HYPERTHYROIDISM ( Cubil and Daral)

Name:

Niezl De Guzman

Diagnosis:

Hyperthyroidism

Age:

30 years old

Chief Complaints:

Anterior neck mass

Clinical Manifestation:

Nervousness, irritability, increased perspiration,

heart racing, hand tremors, anxiety, difficulty
sleeping, thinning of the skin, fine brittle hair,
weight loss and muscular weakness

Risk Factors associated

with the Disease:

Hyper functioning thyroid nodules

High iodine intake
Thyroiditis

Common Management:
Drugs:
Surgical Procedure:

Diagnostic Tests
to confirm the
Diagnosis:

Radioactive Iodine Therapy

Thyroidectomy

Physical exam
Blood Test ( To check TSH,T3 and T4 level)
Radioactive iodine uptake test
Thyroid scan

Abnormal Lab Results:

Interpretation:

NURSING CARE PLAN # 1

CUES

NURSING

OBJECTIVES

INTERVENTION

RATIONALE

EVALUATION

DIAGNOSIS
Subjective Cues:

Anxiety r/t

Short term:

1. Acknowledge

1. Acknowledgment

Short term:

nakulbaan ko sa upcoming surgery After 2-3 hours of

awareness of

of the patient's

After 2-3 hours of

akong

patients anxiety.

feelings validates

nursing

(thyroidectomy)

nursing

operasyon

intervention, the

the feelings and

intervention, the

maam as

patient will be

communicates

patient was able

verbalized by

able to recognize

acceptance of

to recognize

patient.

signs of anxiety

those feelings.

signs of anxiety

and identify some

Objective Cues:

and identify

relaxation

2. Maintain a

2. Uneasiness felt

technique.

calm manner

by the care

technique such

while interacting

provider might be

as deep

with the patient.

transferred to the

breathing

3. Provide a calm
and peaceful
environment

patient
3. Too much noise
from the
environment can
increase patients
anxiety.
4. Better

relaxation

exercise.

Long term:

4. Provide

understanding on

Long term:

After 8 hours of

answers to the

the upcoming

After 8 hours of

nursing

patients

surgery will

nursing

intervention, the

questions

lessen

intervention, the

patient will be

regarding the

uneasiness felt

patient verbalized

able to

surgery.

by patient.

wala na ka ayo

demonstrate

ko nakulbaan

positive coping

5. These activities

mechanisms and

5. Introduce

will help reduce

verbalize

relaxation

patients anxiety

reduction of

technique such as

thus allowing the

anxiety.

deep breathing

patient to relax.

exercise and
divertional
activities such as
listening to music.

NURSING CARE PLAN # 2

maam.
.

CUES

NURSING

OBJECTIVES

INTERVENTION

RATIONALE

EVALUATION

DIAGNOSIS
Subjective Cues:

Risk for

Short term:

imbalanced

After 2-3 hours

importance of

understanding

After 2-3 hours of

nutrition: less

of nursing

proper nutrition

helps gain

nursing

than body

intervention, the

and factors that

patients

intervention, the

requirements

patient will be

could lead to

cooperation

patient was able

r/t increased

able to

imbalance

to verbalize

metabolism

understand

nutrition.

understanding of

importance of
proper nutrition

1. Explain

activity

factors that
could lead to

3. Encourage small
frequent meals

weight loss.

2. Activities

proper nutrition

speeds up

and was able to

metabolism

identify factors

3. This can help

when patient
cant tolerate

4. Provide rest

Short term:

the importance of

2. Limit physical

and identify the

Objective Cues:

1. Better

that may
contribute to
weight loss.

large meals.

periods between
meals
5. Consult dietitian
Long term:
After 1-2 days

for further

4. This facilitate
proper
metabolism

Long term:
After 1-2 days of

of nursing

assessment and

intervention, the

recommendation

a greater

intervention

patient was able

s regarding food

understanding

patient was able

to consume

preferences and

of the

to consume share

adequate

nutritional

nutritional

with fair appetite.

nutrition with no

support

value of foods

No weight loss

weight loss
noted.

