Nursing Diagnosis for Goitre
A goitre or goiter, is a swelling in the thyroid gland, which can lead to a swelling of the neck or larynx (voice box). Goitre rarely occurs when the thyroid gland is functioning properly.
Worldwide, over 90% cases of goitre are caused by iodine deficiency.
Ineffective Airway Clearance related to obstruction of the trachea, swelling, bleeding and laryngeal spasm.
Goitre
Worldwide, over 90% cases of goitre are caused by iodine deficiency.
Signs and symptoms
Goitre associated with hypothyroidism or hyperthyroidism may present with symptoms of the underlying disorder although the symptoms are often unspecific and hard to diagnose.
Goitre not associated with hormonal abnormalities will not cause any symptoms aside from the presence of anterior neck mass. However, for particularly large masses, compression of the local structures may result in difficulty in breathing or swallowing. In those presenting with these symptoms, malignancy must be considered.
Toxic goitres will present with symptoms of thyrotoxicosis such as palpitations, hyperactivity, weight loss despite increased appetite, and heat intolerance.
Goitre associated with hypothyroidism or hyperthyroidism may present with symptoms of the underlying disorder although the symptoms are often unspecific and hard to diagnose.
Goitre not associated with hormonal abnormalities will not cause any symptoms aside from the presence of anterior neck mass. However, for particularly large masses, compression of the local structures may result in difficulty in breathing or swallowing. In those presenting with these symptoms, malignancy must be considered.
Toxic goitres will present with symptoms of thyrotoxicosis such as palpitations, hyperactivity, weight loss despite increased appetite, and heat intolerance.
Nursing Diagnosis for Goitre
Impaired verbal communicationrelated to injury to vocal cord / larynx damage, tissue edema, pain, discomfort.
Risk for Injury related to the surgery, stimulation of the central nervous system.
Chronic Pain related to surgery on the tissue / muscle and postoperative edema.
