Hyperthyroidism N C P BY BHERU LAL

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NURSING CARE PLAN-1 Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married Medical Diagnoses: Hyperthyroidism Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007 ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION SUBJECTIVE: I get tired easily and I feel very weak)” as verbalized by patient. OBJECTIVE: Decreased performance. Jittery behavior. Irritabilit y V/S taken as follows: T: 37.1 P: 108 R: 22 Bp: 120/80 Fatigue related To hyper- metabolic state with increased energy requirement s. After 8 hours of nursing interventions, the patient will display improved ability to participate in desired activities. 1. Monitor vital signs, noting pulse rate at rest and when active. 2. Note development of tachypnea, dyspnea, pallor, and cyanosis. 3. Provide quiet environment, cool room, decreased sensory stimuli, soothing colors, quiet music. 4. Encourage patient to restrict activity and rest in bed as much as possible. 5. Provide comfort measures like judicious touch and cool showers. 6. Avoid topics that irritate or upset the patient. Discuss ways to respond to these feelings. 1. Pulse is typically elevated and, even at rest, tachycardia (up to 160 beats/min) may be noted. 2. Oxygen demand and consumption are increased in hypermetabolic state, potential risk of hypoxia with activity. 3. Reduces stimuli that may aggravate agitation, hyperactivity and insomnia. 4. Help counteract effects of increased metabolism. 5. May decrease nervous energy, promoting relaxation. 6. Increased irritability of the CNS may cause patient to be easily excited, agitated, and prone to emotional outburst. After 8 hours of nursing interventions , the patient was able to display improved ability to participate in desired activities.

Transcript of Hyperthyroidism N C P BY BHERU LAL

Page 1: Hyperthyroidism N C P BY BHERU LAL

NURSING CARE PLAN-1Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married Medical Diagnoses: Hyperthyroidism Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007 ASSESSMENT NURSING

DIAGNOSISPLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

SUBJECTIVE:I get tired easily and I feel very weak)” as verbalized bypatient.

OBJECTIVE:Decreased performance.Jittery behavior.IrritabilityV/S taken asfollows:T: 37.1P: 108R: 22Bp: 120/80

Fatigue relatedTo hyper-metabolicstate withincreasedenergyrequirements.

After 8 hours ofnursinginterventions,the patient willdisplayimproved abilityto participate indesiredactivities.

1. Monitor vital signs, noting pulse rate at rest and when active.

2. Note development of tachypnea, dyspnea, pallor, and cyanosis.

3. Provide quiet environment, cool room, decreased sensory stimuli, soothing colors, quiet music.

4. Encourage patient to restrict activity and rest in bed as much as possible.

5. Provide comfort measures like judicious touch and cool showers.

6. Avoid topics that irritate or upset the patient. Discuss ways to respond to these feelings.

1. Pulse is typically elevated and, even at rest, tachycardia (up to 160 beats/min) may be noted.

2. Oxygen demand and consumption are increased in hypermetabolic state, potential risk of hypoxia with activity.

3. Reduces stimuli that may aggravate agitation, hyperactivity and insomnia.

4. Help counteract effects of increased metabolism.

5. May decrease nervous energy, promoting relaxation.

6. Increased irritability of the CNS may cause patient to be easily excited, agitated, and prone to emotional outburst.

After 8 hours ofnursinginterventions,the patient wasable to displayimproved abilityto participate indesiredactivities.

Reference: Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company. Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)