NURSING CARE PLAN # 3

5. Dietitians have

nursing

noted.

CUES

NURSING

OBJECTIVES

INTERVENTION

RATIONALE

EVALUATION

DIAGNOSIS
Subjective Cues:

Knowledge

Short Term:

Gakahadlok na

deficit with

After 1-2 hours of

current

a basis about

After 1-2 hours of

gyud ko sa

regards to

nursing

knowledge of the

what

nursing

intervention, the

patient regarding

information

intervention the

patient will be

her condition and

needed further

patient showed

able to

her treatments.

clarification and

motivation to

operasyon as
verbalized by the
patient.

disease
conditions and
treatment
regimen

1. Assess the

demonstrates
motivation to
learn.

2. Encourage
questions.

1. This is to have

explanation.
2. Learners often
feel shy or
embarrassed

learn more about

about his current
condition and
treatment.

about asking

Objective Cues:
Requesting

Short Term:

questions and

.Long Term:

for

After 3-4 of

information

nursing

often want
permission to
ask them.
3. This clarifies

intervention, the
patient will be

3. Provide

able verbalize

information

understanding un

regarding

current condition

patients condition

and treatment.

and treatment

learner
expectations
and helps the
nurse match

Long Term:
After 3-4 of
nursing
intervention, the
patient was able
verbalize
understanding of
information given

(include diet)

the information
to be presented
to the
individual's
needs.
4. This allows
patient to

4. Provide physical
comfort for the
learner.

concentrate on
what is being
discussed or
demonstrated.
5. This is
especially

5. Provide an

important when

atmosphere of

providing

respect,

education to

openness, trust,

patients with

and collaboration.

different beliefs
about health
and illness.

Monitoring:
Vital Signs
Day 1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 5

Day 6

HR
RR
Temp
BP
O2 sat

Intake and Output

Day 1

Day 2

Day 3

Day 4

Intake
Output

Discharge Plan:
Medication

Exercise

Deep breathing exercises to open airways,

increase thoracic pressure, and promote
lung expansion)
Encourage Active range of motion
exercises such as shoulder rotation, wrist
bending, leg rotation, walking etc.
Exercise can help keep your joints flexible,
reduce pain, and improve balance and
strength.

Treatment

Strict medication compliance of the given

and prescribed home medications
Adherence to dietary modification
Radioactive Iodine therapy

Health Teaching

Proper hand washing and hygiene

Proper wound dressing
Teach to ambulate slowly as tolerated
Avoid lifting heavy objects and strenuous
activities

Out Patient; Follow-Up Visit

Visit Dr._______ MD 10 days after the

surgery at Maria Reyna-Xavier University
Hospital Inc. outpatient department for
check-up on post-operative condition

Diet

Patients cannot have foods high in

iodine, such as edible seaweed and
kelps.

Spirituality

Encourage prayer and participation to

religious activity. This helps promote
positive outlook of current condition.

Bibliography:

Hyperthyroidism. (n.d.). Retrieved March 22, 2015, from

http://en.wikipedia.org/wiki/Hyperthyroidism

Nursing Care Plan Nursing Diagnosis Anxiety (Mild). (n.d.). Retrieved March
22, 2015, from http://www.scribd.com/doc/26803738/Nursing-Care-Plan-

Nursing-Diagnosis-Anxiety-Mild#scribd
EHS: Nursing Care Planning Guides - Care Planner: Diagnosis: Altered
nutrition: Less than body requirements. (n.d.). Retrieved March 22, 2015,
from
http://www1.us.elsevierhealth.com/SIMON/Ulrich/Constructor/diagnoses.cfm?

did=33
EHS: Nursing Diagnosis Care Plans, 4/e - Knowledge Deficit - Patient
Teaching; Health Education. (n.d.). Retrieved March 22, 2015, from
http://www1.us.elsevierhealth.com/MERLIN/Gulanick/archive/Constructor/gul
anick34.html