Nursing Care Plan for Cancer

Nursing care plan for cancer is a guideline in providing care for cancer patients. And made reference to nurses to provide care for cancer patients. Nursing Care Plan for cancer, there are many types, depending on the type of cancer that occurs. For breast cancer, skin cancer, etc.. So expect any patients suffering from a cancer can be given optimal service.

Differentiated cancer based on tissue of origin. For mesodermal tissue that consists of connective tissue, bone, cartilage, fat, muscle to blood vessels called sarcoma.

Osteosarcoma, the bone cancer. And carcinoma is a cancer that is in the epithelial tissue, such as the mucous membranes and glands such as breast cancer, ovarian cancer, and lung cancer. Then myeloma on bone marrow cancers, while blastoma for blood cancers.

There is a term metastatic. Metastasis is the ability of cancer cells to move from one place to another. This switching capability that makes cancer so dangerous because it makes the cancer spread and invade multiple organs at once. Migration of cancer cells from one place to another can be through the blood vessels, lymph vessels, tissue sticking, and in the body cavity.

Regarding the treatment of cancer, there are three main treatment in patients with cancer, through surgery, radiotherapy, and chemotherapy. Surgery is done if the cancer tumor is still small conditions.

Surgery is also not alone, but is usually accompanied by radiotherapy and chemotherapy. On radiotherapy, used laser light (X-rays) to kill cancer cells and is done only in part affected by cancer. It is intended to create damage in other tissues, while chemotherapy to destroy any remaining cancer cells in the body.

In the nursing care plan for cancer, nurses have a very important role, so that the healing process of patients, can take place smoothly. Nurse's role in providing support to patients by diagnosis.

Nurses also find out, psycho-social needs of patients and the spiritual. Nurses also must meet the fluid needs, and patient nutrition in addition to helping clients to succeed through the healing phase. Nurse roles are very important, described in detail in the nursing care for cancer.

Nursing interventions, is the handling of the patient based on conditions.

Nursing interventions, such as the condition of the patient based on the risk of infection, risk of bleeding, the risk of impaired tissue perfusion, fluid balance disorders, and other risks.

Professional nurses are needed in the treatment of cancer and other diseases. Important guidelines to realize that professional nurses and responsive in dealing with cancer.

Nursing Care Plan for Cerebral Vascular Accident / Stroke

Cerebral Vascular Accident (CVA) or Stroke is caused by the interruption of the blood supply to the brain, usually because a blood vessel bursts or is blocked by a clot. This cuts off the supply of oxygen and nutrients, causing damage to the brain tissue.

Many things can go wrong and cause the disruption of the blood supply to the brain.  However, the most common culprits are a ruptured artery, or a blood clot that blocks the flow of blood.  It is commonly called CVA which is a major cause of death. It also causes serious problems in the way that the body functions.

There are two types of CVA. They are:

• Hemorrhagic CVA – This occurs when the there is a ruptured artery that leaks blood to the brain.
• Ischemic CVA – This happens when there is a blood clot in the arteries that blocks the transfer of oxygenated blood to the brain tissue.

You may ask what the risk factors are. This depends on the age of the affected individual and the part of the brain whose blood supply has been interfered with. In the most severe cases of stroke, death has been known to occur within a short period of time. However, in most cases, the deterioration of one’s health is gradual with many tell-tale signs.

There is more to Cerebral Vascular Accident than meets the eye. For example, did you know that there are three main causes of CVA that are known to doctors? They are:

• Cerebral hemorrhage
• Cerebral embolism
• Cerebral thrombosis

Risk factors for narrowed blood vessels in the brain are the same as those that cause narrowing blood vessels in the heart and heart attack (myocardial infarction). These risk factors include:

•     high blood pressure (hypertension),
•     high cholesterol,
•     diabetes, and
•     smoking.

The most common symptom of a stroke is sudden weakness or numbness of the face, arm or leg, most often on one side of the body. Other symptoms include: confusion, difficulty speaking or understanding speech; difficulty seeing with one or both eyes; difficulty walking, dizziness, loss of balance or coordination; severe headache with no known cause; fainting or unconsciousness.

Management of Stroke
To treat acute conditions need to be considered critical factors as follows:
1. Trying to stabilize vital signs with:

• Maintaining a patent airway suctioning of mucus that is done frequently, oxygenation, if you need to do tracheostomy, help breathing.
• Controlling blood pressure is based on the patient's condition, including efforts to improve hypotension and hypertension.

