Hypothyroidism is a condition classified by an under-active thyroid gland- when the thyroid does not produce enough hormones. It occurs primarily in women in 30 to 60 years old. If severe hypothyroidism occurs in an infant, it is called cretinism. If it developed in an adult, it is called myxedema. The most common cause of hypothyroidism is an autoimmune inflammation of the thyroid gland (Hashimoto’s thyroiditis) with resulting atrophy of glandular tissue. Hypothyroidism also commonly occurs in clients with previous hyperthyroidism that has been treated with radioiodine or antithyroid medications or thyroidectomy.
Nursing Care Plans
The nursing care plan for clients with hypothyroidism includes providing information about disease process/prognosis and therapy needs, guiding the client to meet their nutritional requirement, planning activities with a rest period, and preventing complications.
- Deficient Knowledge
May be related to
- Lack of exposure to hypothyroidism.
- New disease process.
- Unfamiliarity with information resources.
Possibly evidenced by
- Limited questioning about hypothyroidism and taking thyroid hormone replacement.
- Verbalization of lack of information about the disease and its management.
- Client and family members will verbalize correct information about hypothyroidism and taking thyroid hormone replacement.
|Assess the client’s knowledge of hypothyroidism and thyroid hormone replacement therapy.||Client teaching should begin with the current knowledge about the disease and its management.|
|Provide information about hypothyroidism.||Clients experiencing hypothyroidism may have impaired memory, confusion, hearing loss, and a decreased attention span. These neurologic changes can hinder with learning new information. Teaching sessions should be planned at times when the client is best able to concentrate. Recalling of information is needed to facilitate learning. Using written information reinforces verbal presentation.|
|Educate the client and family regarding thyroid hormones.||Levothyroxine sodium (Synthroid) is a manmade thyroid hormone that is used to treat hypothyroidism.|
||Thyroid hormone should be taken on a regular basis to achieve a hormone balance.|
||The client is initially given a small dose that gradually increases until a euthyroid state is achieved. When the thyroid hormone level increases, the client experiences insomnia and weight loss.|
||The client should report symptoms such as chest pain/palpitations; these happen due to the increased metabolic and oxygen consumption.|
|Emphasized the importance of rest periods.||Avoid undue fatigue; As the euthyroid state is achieved, the activity level will eventually increase.|
|Encourage the client to follow appointments for blood workups (T3, T4, and TSH levels).||These levels help determine the effectiveness of pharmacotherapy|
|Describe the signs and symptoms of over- and underdosage of the medications.||This will serve as a check for the client to determine if the therapeutic levels are met.|
|Encourage the client to have medical identification about hormone therapy and to inform all health care provider.||Medical identification provides other health care providers with information to guide decisions about care. Levothyroxine is highly protein bound in circulation. This drug characteristic contributes to many drug interactions. The client needs to notify all health care providers about taking this drug.|
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