Question

Develop a plan of care recognizing TWO actual and ONE potential health problem for the following patient. (NO MORE THAN 10 NURSING INTERVENTIONS) (15 mrks)

Sandra Payne is a 66-year-old female who was admitted to surgical unit with a history of hyperthyroidism for thyroidectomy. Despite Mrs. Payne increase in appetite, she has lost 15 pounds within last month. She complains of intolerance to heat and sweats profusely. She also complains nervousness and irritability. Her vital signs are T37.6 P 108 R 24. Recently, she has refused visitor claiming that she is ashamed of how she looked and ask you the nurse why she have to have surgery?

Answer 1

Two actual health problem:
Thyroid storm and heart disease
Thyroid storm is a life-threatening condition that increases the symptoms of hyperthyroidism. hyperthyroidism the thyroid hormone causes more force and speed that involves the heart that causes symptoms like tachycardia, abnormal heart rhythm, and increases the risk of congestive heart failure and stroke.
One potential health problem:
mania. patient irritability, anxiety, nervousness, and low self-images, depression develop into mania.
nursing intervention:
-check the patient's blood pressure and pulse rate continuously.
-monitor the patient cardiac condition including ECG, rate, and rhythm.
-check the patient's temperature every 4 hours and provide calm and cool surroundings.
-check the patient weight daily.
-provide a high-calorie diet.
-continue the thyroid medications and cardiac medication as per the doctor's orders.
-provide adequate rest and administer sedatives if indicated.
- provide psychosocial support to the patient.
-explain the patient about the need of thyroidectomy that help them to treat hyperthyroidsm.
-improve patient knoeldge about thyroid gland, disease process, treatment option etc.
-enroll the patient for counselling and psychiatist opinon.