Fatigue related to Graves' Disease

Nursing Care Plan for Graves' Disease


Nursing Diagnosis : Fatigue related to hypermetabolic with increased energy needs; sensitive stimulation of nerves in connection with disorders of body chemistry.

Supporting Data: reveal very lack of energy to maintain the usual routine, decreased performance, lability / emotional stimuli sensitive, nervous, tense, agitated behavior, damage the ability to concentrate.

Goal: verbally disclose about an increase in energy levels, showed improvement in the ability to participate in the activity.

Nursing Intervention:

Independent:

1. Monitor vital signs and record pulse both at rest and during activity.
R /: pulse widely increased and even at rest, tachycardia (above 160 times / min) may be found.

2. Note the development of tachypnea, dyspnea, pallor and cyanosis.
R /: Needs and oxygen consumption will be increased on a hypermetabolic state, which is potentially hypoxia while doing the activity.

3. Provide / create a quiet environment, cold room, lower sensory stimulation, the colors are cool and relaxing music (calm).
R /: Lowering stimulation is likely to cause agitation, hyperactivity and insomnia.

4. Advise the patient to reduce the activity and increase bed rest as much as possible whenever possible.
R /: Helps combat the effects of increased metabolism.

5. Give the act of making the patient comfortable, such as: touch / massage, powder cool.
R /: Can lose energy in the nerves which further enhances relaxation.

6. Provide alternate activities fun and quiet, like reading, listening to the radio and watching television.
R /: Allows for the use of energy in a constructive way and probably will also reduce anxiety.

7. Avoid talking about a topic that is annoying or threatening the patient, discuss how to respond to these feelings.
R /: Increased sensitivity of the central nervous system can cause the patient easily aroused, agitation and excessive emotion.

8. Discuss with the people in a state of fatigue and emotional unstable.
R /: Understand that the physical behavior improve coping with the current state of encouragement and advice of people nearby to respond positively and provide support to the patient.

Collaboration:
9. Give the drug as indicated.
R /: To cope with the situation (nervous), hyperactivity and insomnia.

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Acute Pain and Fatigue - NCP for Systemic Lupus Erythematosus

Nursing Care Plan for Systemic Lupus Erythematosus

SLE (Systemic Lupus Erythematosus) is an autoimmune condition that affects multiple organ systems. Its pathology is related to the release of antibodies that bind to normal nuclear components. Lupus can attack any organ and system in the body. For unknown reasons, in systemic lupus erythematosus, the body forms auto-antibodies against these normal molecules.

The signs and symptoms of lupus may occur rapidly or develop slowly. They may be either mild or severe and may be either temporary or permanent. Most people with lupus will experience episodes or "flares". This is simply where the signs and symptoms get worse or they can improve or even disappear completely for a period of time.


Nursing Diagnosis and Interventions 

1. Acute Pain related to inflammation and tissue damage.

Goal: improvement in comfort level

Intervention:

1. Carry out a number of actions that provide comfort (heat / cold; massage, position changes, break; foam mattresses, pillows buffer, splints; relaxation techniques, activity that distracts)
2. Provide anti-inflammatory preparations, analgesics as recommended.
3. Adjust treatment schedule to meet the needs of patients to pain management.
4. Encourage the patient to express his feelings about the nature of chronic pain and illness.
5. Describe the pathophysiology of pain and helping patients to realize that pain is often brought him to the method of unproven therapies.
6. Assist in identifying a person's life that brings pain to the patient cases using unproven therapies.
7. Perform an assessment of the subjective changes in pain.

2. Fatigue related to an increase in disease activity, pain, depression.

Goal: include action as part of the activities of daily living necessary for change.

Intervention:
1. Give an explanation of fatigue:

• The relationship between disease activity and fatigue.
• Explain the actions to provide comfort while executing.
• Develop and maintain a sleep routine actions fatherly (warm water bath and relaxation techniques that facilitate sleep).
• Explaining the importance of rest to reduce systemic stress, articular and emotional.
• Explains how to use traditional techniques to save energy.
• Identify the factors that lead to physical and emotional exhaustion.

2. Facilitating the development schedule of the activity / rest right.
3. Encourage patients' adherence to treatment programs.
4. Refer and thrust conditioning program.
5. Encourage adequate nutrition including iron from food sources and supplements.

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