3. Trying to find and correct cardiac arrhythmias.
4. Treating bladder, as far as possible do not wear a catheter.
5. Placing the patient in the proper position, it should be done as soon as possible the patient should be shifted position every 2 hours and performed passive motion exercises.

Nursing Care Plan for Cerebral Vascular Accident / Stroke

Nursing Priority for Cerebral Vascular  Accident (CVA) or Stroke

1. Increasing cerebral perfusion and oxygenation adequate.
2. Preventing and minimizing complications and permanent disability.
3. Helping patients to fulfill their daily needs.
4. Provide support to the process of coping mechanisms and integrating the changes in self-concept.
5. Provide information about disease process, prognosis, treatment and rehabilitation needs.

The Goal for Cerebral Vascular Accident nursing (CVA) or Stroke
1. Increased cerebral function and decrease neurological deficits.
2. Prevent / minimize complications.
3. Daily needs are met either by himself or others.
4. Positive coping mechanisms and to plan for the state after illness
5. Understand the process of disease and prognosis.

Nursing Care Plan for Atherosclerosis

Atherosclerosis (ath-er-o-skler-O-sis) also known as arteriosclerotic vascular disease or ASVD. comes from the Greek words athero - meaning gruel or paste and sclerosis meaning hardness - and is a hardening of the arteries - it is the most common cause of heart disease. Atherosclerosis is a condition in which an artery wall thickens as a result of the accumulation of fatty materials such as cholesterol.

Atherosclerosis usually doesn't cause signs and symptoms until it severely narrows or totally blocks an artery. Many people don't know they have the disease until they have a medical emergency, such as a heart attack or stroke. Some people may have signs and symptoms of the disease. Signs and symptoms will depend on which arteries are affected.

These symptoms take some time to develop, as the disease must progress to the point where an artery is severely narrowed or completely blocked.

Common locations for narrowing and hardening of the arteries to occur include the:

•     Heart
•     Brain
•     Legs, pelvis, or arms
•     Kidneys.

Symptoms of Atherosclerosis in the Heart
If the arteries that supply the heart with blood (called the coronary arteries) are affected, you may have symptoms that include:

•     Chest pain or chest discomfort (angina)
•     Pain in one or both arms, the left shoulder, neck, jaw, or back
•     Shortness of breath
•     Dizziness
•     Faster heartbeats
•     Nausea (feeling sick to your stomach)
•     Abnormal heartbeats
•     Feeling very tired.

In some people, the first symptom is a heart attack. A heart attack occurs when a coronary artery becomes blocked, most commonly by a blood clot.

Causes and Risk Factors of Atherosclerosis

Why does atherosclerosis occur in the coronary arteries of some people but not others? An interplay of many factors including hypertension (high blood pressure), smoking, diabetes, obesity, high cholesterol, family history of heart disease, and a sedentary lifestyle are involved.

Treatment of Atherosclerosis

• Medication is unsatisfactory for treating atherosclerosis, since the damage has already been done.
• Anticoagulant drugs have been used to try to minimize secondary clotting and embolus formation.
• Vasodilator drugs are helpful in providing symptom relief, but are of no curative value.
• Surgical treatment is available for those unresponsive to medical treatment or in certain high-risk situations.
• Balloon angioplasty can open up narrowed vessels and promote an improved blood supply.
• The blood supply to the heart can also be restored by coronary artery bypass surgery.
• Large atheromatous and calcified arterial obstruction can be removed by endartectomy, and entire segments of diseased peripheral vessels can be replaced by woven plastic tube grafts.

Nursing Care Plan for Atherosclerosis

Physical Examination - Nursing Care Plan for Atherosclerosis

1. Angina Pectoris (chest pain) followed by:

• The urge to urinate
• Diaphoresis
• Nausea
• Dyspnoea
• Cold extremities

2. Assess Pain to identify Angina

• Stable angina is chest pain or discomfort that Usually Occurs with activity or stress. Angina is chest discomfort due to poor blood flow through the blood vessels in the heart.
• Unstable angina is a condition in roomates your heart does not get enough blood flow and oxygen. It may lead to a heart attack.
• Nocturnal angina wakes a patient from sleep and may be provoked by vivid dreams. Symptoms are commonest in the early hours of the morning when coronary artery tone is maximal. Often the patient has critical coronary artery disease and hence Usually suffers from exertional angina. Nocturnal angina may be associated with coronary artery spasm - Prinzmetal's angina.
• Decubitus angina Occurs when the patient lies down. Usually it is a complication of cardiac failure due to the strain on the heart resulting from the Increased intravascular volume. Usually Patients have severe coronary artery disease.
• Prinzmetal's angina is a form of chest pain, pressure, or tightness (angina) Caused by spasms in the arteries that supply blood to the heart. It is a form of unstable angina, meaning that it Occurs at rest, Often without a predictable pattern. This is in contrast to stable angina, chest pain in roomates Occurs in a predictable pattern during exertion or exercise.

