ACTIVE LEARNING TEMPLATE: System Disorder

Saria Merriweather
STUDENT NAME______________________________________
Growth Hormone Deficiency
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER__34
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Alterations in Pathophysiology Related Health Promotion and

Health (Diagnosis)
Disturbed Body Image r/t
changes in body structure and
function of the body due to
deficiency of growth hormone
to Client Problem Disease Prevention
Human GH natural substance secretd by
pituitary, needed for normal growth, dev, Good nutrition, adequate rest.
and cell metab, def prevent somatic growth Take replacement hormones
throughout body, ACTH TSH, FSH, LH
work w/ GH, hypopitutraism is the dim or
as rx, dx cannot be prevented
def secretion of pit hormones.

ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings
Insulin senstivity-
-Structural factors (tumors, trauma, Short stature but proportional in ht & wt, Monitor for low
structural defects, surgery Delayed epiphyseal closure, Increased blood glucose
-Hereditary disorders insulin sensitivity, Delayed dentition, levels- esp in infants
Underdeveloped jaw, Delayed sexual dev, and toddlers w/
-other pituitary hormone def (def of
may have chubby body, small hands and severe def
TSH or ACTH) feet, and poorly developed muscles
-most often GH defs are idiopathic Monitor emotional
well-being- because
Laboratory Tests Diagnostic Procedures the child is small for
GH stimulation- testing gen done for kids w/
their age- do not
Plasma insulin-like growth factor-1
low IGF-1 & IGFBP-3 and short stature treat them younger
(IGF-1) and IGF binding protein-3
Radiologic assessments- assess skel maturity than they are.
(IGFBP-3) levels- further eval is by comparing epiphyseal centers to age appro Monitor for bullying
indicated if the values are 1 standard standards
from other children
deviation below the mean for age CT scan, MRI, skull X rays- to identify tumors
or structural defects Watch for any side
Evaluation of growth curve effects of hormone
replacement
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education GH def w/o
hormone
Measure ht&wt on growth chart every Explain lab procedure to pt and
Somatropin- parents replacement can
visit- usually ht is more effected- bone
age usually matches ht age, kids < 3 used as a human reassure no cog delays or defs, no sig result in disruption
y.o. measure every 6 mo, Assess/ growth hormone side fx whe meds used appro, GH
of vertical growth,
monitor effectiveness of GH assists w/ muscle growth and ^ self
replacement in esteem, med admin (6-7 days/wk), delayed epiphyseal,
replacements, Admin other hormone
replacements as rx, Provide support to def in GH comply w/ meds, GH cont until bone closure, slowed
child and fam on psychosocial -admin the med maturation takes place, encourage
child and fam to seek eval during early bone age, delayed
concerns, Stress importance of
maintaining realistic expectations
SubQ injections adulthood, radio evidence of epip seual dev, and
Therapeutic
based Procedures
on the childs age and abilities -Use cautiously Interprofessional
closure is criterion for endingCare
therapy premature aging
in children who later in lifex
Hormone replacement, pt are receiving -Consult w/ endocrinologist
and family counseling, insulin -Psychological counselign
emotional support, support Replacement of can be indicated to help w/
group w/ others w/ the same other hormones child and fam coping
deficiency may be
necessary

ACTIVE LEARNING TEMPLATES