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Thyroid dysfunction
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The thyroid is the energy generator of the body. All of us experience fatigue at some time in our lives because of lack of sleep, overwork, or stress. For individuals with hypothyroidism, fatigue is a way of life. There never seems to be enough energy. But, you don’t have to feel this way. For those who suffer from hypothyroidism, there is HOPE.
The following presentation will help this class in the teaching of a patient with hypothyroidism. The expected outcome of this presentation for the patient will be as follows:
Each individual will verbalize understanding of hypothyroidism and the importance of treatment compliance in managing their hypothyroidism
The balance of the thyroid hormone is complicated and involves the participation of different parts of the body (Kaplustin, 2010).
• The thyroid gland makes hormones that control the way every cell in the body uses energy. It is located in your neck and is the factory that makes the thyroid hormone T3 (Porth, 2011). It’s job is to wait for orders from the administrators of the body, the brain, to tell the thyroid how much T3 to release for the energy the body needs
• The pituitary gland is the administrator or brains of the operation. Does anyone know where the pituitary is located? That’s right, the brain. The body is always about convenience and maximum functioning. The pituitary sends a signal in the form of TSH to the thyroid gland with information on how much energy (thyroid) the body needs to function (Porth, 2011).
• The body tissues are the workers. It is their job to keep the body functioning correctly. When there is a need for more energy the workers send a signal to the administrators (and who is the administrator? The pituitary) to let the thyro...
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...xine is the most commonly used medicine (Almandoz & Gharib, 2012).
• Treatment – It is important to follow up with your primary care physician or endocrinologist on a routine basis. Periodic labs to monitor for thyroid function will help your provider adjust and manage your medications (Almandoz & Gharib, 2012).
• Lifestyle changes – Diet and exercise are the ways to healthy living and improved energy. Exercising at least 30 minutes each day and eating a healthy diet high in fiber and rich in nutrients will decrease constipation, bolster your immune system, and help maintain good thyroid functioning (Almandoz & Gharib, 2012).
• Hypothyroidism does not have to rob you of your life. With treatment, medications, a few lifestyle changes, and a positive attitude you can find the energy to take on the world. Wouldn’t it be nice to feel like this? (point to picture)
Hypothyroidism develops when the thyroid gland does not produce enough of certain hormones. (“Hypothyroidism”, n.d.). Hypothyroidism can be broken down even further. The two types of hypothyroidism are congenital hypothyroidism or acquired hypothyroidism. According to Porth 2011, “Congenital hypothyroidism develops prenatally and is present at birth. Acquired hypothyroidism develops later in life because of primary disease of the thyroid gland or secondary to disorders of hypothalamic or pituitary origin.” (p. 786). Some common symptoms include increased sensitivity to cold, dry skin, fatigue, constipation, drowsiness, hypothermia and muscle weakness (“Hypothyroidism”, n.d.).
Thyroid and metabolism hormones play a large role in the daily lives of all living species. Thyroid hormones regulate the metabolism and the metabolism is responsible for maintaining a specific range for the biochemical reactions that occur in the body (Martini 2014). The most important hormone for metabolic maintenance is thyroxine (T4). This hormone also plays a large role in body heat regulation. It is produced by the pituitary gland and secreted by the thyroid gland. The thyroid releasing hormone (TRH) must trigger the thyroid stimulating hormones (TSH) to release thyroid hormones to the thyroid gland. These hormones are under control of the hypothalamus, or main neural control center. Propylthiouracil (PTU) is a medication used to treat
The location of the pituitary gland is in the sella turcica of the sphenoid bone and attaches to the hypothalamus(Marieb & Hoehn 441). The Hypothalamus is included in the function of the pituitary gland as it sends chemical stimulus to it(Marieb & Hoehn 442).Part of the pituitary is called the “ master endocrine gland” due to the fact that is produces many hormones that affect the whole body(Shannon 175).This part of the pituitary gland is called the anterior pituitary(Marieb & Hoehn 601). There are six hormones that the anterior pituitary secretes normally. These Hormones are growth hormones,thyroid stimulating hormones,adrenocorticotropic hormones,luteinizing hormones,follicle stimulating hormones and prolactin hormones( Shannon 175).The Hormone prolactin is one that in normal function stimulates the act of lactation for new mothers to feed their baby(Shannon 175).