3. Assess the Chest Pain in relation to:

• Trigger factors in patients, what triggers the onset of pain is to be done before the pain began to occur (eg; smoking, excessive activity, excessive weight diet, emotional stress, sexual activity and drink too cold)
• Quality pain how (are like a burning sensation, feeling depressed or choke)
• Location of pain: occurs in substernal or mid anterior chest and around the neck, jaw, or left arm shoulder blades down.
• Remarkably attacks: mild, moderate or severe.
• Time; illness duration, frequency.
• Typical in the attack: a fist over his chest or left arm rub. Pain attacks occur gradually or abruptly for 15 minutes or more.
• Assess the client's feelings about the conditions and the perceived influence of lifestyle.

Nursing Assessment - Nursing Care Plan for Atherosclerosis

The data should be assessed in patients with atherosclerosis or arteriosclerosis depends on the location affected. When the coronary arteries are exposed to the clinical signs and symptoms according to clinical signs and symptoms of angina pectoris or acute myocardial infarction. When the brain is affected by the clinical signs and symptoms were assessed according to the case of stroke. Angina pectoris, myocardial infarction and stroke will be discussed separately. Nursing assessment will be our focus here is impaired peripheral perfusion of the organs other than those mentioned above.

Subjective data which may occur: sudden pain or felt melancholy, cramps, fatigue or weakness. Pain persists rest, pain, and discomfort, and usually occurs in the distal extremities. Cold feeling or numbness in the extremities due to decreased arterial flow. Assess the level of knowledge of the patient about the treatment of the disease.

Objective data that may be obtained: the affected extremity will look pale when elevated and cyanosis while hanging. The color and temperature of the extremities were recorded. Changes in skin and nails, ulcers, gangrene and muscle atrophy may seem obvious. The nails may thicken and cloudy, shiny skin, atrophy and dry with sparse hair growth. Peripheral pulses can be weakened or lost altogether.

Nursing Plan for Pneumonia with Diagnosis and Interventions

What is Pneumonia ?

Pneumonia is an infection of the lungs. The lungs are made up of small sacs called alveoli, which fill with air when a healthy person breathes. When an individual has pneumonia, the alveoli are filled with pus and fluid, which makes breathing painful and limits oxygen intake. Many different germs can cause pneumonia, including bacteria, viruses, and fungi.

Causes of Pneumonia

The most common are caused by viruses, including adenoviruses, rhinovirus, influenza virus (flu), respiratory syncytial virus (RSV), and parainfluenza virus (which causes croup).

Symptoms of Pneumonia

The symptoms of pneumonia include:

• rapid or difficult breathing
• cough
• fever
• chills
• loss of appetite
• wheezing (more common in viral infections).
• nasal congestion
• breathing with grunting or wheezing sounds
• vomiting
• chest pain
• abdominal pain
• decreased activity
• nausea
• diarrhea

Diagnosis of Pneumonia

Some of these tests may include:

•     sputum tests (lab tests done on the mucus or phlegm that you cough up from your lungs)
•     blood tests
•     chest X-rays

Treatment of Pneumonia

Pneumonia can be treated with antibiotics. These are usually prescribed at a health centre or hospital, but the vast majority of cases of childhood pneumonia can be administered managed effectively within the home. Hospitalization is recommended in infants aged two months and younger, and also in very severe cases.
 

Nursing Plan for Pneumonia
3 Nursing Diagnosis and Interventions for Pneumonia

1. Ineffective airway clearance related to inflammation, secret buildup.

Goal: Effective airway, pulmonary ventilation is adequate and there is no secret buildup.

