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RNSG 2572Health Care Concepts 2Concept – METABOLISMConcept 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.ExemplarsDiabetes Type 1Diabetes Type 2Gestational DiabetesGraves’ Disease – HyperthyroidismHypothyroidismAddison’s Disease – Hypo-Cortisolism (chronic adrenal insufficiency)Cushing’s – Hyper-CortisolismObjectivesExplain the correlation between the above exemplars (Diabetes, Graves’ Disease, Hypothyroidism, Addison’s Disease and Cushing’s Disease) to the concept of Metabolism (including compromised antecedents, deficit measurement in attributes, a list of negative consequences, and the interrelated concepts which may be involved).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.Concept Analysis DiagramNote: Diagram is on separate page.Explanation of Metabolism DiagramThe Metabolism concept analysis diagram clearly depicts the definition as it is related to the attributes. The antecedents identify the events that must happen prior to the concept. These include ingestion of nutrients, normal growth and development, adaptive response to stress, and organ perfusion among others. For example if nutrients are unable to be ingested the process of metabolism in the body will be affected. The sub concepts of the metabolism concept are critical elements of the major concept and are to be closely examined throughout the lecture content. The interrelated concepts are clearly identified and relate in such a way that negative consequences will occur if one is depleted or impaired. These concepts are to work together harmoniously to ensure a normal process. For example perfusion of the organs is essential for production of hormones and enzymes to regulate metabolism. The consequences are divided into negative and positive outcomes. When metabolic homeostasis occurs, positive outcomes are realized. However, when a malfunction or imbalance in metabolism occurs negative outcomes result. The concept of Metabolism is essential to maintain life and is an integral process in the production of energy as well as growth and repair of the body’s cells.AssignmentsPrior to class:1. Review definitions of inter-rated concepts on concept analysis diagram.2. Review concept analysis diagram.3. Review anatomy and physiology of the endocrine system. 4. Review reading:Giddens, J.F. (2013). Concepts for nursing practice. St. Louis. MO: Mosby Elsevier.Chapter 12: Glucose RegulationChapter 13: NutritionChapter 18: ReproductionChapter 27: StressLewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2011). Medical surgical nursing (8th ed). St. Louis: Mosby Elsevier.Chapter 17: Fluid, Electrolyte, and Acid/Base ImbalancesChapter 39: Nursing Assessment: Gastrointestinal SystemChapter 48: Nursing Assessment: Endocrine SystemAssigned reading:Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2011). Medical surgical nursing (8th ed). St. Louis: Mosby Elsevier.Nursing Management Diabetes Mellitus, Chapter 49Nursing Management Endocrine Problems, Chapter 50Giddens, J.F. (2013). Concepts for nursing practice. St. Louis. MO: Mosby Elsevier. Glucose Regulation, Ch. 12Nutrition, Ch. 13Stress, Ch. 276. Internet resources to review:Endocrine System Anatomy: between hypothyroidism and Hashimoto’s disease’s Disease: Disease’s Syndrome’s Disease HYPERLINK "" about diabetes and the body HYPERLINK "" Medications HYPERLINK "" during Pregnancy, Gestational Diabetes HYPERLINK "" Diabetes HYPERLINK "" Diabetes Association HYPERLINK "" . Review the following Nursing Diagnoses:Alterations in elimination Impaired skin integrity Activity intolerance Imbalanced nutrition: more/less than body requirementsPain Knowledge deficit of self-management (medication, disease process, diet, lifestyle)Risk for fluid volume deficit Ineffective self-health management (Juvenile Type I Diabetes)Risk for infection Risk for injuryConcept content outline:Concept: MetabolismSub Concepts: Hormonal Endocrine RegulationDeviations from NormalNutrient UtilizationRisk Factors:Applies to each exemplarAbnormal growth and developmentImpaired immune responseHormonal imbalanceAgeDysfunction of the organs/glands that participate in the endocrine systemLifestyleGenetics Assessment:Comprehensive historyPhysical assessmentCultural, behavioral, social assessmentPhysical and psychological clinical manifestationsDiagnostic testsPositive Outcomes: NormotensiveEuglycemiaNormal thermoregulationAdequate hydration status Negative Outcomes: PhysiologicalPsychologicalClinical Management:Nursing interventionsCollaborative interventionsPharmacological therapyNon Pharmacological therapyProcedural therapyDiagnostic studiesExemplars: Diabetes Type 1Diabetes Type 2Gestational DiabetesGraves’ Disease – HyperthyroidismHypothyroidismAddison’s Disease – Hypo-Cortisolism (chronic adrenal insufficiency)Cushing’s – Hyper-Cortisolism ................
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