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Assessment of Client with Endocrinological Disorders. Dr. Hanan Said Ali. Objectives. Describe how to assess the client with Endocrinological disorders. Endocrinological Nursing Cont. Assessment of client include: Fluid/Nutritious intake.
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Assessment of Client with Endocrinological Disorders Dr. Hanan Said Ali
Objectives • Describe how to assess the client with Endocrinological disorders.
Endocrinological Nursing Cont. Assessment of client include: • Fluid/Nutritious intake. May be increased or decreased intake , may not be associated with weight loss or gain, cover quantity and quality of food and fluids. • Elimination pattern Includes frequency, amount , and colour of urinary eliminations, the presence of nocturia or dysuria, the frequency of bowel movement, constipation, diarrhea.
Endocrinological Nursing Cont. Assessment of client Cont.: • Energy Level Performing proper activity of daily living, change in hair distribution, body proportion, voice, skin pigmentation. • Reproduction and sexual related problems Fragility, menstruation, and pregnancy in female and impotence in males.
Endocrinological Nursing Cont. Assessment of client Cont.: • Tolerance to stressors Physical and psychological stressors such as intolerance to heat and cold , infection, irritation, euphoria, depression, crying and anger. The nurse should observe the client general appearance for: 1. Hair: Texture, distribution, brittleness, and alopecia.
The nurse should observe the client general appearance for: 2. Body Size: Height and weight, size of the hand and extremities, Proportionality and posture, and facial features. 3. Skin: Skin colour, pigmentation, texture, coarseness, size of the sweat glands, diaphoresis, acne, strial, echymoses 4. Face: Colour, erythema, especially on cheeks(plethora) Pained, anxious expression.
The nurse should observe the client general appearance for: 5. Eyes: Eyebrow, hair distribution, visual scuity, lens opacity, shape, position, movements of eyelid 6. Nose: Mucosa, noisy breathing. 7. Mouth: Buccal mucosa, condition of teeth, tongue size, shape and size of jaw. 8. Voice: Hoarseness, volume, pitch and slurring.
The nurse should observe the client general appearance for: 9. Neck: Symmetry, alignment, forceful carotid pulsation, unusual bulging of thyroid lobes , gray- brain hyper pigmentation on posterior neck and axilae . Observing thyroid gland first in the normal position, then slight extensions and then as the client swallows some water.
The nurse should observe the client general appearance for: 10. Extremities: Size, shape, symmetry, proportionately( distance from symphysis pubies to foot; approximately half of total height) oedema • Hand:Tremors, muscle strength grip, contracture, clubbing, muscle wasting. • Legs:Muscle weakness , colour and amounts of hairs, size of feet, corns, celluses and pedal pulses.
The nurse should observe the client general appearance for: c. Toes: Fissures, deformities, toe nails with fungal infection. d. Pulses: Rate and rhythm. e. Thorax: Gynecomastia in men. f. Abdomen: increased pigmentation of scars, purplish pain on light palpation. g. Genitalia: Decreased hair distribution (a drenal tumour), size of the tests, clitoral enlargement.
Inspection and Palpation Assess fluid and electrolyte status by: • Check skin turgor. • Mucous membrane moisture. • Jugular vein distention. • Check for presence of oedema. Palpate thyroid, parathyroid and pancreas for: • Size, shape, and symmetry. Asses vital signs
