Patient medication teaching plan for Grave’s disease


Patientmedication teaching plan for Grave’s disease

Patientmedication teaching plan for Grave’s disease

Foreseeablepatient concerns

Amajor concern for the patient or the family especially with regardsto the medical prescription is the requirement to take multivitaminson a daily basis. This is because the patient reported an increase inappetite, and therefore intake of multivitamin might lead to properfunctioning of the body. This in turn will further lead to increasedmetabolism, and thus the need to eat more, which might becomeproblematic perhaps later when it comes to the issue of weightmanagement. Another concern for the patient might arise due to thesurgery that will involve the removal of the thyroid gland. Sincecomplete removal has been prescribed, this might imply continuoushormonal treatment to restore the normal functioning of the thyroid.These two factors might make the patient reluctant with the settherapeutic response.

Concernsrelating on the case study and rationale

Thepatient might suffer the risk of an imbalanced nutrition. Thus, thebody will get less of the normal body nutrient requirements thanexpected. This could be attributed to the abnormal weight lossexperienced of almost 20 pounds, despite the increased appetite.

Thehyperactive bowel sounds and the warm abdomen could be an indicationof increased peristalsis, which might cause diarrhoea. The change inappetite as earlier explained might lead to loss of nutrients, andeventually hormonal imbalance, which in turn will affect the overallfunctioning of the body.

Anotherconcern that might arise is anxiety due to lack of knowledge of themedical condition. This if not properly managed might lead to stressor depression and bring about another medical condition(Bunevicius, Velickiene, &amp Prange, 2005).

Planof care

Requestthat the patient keep a daily record of his weight to note thechanges if any.

Dueto the increased weight loss, the patient will be advised to adopt adiet rich in calorie. This might imply putting a record of likes anddislikes, and opting for food that he likes the most. This will helpwith weight addition since the patient has a normal appetite. Thepatient should keep a stool chart and note the difference in them,and when the diarrhoea occurs from the start of the medication. It isnoted that the patient prefers to stand and walk to sitting. Thiscould be an indication of irritation that occurs due to diarrhoea.Thus, the patient will be given comfort measures to aid in healingthe irritated areas. This can be done by using a clean cloth withsoap, and an ointment, which does not increase the irritation.

Inaddition, the Patient should be given more information about Grave’sdisease to better his understanding as this might help lower theanxiety of not knowing what is ailing him. This information should berelayed before the surgery to ease the tension of both the family andthe patient. The patient should also be made to understand that thenormal functioning of the thyroid could be regained after continuedtreatment.

Beingthat Samuel lives alone, it is important to encourage him to keeptabs of his recovery, and if possible report to the hospital of anychanges that he might realise. Preparation of an expected outcomereport will be needed to assist with the follow-up of the patientafter surgery, and note any changes whether positive or negative.Expected outcome report weight gain of at least 2 pounds after everytwo weeks, reduced anxiety levels and finally the patient should beable to explain self-care needs after and during medical Treatment


Bunevicius,R., Velickiene, D., &amp Prange Jr, A. J. (2005). Mood and anxietydisorders in women with treated hyperthyroidism and ophthalmopathycaused by Graves` disease. Generalhospital psychiatry,27(2),133-139.