ASSESSMENT DIAGNOSIS INTERVENTION

Objective: Disturbed Body Image related to the  Encourage clients to want to express their thoughts and feelings about
disease at the stage of development. body appearance changes.
Profused sweating  Help clients identify the strengths and positive aspects that can be
Body hair increases developed by the client.
Oily skin  Collaboration of drugs.
Swelling of Thyroid gland  Observation of the side effects of drug delivery.
Headache

V/S:
Increased BP:

ACROMEGALY:

ASSESSMENT DIAGNOSIS INTERVENTION

Objective: Risk for Injury Diagnosed with
 CT Scan
Assessment of bone  MRI
enlargement/joint  Elevated serum Growth Hormone
 Cranial X-rays
Gait Change  Ophthalmologic exam
Difficulty with adls: pain  Definitive Test: oral glucose challenge
Changes in VS - early heart failure  (Normal result = decreased GH)
Dyspnea  In acromegaly = no decrease in GH
Hypotension Medical Management:
Tachycardia weak pulse.  Meds to suppress GH secretion
Dostinex, Somatostatin Analogs – esp. in pts. Who are not candidates
V/S: for surgery or radiation
Increased BP:  Surgical tx. To remove pituitary tumors
Transsphenoidal approach
Cryosurgery
 Irradiation – to destroy GH-secreting tumors
Proton beam tx. Using low doses of radiation