HYPERTHYROIDISM IHP Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? Yes No Teacher Name Homeroom Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Emergency Contact List is attached to IHP. Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Activity Intolerance Related to increased metabolic rate leading to fatigue and muscle weakness Related to tachycardia (rapid heart rate) and shortness of breath during exertion Related to muscle wasting and decreased endurance due to hyperthyroidism Interventions The school nurse will encourage the student to pace activities, balancing periods of rest with physical activity to prevent overexertion. The school nurse will collaborate with teachers to modify physical education and other school activities to reduce physical strain. The school nurse will educate the student on the importance of adhering to medical treatment (antithyroid medications, beta-blockers) to manage symptoms and improve stamina. The school nurse will promote gentle exercise, such as walking or yoga, to help maintain physical strength without overexerting the student. Expected Outcomes The student will report improved energy levels and fewer episodes of fatigue during physical activities. The student will participate in school activities with appropriate rest periods and minimal interruptions due to fatigue. The student will demonstrate improved tolerance for physical exertion as symptoms are managed with medical treatment. Nursing Diagnosis: Imbalanced Nutrition: Less Than Body Requirements Related to increased metabolic rate leading to weight loss despite adequate or increased food intake Related to hyperactive gastrointestinal system causing increased bowel movements Related to poor absorption of nutrients due to rapid metabolism Interventions The school nurse will collaborate with a dietitian to create a high-calorie, nutrient-dense meal plan to counteract excessive metabolism. The school nurse will monitor the student’s weight regularly to track nutritional status and prevent excessive weight loss. The school nurse will encourage small, frequent meals that are easy to digest and nutrient-rich, focusing on high-protein and high-calorie foods. The school nurse will educate the student and family on the importance of continuing prescribed treatments (antithyroid medications, beta-blockers) to stabilize metabolic rate. Expected Outcomes The student will maintain or gain weight to an appropriate level for age and height. The student will demonstrate understanding of the importance of balanced, high-calorie nutrition in managing weight and energy levels. The student will experience fewer gastrointestinal symptoms and maintain improved nutritional status with medical treatment and dietary adjustments. Nursing Diagnosis: Risk for Imbalanced Body Temperature Related to increased metabolic activity leading to heat intolerance and excessive sweating Related to inability to tolerate warm environments due to excessive body heat production Interventions The school nurse will teach the student to recognize signs of heat intolerance and implement cooling measures (e.g., wearing light clothing, staying in air-conditioned environments, drinking cool fluids). The school nurse will ensure the student has access to a cool environment in school, such as an air-conditioned classroom or a fan. The school nurse will encourage the student to stay hydrated, especially during physical activities or in warm weather, to prevent dehydration and heat exhaustion. The school nurse will collaborate with school staff to allow flexibility for the student to adjust their environment when feeling overheated. Expected Outcomes The student will demonstrate effective management of heat intolerance by using cooling measures and staying hydrated. The student will experience fewer episodes of discomfort or overheating during school activities. The student will actively engage in school and social activities while maintaining stable body temperature. Nursing Diagnosis: Disturbed Sleep Pattern Related to hyperactivity and nervousness due to elevated thyroid hormone levels Related to tachycardia and restlessness disrupting the ability to fall asleep or stay asleep Related to anxiety and irritability related to the hyperthyroid state Interventions The school nurse will teach relaxation techniques, such as deep breathing, meditation, or progressive muscle relaxation, to help the student wind down before bed. The school nurse will encourage a consistent sleep routine that includes reducing screen time and engaging in calming activities before bed. The school nurse will collaborate with healthcare providers to manage symptoms with medications (e.g., beta-blockers to reduce heart rate) that improve sleep quality. The school nurse will educate the student and family about the importance of adhering to antithyroid medications to stabilize hormone levels and improve rest. Expected Outcomes The student will report improved sleep quality and fewer episodes of insomnia or restlessness. The student will demonstrate the use of relaxation techniques to promote restful sleep. The student will maintain a consistent sleep routine, leading to improved daytime functioning and energy levels. Nursing Diagnosis: Anxiety Related to increased nervousness and irritability due to elevated thyroid hormone levels Related to fear of the symptoms and long-term effects of hyperthyroidism Related to cognitive impairments (e.g., difficulty concentrating, memory issues) affecting school performance Interventions The school nurse will provide emotional support, allowing the student to express feelings of anxiety or fear about their condition and its symptoms. The school nurse will teach relaxation techniques (e.g., deep breathing, guided imagery, or mindfulness) to help the student manage anxiety. The school nurse will educate the student and family on hyperthyroidism, explaining that symptoms can be controlled with proper treatment. The school nurse will collaborate with school counselors to provide a supportive environment, helping the student manage academic stress and anxiety. Expected Outcomes The student will report reduced anxiety and an improved ability to manage stress using relaxation techniques. The student will demonstrate a better understanding of their condition and feel more in control of managing symptoms. The student will participate in school activities and social interactions with reduced fear and anxiety about their health. Nursing Diagnosis: Disturbed Body Image Related to physical changes associated with hyperthyroidism, such as weight loss, hair thinning, or bulging eyes (exophthalmos) Related to social stigma or bullying related to physical appearance Related to self-consciousness about visible symptoms or tremors Interventions The school nurse will provide emotional support and allow the student to express concerns about physical appearance or self-esteem. The school nurse will educate the student and family on the potential for improvement in physical symptoms with treatment (e.g., weight stabilization, reduction in exophthalmos). The school nurse will encourage participation in activities that focus on the student’s strengths and abilities rather than appearance. The school nurse will collaborate with school counselors to promote positive self-esteem and body image, while addressing any issues related to bullying or social stigma. Expected Outcomes The student will verbalize improved self-esteem and acceptance of their physical appearance. The student will participate in school and social activities with greater confidence and reduced concern about body image. The student will demonstrate an understanding of how treatment can help reduce the visible effects of hyperthyroidism. Nursing Diagnosis: Risk for Decreased Cardiac Output Related to tachycardia (rapid heart rate) and palpitations due to excessive thyroid hormone production Related to increased metabolic demand on the heart, leading to cardiovascular strain Related to potential for arrhythmias or heart failure if hyperthyroidism is not well controlled Interventions The school nurse will monitor heart rate and blood pressure regularly to assess for signs of tachycardia, arrhythmias, or other cardiac issues. The school nurse will collaborate with the healthcare provider to adjust medications (e.g., beta-blockers) that manage heart rate and prevent complications. The school nurse will educate the student and family on the importance of medication adherence to control thyroid hormone levels and protect heart health. The school nurse will encourage the student to avoid stimulants (e.g., caffeine) that could further increase heart rate. Expected Outcomes The student will maintain a stable heart rate and normal blood pressure with appropriate treatment. The student will demonstrate understanding of the importance of medication adherence in preventing cardiac complications. The student will report reduced symptoms of palpitations or rapid heart rate and participate in physical activities safely. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. Return Clicking this button will return you to the IHP to make changes.
