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Ineffective Individual Coping and Self-Care Deficit related to Hypopituitarism


Nursing Diagnosis and Interventions for Hypopituitarism

Signs and symptoms :

Anterior pituitary insufficiency (Panhypopituitarism) in general, will affect all of hormone that is normally secreted by the anterior pituitary gland. Therefore, the clinical manifestations of the combined effect of metabolic Panhypopituitarism is due to reduced secretion of each hormone hypophysis.

Clinical syndrome caused by Panhypopituitarism in children and adults differently. In children, somatic growth disturbances due to release growth hormone deficiency . Midget ( dwarfism ) is a consequence of the deficiency. When the child reaches puberty, it is a sign of secondary sksual and external genetalia tools fail to grow . Additionally often found slow intellectual development. The skin is usually pale in the absence of MSH.

In adults known as Simmonds disease characterized by general weakness, intolerance to cold, poor appetite, weight loss and hypotension, women who have the disease will be the cessation of Hait cycles or amenorrhea, later followed by breast trophy and external genetalia. While the men will show progresiof reduction in body hair and reed, beard, and reduced muscle growth, impotence and loss of libido. Also the skin will look pale due to the lack of MSH.

1. Ineffective Individual Coping related to the chronicity of the disease condition.

Goal: After nursing action was done to increase the level of individual coping.

Outcomes:
  • Express feelings related to emotional state.
  • Identify personal coping patterns and the consequences resulting behavior.
  • Identifying personal strengths and to receive support through the nursing relationship.
  • Make decisions and proceed with the appropriate action / change the provocative situation in the personal environment.

Intervention:
1. Assess the status of the existing individual coping.
R /: Improving the process of social interaction because the client has increased communicative.

2. Provide support if the individual speaking.
R /: Increasing confidence to others.

3. Helps individuals to suss out problems (problem solving).
R /: With less tension, fear will decrease and not isolate themselves from the environment.

4. Instruct individuals to perform technical relations, in the process of learning the techniques of stress management.
R /: The precision handling and healing process.

5. Collaboration with experts in the process of counseling psychology.
R / Client understand about the disease.


2. Self-Care Deficit related to reduced muscle strength.

Goal: After nursing actions clients can be active in self-care activities.

Outcomes:
  • Identify the ability of self-care activities.
  • Optimal hygiene after aid in the treatment given.
  • Participate in physical / verbal activities, personal care / fulfillment of basic needs.
Intervention:
1. Assess factor of causation declining self-care deficit.
R / Inhibit causal factors can improve self-care.

2. Increase optimal participation.
R / optimal to maximize the participation of self-care.

3. Evaluation of the ability to participate in any activity of the treatment.
R / Can foster client confidence.

4. Give encouragement to express the feelings of lack of self-care.
R / can give the client a chance to perform self-care.

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