Hyperthyroidism
Most common form of hyperthyroidism
What is Grave's Disease?
A dietary cause of hypothyroidism
What is iodine insufficiency?
The effect on skin from Addison's Disease
What is hyperpigmentation?
Stresses that lower order needs must be met before teaching may be effective
What is Maslow's Hierarchy of Needs?
Being able to understand and make health decisions
What is health literacy?
Thyrotoxicosis (thyroid storm) results from this
What is increased levels of T3 or T4
Clinical manifestations of hypothyroidism
What are fatigue, weight gain, memory impairment, increased cholesterol/triglycerides, constipation...?
Sudden, acute adrenal insufficiency (life-threatening!)
What is Addisonian crisis?
Uses environmental stimuli to encourage positive behaviors
What is behaviorist theory?
Asking the student to demonstrate what has been taught
What is teach-back method?
Clinical signs of hyperthyroidism
What are enlarged thyroid (goiter), increased metabolism, ophthalmopathy, or increased tissue sensitivity?
Dull, puffy skin, coarse hair, prominent tongue
What are symptoms of myxedema?
Causes of Addison's Disease (think hormonal!)
What is failure of the adrenal glands to produce sufficient glucocorticoids, mineralocorticoids, androgens, and ACTH?
Create meaning to understand and solve problems
What is constructivist theory?
Viewing people into groups that are "different"
What is "othering" or "marginalizing"?
Severe tachycardia, very high temperature, delirium, agitation, shock, abdominal pain/V/D, or seizures
What are manifestations of thyrotoxicosis?
Patient education about levothyroxine
What are do not substitute brands, take it first thing in the a.m., continue taking it for your lifetime, report any chest pain, weight loss, nervousness, tremors, or insomnia?
Presenting symptoms of Addisonian crisis
What are dehydration, hypotension, fever/weakness/confusion, severe V/D, decreased sodium, increased potassium and blood glucose, shock?
Relies on role modeling to improve long-term adherence
What is Social Cognitive Theory?
A serious condition caused by prolonged exposure to high levels of cortisol
What is Cushing's Syndrome?
Drugs used to block the effects of T3 and T4 during thyrotoxicosis
What are beta blockers (propranolol, atenolol)?
Increased sensitivities and susceptibilities resulting from hypothyroidism
What are cold intolerance, opioids/barbiturates/anesthesia sensitivities, and susceptibility to infection?
Emergency treatment for Addisonian crisis
What is IM hydrocortisone?
Populations at risk for insufficient health literacy
Who are non-English speaking persons, older adults, lower SES/limited education persons?
Symptoms of Cushing's Syndrome
What are "moon face," abdominal obesity, "buffalo hump," thin, striated skin, hypertension, muscle weakness?