NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs
May be related to
- Lack of exposure/recall
- Information misinterpretation
- Unfamiliarity with information resources
Possibly evidenced by
- Questions, request for information, statement of misconception
- Inaccurate follow-through of instructions/development of preventable complications
Knowledge: Illness Care (NOC)
- Verbalize understanding of disease process and potential complications.
- Identify relationship of signs/symptoms to the disease process and correlate symptoms with causative factors.
- Verbalize understanding of therapeutic needs.
- Initiate necessary lifestyle changes and participate in treatment regimen.
- Decreased Cardiac Output — Hyperthyroidism Nursing Care Plan (NCP)
- Fatigue — Hyperthyroidism Nursing Care Plan (NCP)
- Disturbed Thought Processes — Hyperthyroidism Nursing Care Plan (NCP)
- Imbalanced Nutrition — Hyperthyroidism Nursing Care Plan (NCP)
- Anxiety — Hyperthyroidism Nursing Care Plan (NCP)
- Impaired Tissue Integrity — Hyperthyroidism Nursing Care Plan (NCP)
- Knowledge Deficit — Hyperthyroidism Nursing Care Plan (NCP)
Hyperthyroidism Nursing Care Plans Nursing Interventions & Rationale
|Review disease process and future expectations.||Provides knowledge base from which patient can make informed choices.|
|Provide information appropriate to individual situation.||Severity of condition, cause, age, and concurrent complications determine course of treatment.|
|Identify stressors and discuss precipitators to thyroid crises, e.g., personal/social and job concerns, infection, pregnancy.||Psychogenic factors are often of prime importance in the occurrence/exacerbation of this disease.|
|Provide information about signs/symptoms of hypothyroidism and the need for continuing follow-up care.||Patient who has been treated for hyperthyroidism needs to be aware of possible development of hypothyroidism, which can occur immediately after treatment or as long as 5 yr later.|
|Discuss drug therapy, including need for adhering to regimen, and expected therapeutic and side effects.||Antithyroid medication (either as primary therapy or in preparation for thyroidectomy) requires adherence to a medical regimen over an extended period to inhibit hormone production. Agranulocytosis is the most serious side effect that can occur, and alternative drugs may be given if problems arise.|
|Identify signs/symptoms requiring medical evaluation, e.g., fever, sore throat, and skin eruptions.||Early identification of toxic reactions (thiourea therapy) and prompt intervention are important in preventing development of agranulocytosis.|
|Explain need to check with physician/pharmacist before taking other prescribed or OTC drugs.||Antithyroid medications can affect or be affected by numerous other medications, requiring monitoring of medication levels, side effects, and interactions.|
|Emphasize importance of planned rest periods.||Prevents undue fatigue; reduces metabolic demands. As euthyroid state is achieved, stamina and activity level will increase.|
|Review need for nutritious diet and periodic review of nutrient needs; avoid caffeine, red/yellow food dyes, artificial preservatives.||Provides adequate nutrients to support hypermetabolic state. A hormonal imbalance is corrected, diet will need to be readjusted to prevent excessive weight gain. Irritants and stimulants should be limited to avoid cumulative systemic effects.|
|Stress necessity of continued medical follow-up.||Necessary for monitoring effectiveness of therapy and prevention of potentially fatal complications.|