EVALUATION

DISCHARGE PLANNING

For the patient to completely recover after treatment, the nurses will ensure the continuity of
health and care for as she leave the hospital premises through teaching about her condition,
medications, self-care strategies and importance of follow-up care and check-ups.

MEDICATIONS

Instruct the patient to take medication at the same time of the day as prescribed and for the length
of time prescribed.

Instruct the patient about all medications, including dosage, potential side effects, and drug
interactions.

FOLLOW UP

The patient was instructed to make a follow-up appointment as directed.

HEALTH TEACHINGS

- Encourage patient to eat a variety of healthy foods including:

- High-fiber and low-calorie diet to relieve constipation and maintain a healthy weight.
- Iodine rich foods such as milk and seafood
- Encourage patient to do exercises
- Start slow, with a 5 to 15 minute walk each day.
- Try to work up to 8,000, or 2 20-minute walks each day
- Instruct patient to keep track of her blood pressure and weight:
- Check blood pressure and write it down as often as directed. It is important to measure
the blood pressure on the same arm and in the same position each time.
- Keep track of the blood pressure readings, along with the date and time they were
taken.
 - Weigh yourself daily before breakfast after you urinate. Weight gain may be a sign of
extra fluid in your body.
- Keep track of your daily weights and take the record with you to your follow up visits.
- Instruct patient to take medicine exactly as directed.
- Take medicine the same time every day
- Keep the pills in a container that is labeled with the days of the week
- Take your medicine with a full glass of water. Take it at least 1 before you eat breakfast.
Or at bedtime, at least 3 hours after eating.
- Do not take calcium or iron within 4 hours of taking your thyroid medicine.
- Instruct patient to seek medical care if she has any of the following:
- Extreme fatigue
- Fever
- Puffy hands, face, or feet
- Pain and swelling in the muscles and joints
- Irregular heartbeat
- Signs and symptoms return or get worse, even after treatment
- Confusion

CONCLUSION

Hypothyroidism is a clinical disorder commonly encountered by the primary care

physician. Untreated hypothyroidism can contribute to hypertension, dyslipidemia, infertility,
cognitive impairment, and neuromuscular dysfunction. The prevalence increases with age, and
is higher in females than in males. Hypothyroidism may occur as a result of primary gland
failure or insufficient thyroid gland stimulation by the hypothalamus or pituitary gland. The best
laboratory assessment of thyroid function is a serum thyroid-stimulating hormone test. There is
no evidence that screening asymptomatic adults improves outcomes.

RECOMMENDATION

Student Nurse
 The case study allows student nurses to discover and explore about hypothyroidism. It is
recommended for student nurses because it serves as a guidelines and reference on their studies.

Health Care Provider

Health Care Provider engaged themselves in promoting health and prevention of disease.
This study focuses on prevention and promotion to decrease complications, mortality among
people with hypothyroidism.