Nursing Interventions:

1. Monitor respiratory status every 2 hours, assess the increase in respiratory status and abnormal breath sounds.
2. Perform percussion, vibration and postural drainage every 4-6 hours.
3. Give oxygen therapy according to the program.
4. Help patients cough up secretions / suctioning.
5. Give a comfortable position that allows the patient to breathe.
6. Create a comfortable environment so that patients can sleep.
7. Monitor blood gas analysis to assess respiratory status.
8. Give drink enough.
9. Provide sputum for culture / sensitivity test.
10. Collaboration of antibiotics and other drugs according to the program.

2. Impaired gas exchange related to changes in alveolar capillary membrane.

Goal: Patients showed improved ventilation, optimal gas exchange and tissue oxygenation adequately.

Nursing Interventions:

1. Observation of level of consciousness, respiratory status, cyanosis signs every 2 hours.
2. Give Fowler position / semi-Fowler.
3. Give oxygen according to the program.
4. Monitor blood gas analysis.
5. Create an environment that is quiet and patient comfort.
6. Prevent the occurrence of fatigue in patients.

3. Fluid Volume Deficit related to inadequate oral intake, fever, tachypnoea.

Goal: Patient will maintain normal body fluids.

Nursing Interventions:

1. Record intake and output of fluids. Encourage the mother to continue giving fluids orally and avoid the condensed milk / drink cold or cough inducing.
2. Monitor fluid balance in the mucous membranes, skin turgor, rapid pulse, decreased consciousness, vital signs.
3. Keep drip infusion accuracy according to the program.
4. Perform oral hygiene.

Nursing Care Plan for Prostate Cancer - 3 Diagnosis and Interventions

The word "prostate" comes from Medieval Latin prostate and Medieval French prostate. The ancient Greek word prostates means "one standing in front", from proistanai meaning "set before".

The prostate is an exocrine gland of the male reproductive system, and exists directly under the bladder, in front of the rectum.

Prostate cancer generally affects men over 50 and is rare in younger men. It’s the most common type of cancer in men. Around 37,000 men in the UK are diagnosed with prostate cancer each year.

Prostate cancer is a disease which only affects men. Cancer begins to grow in the prostate - a gland in the male reproductive system. In the vast majority of cases, the prostate cancer starts in the gland cells - this is called adenocarcinoma. In this article, prostate cancer refers just to adenocarcinoma. Prostate cancer is mostly a very slow progressing disease. In fact, many men die of old age, without ever knowing they had prostate cancer - it is only when an autopsy is done that doctors know it was there.

The symptoms of both benign enlargement of the prostate gland and malignant tumours (cancer) are similar and can include any of the following:

•     difficulty passing urine
•     passing urine more frequently than usual, especially at night
•     pain when passing urine
•     blood in the urine (this is not common).

Nobody is really sure of what the specific causes are. There are so many possible factors, including :

• Age
• Genetics
• Diet
• Medication
• Obesity
• Sexually transmitted diseases (STDs)
• Agent Orange

3 Nursing Diagnosis and Nursing Interventions for Prostate Cancer


1. Impaired Urinary Elimination related to an enlarged prostate, and bladder distension.

Intervention:

•     Encourage the patient to urinate every 2-4 hours and when it suddenly felt.
•     Observation of the flow of urine, note the size and strength.
•     Percussion / palpation of the suprapubic area.
•     Encourage fluid intake to 3000 ml per day.
•     Monitor vital signs closely
•     Collaboration in the provision of drugs.

2. Resti for Infection related to invasive procedures (tools during surgery)

Intervention:

• Maintain a sterile catheter system, provide catheter care and give regular antibiotic ointment around the catheter.
• Perform ambulation with dependent drainage bag.
• Observation of wound drainage around suprapubic catheter.
• Replace dressings with frequent (supra incision / retropubic and perineal), cleaning and drying of the skin over time.
• Collaboration in the provision of antibiotics.

3. Imbalanced Nutrition, Less Than Body Requirements related to the nausea and weight loss

Intervention:

•      Assess the patient's nutritional status.
•      Encourage the patient to eat small amounts frequently.
•      Collaborate with a nutritionist.
•      Collaborate with the physician in the delivery of antiemetic drugs.

Risk for Injury - Alzheimer's Disease Nursing Care Plan

Alzheimer's disease is a brain disease that slowly destroys memory and thinking skills and, eventually, the ability to carry out the simplest tasks. People may have trouble remembering things that happened recently or names of people they know. Memory problems are one of the first signs of Alzheimer's. Over time, symptoms will most often get worse, and problems can include getting lost, repeating questions, and taking longer than normal to finish daily tasks. As the disease progresses, people may have trouble learning new things, recognizing family and friends, and communicating. Eventually, they need total care.

