Download Metabolism

METABOLISM
RNSG 1128
Introduction to Health Care Concepts
Concept – METABOLISM
Concept Definition
The processes of biochemical reactions occurring in the body’s cells that are necessary to produce
energy, repair, and facilitate the growth of cells, and maintain life.
Exemplars
None
Objectives
1. Explain the concept of metabolism (including definition, antecedents, and attributes).
2. Analyze conditions which place a patient at risk for metabolic imbalance.
3. Identify when a metabolic imbalance (negative consequence) is developing or has developed.
4. Discuss (briefly) exemplars of common metabolic disorders.
5. Apply the nursing process (including collaborative interventions) for individuals experiencing a
metabolic imbalance and to promote normal metabolic regulation.
Assignments
Prior to class:
1. Review definitions of interrelated concepts on concept analysis diagram.
2. Review concept analysis diagram.
3. Review anatomy and physiology of the endocrine and hepatobiliary system.
4. Required assigned reading:
*Page numbers, assignments, and other lecture information will be posted on
Blackboard.

Giddens, J.F. (2017). Concepts for nursing practice. (2nd ed.). St. Louis. MO: Mosby Elsevier.
 Chapter 15: Glucose Regulation
 Chapter 16: Nutrition
 Chapter 21: Reproduction
 Chapter 31: Stress

Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2014). Medical surgical
nursing (9th ed.). St. Louis MO: Mosby Elsevier.
 Chapter 17: Fluid, Electrolyte, and Acid/Base Imbalances
 Chapter 39: Nursing Assessment Gastrointestinal System
 Chapter 48: Nursing Assessment: Endocrine System
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METABOLISM
Concept content outline:
Concept:
Metabolism
Sub Concepts: Hormonal Endocrine Regulation
Deviations from Normal
Nutrient Utilization
Risk Factors: Abnormal growth and development
Impaired immune response
Hormonal imbalance
Age
Dysfunction of the organs/glands that participate in the endocrine system
Lifestyle
Genetics
Assessment: Comprehensive history
Physical assessment
Cultural, behavioral, social assessment
Physical and psychological clinical manifestations
Diagnostic tests
Positive Outcomes:
Normotensive
Euglycemia
Normal thermoregulation
Adequate hydration status
Negative Outcomes:
Physiological
Psychological
Clinical Management:
Nursing interventions
Collaborative interventions
Pharmacological therapy
Non Pharmacological therapy
Procedural therapy
Diagnostic studies
Exemplars:
None
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