5 Thyroidectomy Nursing Care Plan (NCP)

Thyroidectomy, although rare, may be performed for patients with thyroid cancer, hyperthyroidism, and drug reactions to antithyroid agents; pregnant women who cannot be managed with drugs; patients who do not want radiation therapy; and patients with large goiters who do not respond to antithyroid drugs. The two types of thyroidectomy include:
Total thyroidectomy: The gland is removed completely. Usually done in the case of malignancy. Thyroid replacement therapy is necessary for life.
Subtotal thyroidectomy: Up to five-sixths of the gland is removed when antithyroid drugs do not correct hyperthyroidism or RAI therapy is contraindicated.

5 Thyroidectomy Nursing Care Plan (NCP)

Acute Pain — Thyroidectomy Nursing Care Plan (NCP)
Ineffective Airway Clearance — Thyroidectomy Nursing Care Plan (NCP)
Impaired Verbal Communication — Thyroidectomy Nursing Care Plan (NCP)
Risk for Injury — Thyroidectomy Nursing Care Plan (NCP)
Knowledge Deficit — Thyroidectomy Nursing Care Plan (NCP)

Nursing Priorities
Reverse/manage hyperthyroid state preoperatively.

Prevent complications.
Relieve pain.
Provide information about surgical procedure, prognosis, and treatment needs.
Discharge Goals Complications prevented/minimized.
Pain alleviated.
Surgical procedure/prognosis and therapeutic regimen understood.
Plan in place to meet needs after discharge.

Depression Nursing Diagnosis and Interventions- Nursing Care Plan

Risk for Violence: Self-Directed or Other-Directed


Nursing Interventions for Depression

1. The general objective: There was no violence for Self-Directed or Other-Directed
2. Specific objectives
   • Clients can build a trusting relationship
     
     Action:
     
     
     • Introduce yourself to the patient
     • Do interactions with patients as often as possible with empathy
     • Listen to the notice of the patient with empathy and patient attitude more use non-verbal language. For example: a touch, a nod.
     • Note the patient talks and give a response in accordance with her wishes
     • Speak with a low tone of voice, clear, concise, simple and easy to understand
     • Accept the patient is without comparing with others.
   • Clients can use adaptive coping
     
     Action:
     
     
     • Give encouragement to express feelings and say that nurses understand what patients perceived.
     • Ask the patient the usual way to overcome feeling sad / painful
     • Discuss with patients the benefits of commonly used coping
     • Together with patients looking for alternatives, coping.
     • Give encouragement to the patient to choose the most appropriate coping and acceptable
     • Give encouragement to patients to try coping that have been selected
     • Instruct the patient to try other alternatives in solving problems.
   • Clients are protected from violent behavior to self and others.
     
     Action:
     
     
     • Monitor carefully the risk of suicide / violence themselves.
     • Keep and store the tools that can be used by patients for violent behavior, self / others, in a safe place and locked.
     • Keep materials that endanger the patient's appliance.
     • Supervise and place the patient in the room that easily monitored by peramat / officer.
   • Clients can improve self-esteem
   Action:
   • Help to understand that the client can overcome despair.
   • Assess and mobilize internal resources of individuals.
   • Help identify sources of hope (eg, peer relationships, beliefs, things to be resolved).
   • Clients can use the social support
     
     Action:
     
     
     • Review and make use of individual external sources (the people closest to, the health care team, support groups, religion).
     • Assess support system beliefs (values, past experiences, religious activities, religious beliefs).
     • Make referrals as indicated (eg, counseling, religious leaders).
   • Clients can use the drug correctly and precisely
     
     Action:
     
     
     • Discuss about the drug (name, dosage, frequency, effect and side effects of taking medication).
     • Help using the drug with the principle of 5 correct (right patient, medication, dose, manner, time).
     • Encourage talking about effects and side effects are felt.
     • Give positive reinforcement when using the drug properly.