Alzheimer's disease is named after Dr. Alois Alzheimer, a German doctor. In 1906, Dr. Alzheimer noticed changes in the brain tissue of a woman who had died of an unusual mental illness. He found many abnormal clumps (now called amyloid plaques) and tangled bundles of fibers (now called neurofibrillary tangles). Today, these plaques and tangles in the brain are considered the main signs of Alzheimer's disease.

People with Alzheimer's disease are at a serious disadvantage. Their impairments in memory and reasoning severely limit their ability to act appropriately in crises.
Specific home safety precautions may apply and environmental changes may be needed.

Prevention begins with a safety check of every room in your home. Use the following room-by-room checklist to alert you to potential hazards and to record any changes you need to make. You can buy products or gadgets necessary for home safety at stores carrying hardware, electronics, medical supplies, and children's items.

Nursing Care Plan for Alzheimer's Disease - Risk for Injury

Nursing Diagnosis : Risk for Injury
related to:

•     Unable to recognize / identify hazards in the environment.
•     Disorientation, confusion, impaired decision making.
•     Weakness, the muscles are not coordinated, the presence of seizure activity.

Nursing Interventions and Rational :

Nursing Intervention

1. Assess the degree of impaired ability of competence emergence of impulsive behavior and a decrease in visual perception.
2. Help the people closest to identify the risk of hazards that may arise.
3. Eliminate / minimize sources of hazards in the environment
4. Divert attention to a client when agitated or dangerous behaviors like getting out of bed by climbing the fence bed.

Rational:

1. Impairment of visual perception increase the risk of falling. Identify potential risks in the environment and heighten awareness so that caregivers more aware of the danger.
2. An impaired cognitive and perceptual disorders are beginning to experience the trauma as a result of the inability to take responsibility for basic security capabilities, or evaluating a particular situation.
3. Maintain security by avoiding a confrontation that could improve the behavior / increase the risk for injury.

Nursing Care Plan for Goiter - Assessment and Diagnosis

Nursing Assessment and Nursing Diagnosis for Goiter

Goiter (struma), is a swelling of the thyroid gland, which can lead to a swelling of the neck or larynx (voice box). Goitre is a term that refers to an enlargement of the thyroid (thyromegaly) and can be associated with a thyroid gland that is functioning properly or not.

A person with goiter can have normal levels of thyroid hormone (euthyroidism), excessive levels (hyperthyroidism) or levels that are too low (hypothyroidism).

A symptom is something the patient feels or reports, while a sign is something other people, including the doctor detects. For example, a headache may be a symptom while a rash may be a sign.

Some patients may have goiter and not know it because they have no symptoms.

The main symptom for a person with goiter is swelling of the thyroid gland. This may eventually become a noticeable lump in the throat. The patient may be more aware of it - a visible swelling at the base of the neck - when looking in the mirror and shaving or putting on makeup.

The following symptoms may also exist when a person has goiter:

• Hoarseness (voice)
• Coughing more frequently than usual
• A feeling of tightness in the throat
• Swallowing difficulties (less common)
• Breathing difficulties (less common)

Nursing Care Plan for Goiter - Assessment and Diagnosis

In implementing the nursing care, the authors use the guidelines as a basis for solving the nursing care of patient problems scientifically and systematically, which includes the step of assessment, nursing diagnosis, nursing Interventions and evaluation.


Assessment

Assessment is the first step in the nursing process as a whole in order to get the data or information needed to determine the health problems faced by patients through interviews, observation, and physical examination include:

a. Activity / rest
Subjective data: insomnia, muscle weakness, impaired coordination, severe fatigue.
Objective data: muscle atrophy.

b. Elimination
Subjective data: urine in large amounts, changes in the faeces, diarrhea.

c. Ego integrity
Subjective data: experiencing severe stress both emotionally and physically.
Objective data: emotional instability, depression.

d. Food / fluid
Subjective data: sudden weight loss, increased appetite, eat a lot, eat often, thirst, nausea and vomiting.
Objective data: thyroid enlargement, goiter.

e. The pain / comfort
Subjective data: orbital pain, photophobia.

f. Breathing
Subjective data: increased respiratory frequency, tachypnea, dyspnea, pulmonary edema (the crisis thyrotoxicosis).

g. Security
Subjective data: intolerance to heat, excessive sweating, allergic to iodine (may be used in the examination).
Objective data: the temperature rises above 37.40 C, diaphoresis, smooth skin, warm and reddish, thin hair, shiny and straight, eksoptamus: retraction, conjunctival irritation and watery, pruritus, erythema lesion (common in pretibial) is a very severe.

h. Sexuality
Data subyktif: decreased libido, bleeding slightly or not at all, impotence.


