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Addison 'S Disease: A Nursing Care Plan On

This nursing care plan addresses Addison's disease in a 32-year-old patient. Through nursing interventions over an 8-hour shift, the goal is for the patient to regain interest in eating, recover normal weight and BMI, and verbalize understanding of the disease. The plan involves assessing nutritional status and appetite, monitoring vital signs and glucose levels, providing a specialized diet, and encouraging frequent small meals and rest to manage symptoms and support recovery.

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Kyla Fronteras
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0% found this document useful (0 votes)
486 views

Addison 'S Disease: A Nursing Care Plan On

This nursing care plan addresses Addison's disease in a 32-year-old patient. Through nursing interventions over an 8-hour shift, the goal is for the patient to regain interest in eating, recover normal weight and BMI, and verbalize understanding of the disease. The plan involves assessing nutritional status and appetite, monitoring vital signs and glucose levels, providing a specialized diet, and encouraging frequent small meals and rest to manage symptoms and support recovery.

Uploaded by

Kyla Fronteras
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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A Nursing Care Plan on

Addison’s Disease

In Partial Fulfillment of the


Requirements of NCM 212 – RLE
Care of Clients with Problems in Oxy, F/E, Infection
Inflammatory & Immunologic Response
Acute & Chronic

Submitted to:
Edric Joy A. Ebero, RM, RN, MAN
Clinical Instructor

Submitted by:
Kyla T. Fronteras, St. N.

August 2021
Name of Patient: C.F.D Age: 32 years old Bed #:
Chief Complaint: Gradual onset of weakness and fatigue, and abdominal pain Diagnosis: Addison’s Disease Physician: Dr. Becker
Interventions/
Date/ Cues Need Nsg. Diagnosis Pt. Outcome Implementation Evaluation
Time
A Subjective Cues: N Imbalanced Nutrition: Less After 8-hours of 1. Establish rapport August 22,2021
U - Di ko ganahan U Than Body Requirements nursing intervention, R: Promotes connection with @3 PM
G mokaon maam T related to insufficient dietary the patient will be others on a personal level, “Goal partially met”
U kay isuka gihapon R intake as evidenced by able to: and it helps establish
S nako I weight loss, hypoglycemia - Regain comfortable working At the end of my 8-
T - Pag mokaon ko T and fatigue interest in environments. hour shift the patient
maam ginagmay I food as 2. Assess patient’s level of was able to:
2 ra kay way gana – O Rationale: evidenced by understanding, - Regained
2 as verbalized by N increase in communication ability and interest in
, the client A A decline in the caloric intake readiness for interventions eating food
- Kapoy kayo L concentration of ACTH in the - Recover and teachings.
2 paminaw sakong - blood leads to a reduction in normal weight R: Allows you to better - Was able to
0 lawas maam pero M the secretion of adrenal and BMI assess your patients' verbalize
2 tarong man kog E hormones, resulting in - Verbalize understanding of their understanding
1 pahulay T adrenal insufficiency. understanding medical problems. It allows about the
Objective Cues: A Adrenal insufficiency leads about the you to uncover and clarify disease
@ Vital Signs B to unintentional weight loss, disease any misunderstandings your
7 O lack of appetite, weakness, patients may have about the
: • BP: 90/60 L nausea, vomiting, and low plan. It also helps you to
0 • T: 36.6 I blood pressure engage in a more
0 • PR: 85 bpm C (hypotension). collaborative relationship with
A • HR: 87 bpm your patients.
M • RR: 18 cpm P Reference: 3. Discuss Addison’s disease
A NORD (2018), Addison’s in their level of
T Disease, retrieved from understanding

ROM: All ROM within T https://rarediseases.org/rare- R: When caring for patients

normal limits E diseases/addisons-disease/ with diseases, it is

- Weight: 53 kg (55 R particularly important to

kg prev.) N ensure that they have a good

- BMI: 18.3 understanding of their

Underweight complication.

- Cortisol level @ 4. Take patient’s vital signs

7AM 4mcg/dL R: Vital signs give you a

(low) baseline when a patient is

- Nauseous healthy to compare to the

- Dry skin patient's condition when they

- Abnormally tan aren't healthy. Abnormalities

skin (face) in vitals can also be a clue to

- Fair skin illness or disease that can be

complexion
- Low blood sugar hurting the organ systems in
- Dark colored the patient's body
gums 5. Assess appetite and for the
- Abdominal pain presence of nausea,
- Pain scale of 6/10 vomiting, or diarrhea
R: Cortisol deficiency can
impair GI function, causing
nausea and vomiting
6. Weigh the patient regularly
R: The patient’s actual
weight can help assess
weight loss and nutritional
status
7. Assess food that patient
can tolerate
R: Appetite may increase
with preferred and tolerable
foods
8. Monitor serum glucose
levels
R: Patients with adrenal
insufficiency are likely to
experience hypoglycemia
9. Assess for salt craving
R: Aldosterone deficiency
causes increased renal
excretion of sodium
10. Ask dietician to provide
high-protein, low-
carbohydrate, high sodium
diet
R: The patient tires because
of inadequate production of
hepatic glucagon; the
recommended diet prevents
fatigue, hypoglycemia, and
hyponatremia.
11. Split the meals into six
small units instead of three
large ones.
R: The small units taken in
regular intervals reduce the
fullness feeling and the risk
of vomiting.
12. Foster healthy oral hygiene
and dentition
R: Oral hygiene improves
taste of food. Dentures have
to be clean and comfortable
to help the patient eat with
ease
13. Suggest need for frequent
small meals
R: Inadequate caloric intake
in meals may precipitate
hypoglycemia. Promotion of
oral intake maintains
adequate blood
glucose levels and nutrition.
14. Keep a late-morning snack
available
R: In case the patient
becomes hypoglycemic
15. Encourage rest periods
after eating
R: This is important to
facilitate digestion

Kyla T. Fronteras,
St. N

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