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Thyroid gland (Cretinism (Signs and symptoms (Decreased activity., Large…

- - - - Client will maintain a stable weight and takes in necessary nutrients.
      - Family members/caregivers will verbalize correct information about hypothyroidism and taking thyroid hormone replacement.
      - Family members/caregivers will identify basis of fatigue and individual areas of control.
      - Family members/caregivers will verbalize reduction of fatigue and increased ability to complete desired activities
    - - Maintain a stable weight. Educate the client and family regarding body weight changes in hypothyroidism;
        collaborate with a dietician to determine client’s caloric needs; encourage the intake of foods rich in fiber;
        encourage a low-cholesterol, low-calorie, low-saturated-fat diet.
      - Learn more about the disease. Provide information about hypothyroidism;
        educate the client and family regarding thyroid hormones; emphasize the importance of rest periods.
      - Reduce fatigue. Note daily energy patterns; plan care to allow individually adequate rest periods; schedule activities for periods when the client has the most energy; promote an environment conducive to relieve fatigue.
- - - - Fatigue
        
        Expected outcomes
        
        Verbalize increase in level of energy.
        Display improved ability to participate in desired activities.
        
        Provide for diversional activities that are calming, e.g., reading, radio, television.
        
        Avoid topics that irritate or upset patient. Discuss ways to respond to these feelings.
        
        Provide for quiet environment; cool room, decreased sensory stimuli, soothing colors, quiet music.
        
        Encourage patient to restrict activity and rest in bed as much as possible.
        
        Monitor vital signs, noting pulse rate at rest and when active.
      - Anxiety
        
        Expected outcomes
        
        Reduced Anxiety
        
        Nursing interventions
        
        Introduce the patient to the environment and also to the other patients
        
        Avoid performance of painful procedures in front of the patient
        
        Observe behavior indicative of level of anxiety.
        
        Stay with patient, maintaining calm manner. Acknowledge fear and allow patient’s behavior to belong to patient.
    - - Expected outcomes
        
        stable weight with normal laboratory values and be free of signs of malnutrition.
      - Nursing interventions
        
        Monitor daily food intake. Weigh daily and report losses.
        
        Provide a balance diet, with six meals per day.
        
        Avoid foods that increase peristalsis and fluids that cause diarrhea.
        
        Encourage patient to eat and increase number of meals and snacks. Give or suggest high-calorie foods that are easily digested.
        
        Consult with dietitian to provide diet high in calories, protein, carbohydrates, and vitamins.