Nursing Diagnosis and Interventions for Morbus Basedow - Fatigue:
Fatigue related to hypermetabolic with increased energy needs; sensitive to stimulation of the nerve in relation to body chemistry disorders.
Supporting Data: express very lack of energy to maintain the common routines, decreased performance, lability / sensitive to emotional stimuli, nervous, tense, agitated behavior, damage to the ability to concentrate.
The purpose of nursing care: Expressing verbally about increased energy levels, shown to improve the ability to participate in activities.
Nursing Interventions for Morbus Basedow Fatigue ::
Independent:
1. Monitor vital signs and record pulse, at rest and during activity.
Rational: widely pulse increases and even at rest, tachycardia (above 160x/mnt) may be found.
2. Note the development of tachypnea, dyspnea, pallor and cyanosis.
Rationale: Needs and oxygen consumption will be increased in hypermetabolic state, which is potentially going to hypoxia while doing the activity.
3. Give / create a quiet, cold room, lower sensory stimulation, the colors are cool and relaxing music (quiet).
Rationale: Reducing the stimulation is likely to cause agitation, hyperactivity and insomnia.
4. Advise patients to reduce activity and increase bed rest as much as possible whenever possible.
Rationale: Helps fight the effects of increased metabolism.
5. Give the act of making the patient comfortable, such as: touch / massage, a cool powder.
Rational: It can lower the energy in the nerves which further enhances relaxation.
6. Providing replacement activities pleasant and quiet, such as reading, listening to radio and watching television.
Rationale: Allows for the use of energy by way of constructive and may also reduce anxiety.
7. Avoid discussing topics that annoying or threatening patient, discuss how to respond to those feelings.
Rationale: Increased sensitivity of the central nervous system can cause the patient easily aroused, agitation and excessive emotion.
8. Discuss with those tired and emotional unstable.
Rationale: Understand that behavior is physically improve coping with situations that sat nearest the encouragement and advice to respond positively and provide support to patients.
Collaboration:
9. Give medication as indicated.
Rationale: To address the situation (nervous), hyperactivity and insomnia.
