Nursing Diagnosis for Cushing's Syndrome

Nursing Diagnosis for Cushing's Syndrome


Cushing's syndrome is a hormone disorder caused by high levels of cortisol in the blood. This can be caused by taking glucocorticoid drugs, or by tumors that produce cortisol or adrenocorticotropic hormone (ACTH) or CRH.

Cushing's disease refers to one specific cause of the syndrome, a tumor (adenoma) in the pituitary gland that produces large amounts of ACTH, which in turn elevates cortisol. It is the most common cause of Cushing's syndrome, responsible for 70% of cases excluding glucocorticoid related cases.

This pathology was described by Harvey Cushing in 1932. The syndrome is also called Itsenko-Cushing syndrome, hyperadrenocorticism or hypercorticism).

Cushing's syndrome is not confined to humans and is also a relatively common condition in domestic dogs and horses. It also occurs in cats, but rarely.

It should not be confused with Cushing's triad, a disease state resulting from increased intracranial pressure.


Nursing Diagnosis for Cushing's Syndrome
  1. Risk for Injury related to weakness.
  2. Risk for Infection related to metabilisme changes in proteins and inflammatory response.
  3. Self-Care Deficit related to feelings of fatigue, weakness, muscle atrophy and changes in sleep patterns.
  4. Impaired Skin Integrity related to edema, impaired healing and the skin thin and fragile.
  5. Disturbed Body Image related to changes in physical appearance, sexual dysfunction and decreased activity levels
  6. Disturbed Thought Processes related to fluctuations in emotion, irritabilitas and depression.
(Susanne C. Smeltzer; Medical Surgical Nursing Brunner & Suddarth, p.. 1330)

Nursing Diagnosis

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