After all the data collected, further divided into two groups:

a. subjective data
Subjective data include: coordination disorder insomnia, changes in the pattern of elimination, the ability to handle the pressure (stress), weight loss, increased appetite, orbital pain, respiratory frequency increases, the power adjustment to heat and cold, decreased libido.

b. objective data
It is characterized by muscle atrophy, emotional instability, depression, thyroid enlargement, goiter, increased temperatures above 37.40 C, diaphoresis, nature and characteristics of the body, including hair quality situation and the state of the eye.


The next step is determining the nursing diagnosis is a statement and a real or potential problem, based on the data collected.


Nursing Diagnosis for Goiter

Nursing diagnosis in patients with goitre especially post surgery can be formulated as follows:

1. Risk for Ineffective Airway Clearance related to obstruction of the trachea, swelling, bleeding and laryngeal spasm,
characterized by:
Subjective data: pain swallowing, painful wound.
Objective data: breathing fast and deep, there are secretions / mucus.

2. Impaired Verbal Communication related to vocal cord injury / damage to the larynx, tissue edema, pain, discomfort,
characterized by:
Subjective data: swelling of the throat tissues, pain in the wound, the patient does not feel comfortable, pain swallowing.

3. Risk for Injury / tetany related to the surgery, stimulation of the central nervous system,
characterized by:
Subjective data: rapid breathing (tachypnea), wound pain.
Objective data: increased body temperature, tachycardia, cyanosis, convulsions, numbness, and infection of the surgical wound.

4. Acute Pain related to the surgery of the tissue / muscle and postoperative edema,
characterized by:
Subjective data: ask, ask for information, statements misconceptions.
Objective data: do not follow the instructions / complications that can be prevented.

Nursing Care Plan Disturbed Thought Processes - Hyperthyroidism

Hyperthyroidism is when a lot of bodily hormone is made via an overactive Thyroid. Listed below are several of the general causes of hyperthyroidism: Unhealthy diet, Medications, Cancers, Having a baby as well as an auto-immune disease called Graves Disease. Indications of an overactive thyroid gland include losing weight, shakes, tremors, elevated perspiration, a regular feeling of getting very hot, insomnia, accelerated frequency of bowel motions, Pre Menstrual Tension, bigger menstruating flow, a pounding heart, goiter and protruding eyeballs. Mental health and emotional alterations such as despression symptoms, waves of rage, hostility, panic symptoms and sleepiness are also typical in the case of an overactive human gland.

Common physical findings are tachycardia and a bounding pulse with a wide pulse present with forceful apical pulse and a systolic ejection murmur due to increased flows. Cardiac arrhythmias are common, particularly supraventricular tachycardia and atrial fibrillation. Atrial fibrillation occurs in 10% to 20% of patients with hyperthyroidism. Therefore, thyrotoxicosis should always be suspectedin patients with atrial fibrillation and the thyroid function should be checked. Findings of hyperthyroidism: tachycardia, bounding pulse, forceful apical impulse, widened pulse pressure, and systolic ejection murmur. Cardiac arrhythmias are common, especially atrial fibrillation. Thyrotoxicosis in patients with atrial fibrillation.

Treatment of underlying hyperthyroidism usually leads to reversal of cardiac symptoms. If atrial fibrillation is present, the risk of embolization is high and anticoagulation should be instituted. Cardioversion should not be attempted until a euthyroid state is achieved.

Nursing Diagnosis for Hyperthyroidism

Disturbed Thought Processes related to physiological changes, increased CNS stimulation / quicken mental activity

Expected outcomes:

• Maintain reality orientation generally
• Recognizing the change in thinking / behavior and causes

Nursing Intervention:

• Assess the patient's thought processes, such as memory, attention span, orientation to place, time or person
• Note the change in behavior
• Present at reality are continuously and clearly without a fight illogical thoughts
• Provide a safe measures such as bearing on enghalang bed, soft binding tight supervision
• Encourage your family or someone close to other woods to visit paisen. Provide support as needed.

collaboration

• Giving sedatives as indicated