Hypothyroidism is one of the most common endocrine disorders and frequently encountered by family nurse practitioners. Hypothyroidism is defined as failure of the thyroid gland to produce sufficient thyroid hormone to meet the metabolic demands of the body (Al‐jaghbeer, 2012). Untreated hypothyroidism can contribute to hypertension, dyslipidemia, infertility, cognitive impairment, and neuromuscular dysfunction (Gaitonde, 2012).
Data derived from the National Health and Nutrition Examination Survey suggests that about one in 300 persons in the United States have hypothyroidism. The prevalence increases with age, and is higher in females than in males. It is estimated that nearly 13 million Americans have undiagnosed hypothyroidism (Gaitonde,
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Sister Calista Roy is one of the highest respected nursing theorists, researchers, lecturers and teachers, and she is currently performing as a professor and theorist at the Connell School of Nursing at Boston College (Marlaine, 2015).
Background of model
The Roy Adaptation Model (RAM) has been used for more than 40 years, providing direction for nursing practice, education and research. The first publication on the model appeared in 1970 while Roy was on the faculty of the baccalaureate nursing program. Roy focused on contemporary movements in nursing knowledge and the continued integration of spirituality with an understanding of nursing’s role in promoting and adaptation (Marlaine, 2015).
RAM is entrenched in nursing practice, and is adaptable; demonstrating the ability to respond to the dynamic health needs of persons or groups such as families, communities, or societies. The model’s adaptability and success in improving nursing care and patient outcomes when utilized with varied patient populations, in diverse settings across many different cultures, over decades of time in healthcare, and education (Pamela,
When discussing this section with Kate, she wanted to make it clear that the Center for Injury Research and Prevention is an institute of CHOP and is not an agency. Therefore, exact details and information regarding funding and allocation is not available. She decided to give her best estimates in regards of funding resources and the allocation of these funds. As shown on the first pie chart, CIRP receives 100% of its funding from the National Institute of Health (NIH). Individual studies conducted by the Injury Center are often funded by grants.
After a few years, there was a tumor in her pituitary region. The tumor was secreting excessive amounts of growth hormone, casing symptoms to appear. She had enlarged hands and feet, coarsened, enlarged facial features, coarse, oily, thickened skin, and
Pathophysiology ANAT1066 Case study assessment Case study (b) INTRODUCTION Base on the clinical and laboratory data provided, the patient is suffering from Graves’ disease, a cause of hyperthyroidism which is a type of thyrotoxicosis. Clinical manifestation of Graves’ disease (GD) includes diffuse thyroid enlargement, palpitation and hyperthyroidism (Fukishima et al 2009). Other symptoms are ophthalmophathy which result in exopthalmos (bulging of the eye), and dermopathy (oedema) (mencori et al 2014). Hyperthyroidism has some symptoms such as heat intolerance, sweating and weight loss (mencori et al 2014). Tachycardia (a faster than normal heart rate at rest) and bruit (indicate hyper dynamic circulation) are among
In addition, practitioners can then identify the similarities between their practice by viewing how “The focus on physical, emotional, and social interaction and spirituality by the practitioner of curanderismo is consistent with the holistic values of nursing as a profession” (Amerson 2). In summary, curanderismo is used to overcome the social barriers, since it can increase cultural
Case Study 1 – The Endocrine System Christina D’Amico University of Saint Joseph Abstract A fifteen-year-old boy with many hormonal abnormalities starting at the age of eleven suffered from joint pain and swelling along with poor bone growth and development. He broke his left hip and had low levels of testosterone and high levels of growth hormone resulting in gigantism and later acromegaly.
In the following paragraphs, the grand theory of Jean Watson will be explored for its usefulness in practice. We will explore how the theory is congruent with current nursing standards and nursing interventions. Next, we will study if her theory has been tested empirically, if it is supported by research and if it is accurate. We will explore if there is evidence that her theory has been used by nursing educators, researchers, and nursing administrators. Then we will study how her theory is relevant socially and cross-culturally.
1. The metaparadigm of nursing illustrates the collective worldview of the shared concepts of the discipline, which are: the person, environment, health and nursing (1). The nursing metaparadigm is the framework for many nursing theories, values, and theoretical models, which help guide an advanced practice nurse in selecting appropriate interventions established by their chosen conceptual model. A conceptual model or advanced practice nursing theory provides an advanced practice nurse a logical structural model to follow, which is aligned with the discipline’s expectations. Advanced education prepares advanced practice nurses to employ a superior degree of clinical, research based and theoretical knowledge (2).
CASE: John Smith is an 11 year old Asian boy with PMHx of hypothyroidism x 2 years, on levothyroxine 25 mcg daily presented with painful progressively enlarging goiter that started 2 months ago. The pain is described as constant shooting and radiating to the neck, rated 6/10, nothing made it better, moving his neck made it worse. Pt states that the pain is mostly localized to the right, and it is associated with compressive symptoms like difficulty breathing and swallowing, but no change in voice. The swelling was painful and progressive and at the time of examination was 2 × 2 cm on the right side of the neck and was moving with deglutition. She had no other complaints and her family history was noncontributory.
Self-Risk Assessment Brenda Grimmer Chamberlain College of Nursing NR704: DNP Concepts in Population Health Outcomes September, 2015 Leddy’s Healthiness Scale Appendix A Leddy Healthiness Scale Directions: Highlight the number that best indicates your degree of agreement with each of the following statements. Please answer all of the questions the way you feel right now. 6 Completely Agree; 5 Mostly Agree; 4 Slightly Agree; 3 Slightly Disagree; 2 Mostly Disagree; 1 Completely Disagree 1. I think that I function pretty well.
Evidence-Based Clinical Practice Paper J.D. is a 62 year old divorced Caucasian female. Patient is a reliable historian. She is allergic to Lisinopril. She currently has a desk job at a local call center. She went through menopause at age 50.
As we transition into the new role of NPs, our scope of practice expands. Moreover, as our responsibilities increase, we later become policy makers, and develop autonomy and decision–making skills. NPs are responsible for providing safe nursing care with more specialized knowledge and advanced education. We are also responsible for pursuing continuing education and advanced knowledge to remain competent quality providers, and meet the needs of the community. With our acquired repertoire of skills, it is essential that we utilize them to make informed decisions and collaborate with our community to promote wellness and healthy living.
The levels of T3 reduce too, but stay within the normal limits usually. Thyroid antibodies are present in almost 25% of the cases which lead to this decrease in function. 3. Define the term subclinical hypothyroidism and differentiate it from overt hypothyroidism.
The narrator talks about patients’ needs of spirituality during health crisis. Many studies have shown that spiritual well-being makes an impact on how patients respond to illness. Nurses are primary care givers, thus responsible of patients’ spiritual needs and
There are four parathyroid glands located either in front or behind the thyroid gland. If the thyroid gland is undergoing surgery, it is important to be very careful when repairing, or removing the thyroid gland as it might result in complications with the parathyroid gland. If this happens, there is a good chance that the patient would develop hypoparathyroidism. Hypoparathyroidism is a very rare disorder that can cause serious complications throughout the body. If removed, the parathyroid glands would not be able to produce any hormone, resulting in also hypoarathyroidism (Fulton 1200).
Hormone Replacement Treatment How Effective Is It? Nicole Cilliers 14187494 Lara Tromp Shani de Jager Joni Rice Niccy Poteiter Dunique Swanapoel DECLARATION Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Name Student Number: ________________________________________ Assignment Topic: ________________________________________ I declare that this assignment is my own original work.