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Nursing management.pptx
1.
2. THE PATIENT WITH HYPERTHYROIDISM
NURSING DIAGNOSES
• Imbalanced nutrition, less than body requirements, related to
exaggerated metabolic rate, excessive appetite, and increased
gastrointestinal activity
• Ineffective coping related to irritability, hyperexcitability,
apprehension, and emotional instability
• Low self-esteem related to changes in appearance, excessive appetite,
and weight loss
• Altered body temperature
3. Nursing Interventions
IMPROVING NUTRITIONAL STATUS
ENHANCING COPING MEASURES
IMPROVING SELF-ESTEEM
MAINTAINING NORMAL BODY TEMPERATURE
MONITORING AND MANAGING POTENTIAL COMPLICATIONS
4. Care of the Patient With Hypothyroidism
Nursing Diagnosis: Activity intolerance related to fatigue and
depressed cognitive process
Goal: Increased participation in activities and increased independence
Nursing Diagnosis: Risk for imbalanced body temperature
Goal: Maintenance of normal body temperature
Nursing Diagnosis: Deficient knowledge about the therapeutic
regimen for lifelong thyroid replacement therapy
Goal: Knowledge and acceptance of the prescribed therapeutic
regimen
5. Nursing Diagnosis: Ineffective breathing pattern related to depressed
ventilation
Goal: Improved respiratory status and maintenance of normal breathing
pattern
Nursing Diagnosis: Disturbed thought processes related to depressed
metabolism and altered cardiovascular and
respiratory status
Goal: Improved thought processes
Collaborative Problem: Myxedema and myxedema coma
Goal: Absence of complications
6. Nursing Management
MODIFYING ACTIVITY
MONITORING PHYSICAL STATUS
PROMOTING PHYSICAL COMFORT
PROVIDING EMOTIONAL SUPPORT
8. CUSHING’S SYNDROME
NURSING DIAGNOSES
Risk for injury related to weakness
Risk for infection related to altered protein metabolism and inflammatory
response
Self-care deficit related to weakness, fatigue, muscle wasting, and altered
sleep patterns
Impaired skin integrity related to edema, impaired healing, and thin and
fragile skin
Disturbed body image related to altered physical appearance, impaired
sexual functioning, and decreased activity level
Disturbed thought processes related to mood swings, irritability, and
depression
9. Nursing Interventions
DECREASING RISK FOR INJURY
DECREASING RISK FOR INFECTION
PREPARING THE PATIENT FOR SURGERY
ENCOURAGING REST AND ACTIVITY
PROMOTING SKIN INTEGRITY
IMPROVING BODY IMAGE
IMPROVING THOUGHT PROCESSES
MONITORING AND MANAGING POTENTIAL COMPLICATIONS
Addisonian Crisis, Adverse Effects of Adrenocortical Activity
10. THE PATIENT WITH ACUTE PANCREATITIS
NURSING DIAGNOSES
Acute pain related to inflammation, edema, distention of the pancreas,
and peritoneal irritation
Ineffective breathing pattern related to severe pain, pulmonary
infiltrates, pleural effusion, atelectasis, and elevated diaphragm
Imbalanced nutrition, less than body requirements, related to reduced
food intake and increased metabolic demands
Impaired skin integrity related to poor nutritional status, bed rest, and
multiple drains and surgical wound
11. Nursing Interventions
RELIEVING PAIN AND DISCOMFORT
IMPROVING BREATHING PATTERN
IMPROVING NUTRITIONAL STATUS
IMPROVING SKIN INTEGRITY
MONITORING AND MANAGING POTENTIAL COMPLICATIONS
12. Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to
inadequate dietary intake, impaired pancreatic secretions, increased nutritional
needs secondary to acute illness, and increased body temperature
Goal: Improvement in nutritional status
Nursing Diagnosis: Ineffective breathing pattern related to splinting from severe
pain, pulmonary infiltrates, pleural effusion, and atelectasis
Goal: Improvement in respiratory function
Collaborative Problem: Fluid and electrolyte disturbances, hypovolemia, shock
Goal: Improvement in fluid and electrolyte status, prevention of hypovolemia and
shock
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