Download Concept Analysis Diagram

RNSG 1324
Concept-Based Transition to Professional Nursing Practice
Concept - THERMOREGULATION
Definition of Concept
Thermoregulation is the body process that balances heat production and heat loss to maintain core
body temperature within an optimal physiological range.
Exemplars
Environmental Exposure
Hypothermia - Frost Bite, Infant
Hyperthermia - Heat Stroke, Elderly
Fever- Pediatric
Malignant Hyperthermia
Objectives
1. Explain the concept of Thermoregulation (including definition, antecedents, and attributes).
2. Analyze conditions which place a patient at risk for alterations in Thermoregulation.
3. Identify when an imbalance in Thermoregulation (negative consequence) is developing or has
developed.
4. Discuss exemplars of common Thermoregulation disorders.
5. Apply the nursing process (including collaborative interventions) for individuals across the life
span experiencing alterations in Thermoregulation.
Assignments
Review the following from previous course(s)
 Role of hypothalamus in temperature regulation.
 Review the two types of body temperature (Core temperature & Surface (External)
temperature)
 Environmental exposures
Prior to class
 Follow the “Read Me” File under the Thermoregulation Module on Canvas
 Review the Thermoregulation Concept Analysis Diagram with explanation
 Complete the assigned readings
*Page numbers, assignments, and other lecture information will be posted on blackboard.
 Giddens (2017) Chapter 10
 Yoost (2015) Chapter 19
 Lewis (2014) Chapter 69 & 19
 McKinney (2013) Chapters 21, 22 & 37
Concept content outline:
Sub Concepts: Hypothermia/Hyperthermia very young and older adults
Environmental Exposures
Fever
Antecedents: Hypothalamus functions normally to control body temperature
Chemical thermogenesis occurs
Normal sweat gland function
Normal skeletal muscle function
Sufficient blood flow
Nonshivering thermogenesis accomplished by metabolism of brown fat in the newborn
increasing metabolic activity in the brain, heart, and liver.
Risk Factors: Age related changes
Acute and chronic conditions
Environmental, Recreational, Occupational exposures
Medications
Stress
Underlying health conditions
Trauma, Surgical procedures
Assessment: Comprehensive history
Physical and psychological clinical manifestations
Diagnostic Exams: Laboratory, Radiology, and Procedural exams
Positive Outcomes:
Adequate nutritional and fluid status
Adaption to the environment
Absence of infectious organisms
Negative Outcomes:
Cardiovascular collapse
Nervous system damage
Dehydration and hyponatremia
Peripheral tissue ischemia
Loss of digits
Clinical Management:
Nursing interventions
Collaborative interventions
Pharmacological therapy
Procedural therapies
Diagnostic studies
N:ADN Syllabus/CBC Curriculum/Transition Summer 2017/RNSG 1324/Thermoregulation
Revised 3/17