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Year : 2017  |  Volume : 18  |  Issue : 1  |  Page : 54-65

Surgical management of thyroid gland disorders: Nursing care

1 Staff Nurse, CMC, Vellore, India
2 Professor College of Nursine, CMC, Vellore, India
3 Professor, College of Nursing, CMC, Vellore, India
4 StaffNurse, CMC, Vellore, India
5 Tutor, College of Nursing, CMC, Vellore, India

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Thyroid gland dysfunction is present in a large number of the people. It is commonly seen in women and is sometimes associated with other endocrine problems. Dysfunction of the thyroid gland causes deranged metabolic functions of the body leading to altered energy levels in performing the daily tasks. Thyroid disorders should be identified at the earliest to prevent complications and to improve the physiological functions of the body. Majority of the disorders are associated with increase or decrease in the serum level of thyroid hormones. Enlargement of thyroid gland leads to respiratory distress, voice change, and dysphagia. It also causes body image disturbances in young patients. Though medications control the growth of the gland, surgery becomes an option to reduce the clinical effects of an enlarged gland. As thyroid is a highly vascular organ, precautions need to be taken before and after surgery to prevent hemorrhage. Nursing care involves preparation of the patient for surgery and meticulous postoperative care to prevent complications associated with the injury to parathyroid gland and laryngeal nerve. Early identification of complications will enable prompt management and improved quality of life of the patient. This article focuses on the various thyroid disorders, the clinical manifestations, assessment and diagnostic tests, the surgical management and the nursing care. The nursing care of patient undergoing thyroidectomy is discussed in detail.

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