Download Metabolism

METABOLISM
RNSG 1533
Health Care Concepts II
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
 Diabetes Type 1/Diabetes Type 2
 Gestational Diabetes
 Graves’ Disease – Hyperthyroidism
 Hypothyroidism
 Addison’s Disease – Hypo-Cortisolism (chronic adrenal insufficiency)
 Cushing’s – Hyper-Cortisolism
Objectives
1.
2.
3.
Explain the correlation between the above exemplars (Diabetes, Graves’ Disease, Hypothyroidism, Addison’s
Disease and Cushing’s Disease) to the concept of Metabolism.
Identify conditions that place an individual at risk for imbalance leading to a compromised metabolic
regulation resulting in Diabetes, Graves’ Disease, Hypothyroidism, Addison’s Disease and Cushing’s Disease.
Apply the nursing process with collaborative interventions for individuals experiencing a metabolic imbalance
(Diabetes, Graves’ Disease, Hypothyroidism, Addison’s Disease and Cushing’s Disease) and to promote normal
metabolic regulation.
Assignments
Prior to class:
1. Review concept analysis diagram.
2. Review definitions of interrelated concepts on concept analysis diagram.
3. Review anatomy and physiology of the endocrine 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 14: Hormonal Regulation
 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: Mosby Elsevier.
 Chapter 17: Fluid, Electrolyte, and Acid/Base Imbalances
 Chapter 39: Nursing Assessment: Gastrointestinal System
 Chapter 48: Nursing Assessment: Endocrine System
 Burchum, J. and Rosenthal, L. (2016). Lehne’s pharmacology for nursing care (9th ed.). Elsevier, St.
Louis.
 Chapter 57: Drugs for Diabetes Mellitus
 Chapter 58: Drugs Thyroid disorders
 Chapter 59: Drugs for Hypothalamic and Pituitary Disorders
 Chapter 60: Drugs for Disorders of the Adrenal Cortex
 McKinney, E., et al . (2013). Maternal child nursing (4th ed.). Elsevier, St. Louis.
 Chapter 26: pages 607-616
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METABOLISM
Concept content outline:
Concept:
Metabolism
Exemplars:
Diabetes Type 1
Diabetes Type 2
Gestational Diabetes
Graves ’ disease – Hyperthyroidism
Hypothyroidism
Addison’s disease – Hypo-Cortisolism (chronic adrenal insufficiency)
Cushing’s – Hyper-Cortisolism
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
Clinical Findings: **
Physiological
Psychological
Positive Outcomes: **
Physiological
Psychological
Negative Outcomes: **
Physiological
Psychological
Assessment: **
Comprehensive history
Physical assessment
Cultural, behavioral, social assessment
Diagnostic tests
Clinical Management: **
Nursing interventions
Collaborative interventions
Pharmacological therapy
Non Pharmacological therapy
Education
**Applies to each exemplar
Reviewed 11/2016
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