and replacement of thyroid hormone replacement.

Intervention: Assess the knowledge about hypothyroidism and hormone replacement,Provide information about the disease,Instruct the client to take medication in empty stomach and take in morning to avoid insomnia,teach the expected benefits and side effects.

Fatigue: evidenced by lethargic,compromised concentration,increased rest requirements,unable to complete required activities

Goal: Client will identify the basis of fatigue and area of control ,verbalize the reduction of fatigue and completion of desired activity.

Intervention: Assess the clients ability of ADL,not daily energy pattern,Assess clients energy level,muscle strength and muscle tone,promote an environmental conducive to relive fatigue

Evalute the progress of all set goals.