Case Study

Topics: Thyroid, Thyroid hormone, Hyperthyroidism Pages: 28 (6300 words) Published: March 26, 2011
The student nurse chose this case study to discover more about the disease process and how to impart more therapeutic interventions that would lend a hand to the patient to recover better as soon as possible. Cast an eye over more facts about the disease and how significant each signs and symptoms the patient is manifesting and its effect to the body of the patient. This case abets the student nurse to obtain appropriate knowledge as well as gain understanding that will be used further in inculcating the therapeutic regimen and exhibit a positive attitude in rendering holistic nursing care to the client with the disease condition.

Through this case study, the student nurse expects to acquire more about the disease process, how the patient obtains such disease. The student nurse would also like to discern more interventions that would ease the patient’s condition, the student nurse would also want to relate the manifestations and do research through books, journals and even in internet. Conveying knowledge to the patient as well as the significant others and expounding and instructing possible interventions.

Hyperthyroidism may due to over functioning of the entire gland or, less commonly to single or multiple functioning adenomas of thyroid cancer. Over treatment of myxedema with thyroid hormones may also result in hyperthyroidism. The most common form of hyperthyroidism is Grave’s disease (toxic, diffuse goiter), which has three principal hallmarks: hyperthyroidism, thyroid enlargement (goiter), and exophthalmos (abnormal protrusion of eyes. Grave’s disease is an autoimmune disorder mediated by immunoglobulin G (IgG) antibody that binds to and activates thyroid stimulating hormone receptors on the surface of the thyroid cells. Other causes of hyperthyroidism include toxic nodular goiter, toxic adenoma (benign), and thyroid carcinoma, subacute and chronic thyroiditis, ingestion of thyroid hormones, and ingestion of amiodarone hydrochloride for atrial fibrillation. Health maintenance and restoration activities include monitoring thyroid levels if thyroid replacement is given, removal of thyroid tumors and administration of antithyroid medications.

Thyroidectomy involves the surgical removal of all or part of the thyroid gland. Surgeons often perform a Thyroidectomy when a patient has thyroid cancer or some other condition of the thyroid gland (such as hyperthyroidism). Other indications for surgery include cosmetic (much enlarged thyroid), or symptomatic obstruction (causing difficulties in swallowing or breathing). One of the complications of "Thyroidectomy" is voice change and patients are strongly advised to only be operated on by surgeons who protect the voice by using electronic nerve monitoring


Student Nurse Centered Objectives
General Objectives:
After 1 day of student nurse-patient interaction, the student nurse will be able to acquire knowledge, skills and attitude in the care of patient with Right Thyroid Goiter who underwent Subtotal Thryroidectomy.

Specific Objectives:
After 45 minutes of student nurse-patient interaction, the student nurse will be able to: 1. establish rapport to the patient.
2. discuss the anatomy and physiology of the thyroid gland. 3. impart knowledge about hyperthyroidism, hypothyroidism and thyroidectomy. 4. relate the condition of the patient in accordance with the pathophysiology of the disease process. 5. name the signs and symptoms of hyperthyroidism and hypothyroidism. 6. inform knowledge about the possible complications of the disease condition. 7. plan a comprehensive health teaching plan for patient who undergone thyroidectomy. 8. create a health teaching plan for a patient with right thyroid goiter who undergone Subtotal Thryroidectomy. 9. equip adequate nursing care and therapeutic interventions to the patient. 10. promote positive attitude towards caring the patient.

Patient Centered Objectives
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