In conclusion, the body is a complex structure that is controlled largely by the hypothalamus. In these various functions, the hormones and the anterior pituitary carry out specific roles in order for the body to maintain homeostasis, however; if one part of these functions get out of control the body will then develop various diseases or abnormalities such as Graves disease.
Graves’ disease is a thyroid disorder with an unknown cause, although there is an increased risk for those developing it if other family members have it. It is eight times more common in women than in men. It usually occurs in those who are over the age of 20, though children are sometimes affected. Graves’ disease affects more than 3 million people and there are approximately 60,000 new cases of Graves’ disease in the US each year. It accounts for 60% of hyperthyroidism cases. Graves’ disease has many possible symptoms which include fatigue, tremors, double vision, insomnia, anxiety, muscle weakness, unstable weight, nervousness or irritability, restlessness, anxiety, increased sweating, brittle hair and nails, heat intolerance, rapid and irregular heartbeat, freque...
Today in America thyroid disease is becoming a much larger issue and the worse part of this problem is that many people are not yet diagnosed. This is due to the lack of education and awareness about thyroid disease. There are many different types of diseases but the one that I am passionate about is hypothyroidism. Hypothyroidism, or underactive thyroid is when the thyroid is no longer able to produce triiodothyronine, also known as T3 and thyroxine, also referred to as T4. Some of the symptoms include unexpected weight gain, tiredness, depression, or slow movements and thoughts. Most of the time many people notice the way that their bodies act on what they are feeling to their physicians. Many Americans struggle with this disease that
According to Federal Aviation Administration (FAA, 2009) fatigue is a subjective feeling of tiredness which in respect distorts one’s ability to concentrate on a particular task and the task often seems difficult even though the one performing the task may be an expert in the same field. Jackson (2006) adds on to say that fatigue itself is a condition that reflects inadequate rest combined with a myriad of symptoms that are closely associated with displaced, interrupted or and disturbed biologic...
The endocrine system is very dynamic and has ties to most, if not all of the other major systems of the body. It is responsible for production of hormones and the regulation of them as well. These hormones act as chemical messengers within the body. Through several differing mechanisms, they are able to trigger very specific responses in target cells or organs. This is what enables the endocrine system to guide growth, development, reproduction, and behavior, among many others as well.
The thyroid gland plays a major role in the endocrine, thyroxine, triiodothyronine and metabolism system. The gland can be found in the front of the neck and above where the collar bones meet. The thyroid gland controls the body by releasing T4 and T3 hormones. Controlling metabolism plays an important role when regulating mood, weight,
The thyroid gland is found in the front of the neck and produces two main hormones. The hormones are called thuroxine (T4) and Triiodothyronine (T3). Together these hormones regulate the body’s metabolism by increasing energy use in cells, regulate growth and development, help to maintain body temperature and aid in oxygen consumption. These two hormones are regulated by hormones produced by the hypothalamus and pituitary gland. The hypothalamus senses changes in body’s metabolic rate and releases a hormone known as thyropin-releasing hormone (TRH). This hormone then flows through connecting vessels to the pituitary gland which signals it to release another hormone. This hormone is known as thyroid-stimulating hormone (TSH). TSH then makes its way to the bloodstream until it reaches the thyroid where it is then signaled to activate T3 and T4 production [1]. This mechanism is controlled by a negative feedback loop meaning that when there is a sufficient amount of thyroid hormones in the blood stream, this will signal back to stop production of thyroid stimulating hormones. Complications occur when the thyroid hormones keep increasing even though there is already a sufficient amount of T3 and T4 in the blood stream. This process of over expression of thryroid hormones is known as hyperthyroidism. Hyperthyroidism is a general term that includes any disease that has a consequence of an overabundance of thyroid hormones. Hyperthyroidism is a general term but there are many variant diseases that are in the hyperthyroidism category. These diseases include diffuse toxic goiter, Basedow’s disease, thyrotoxicosis, Parry’s and Graves’ disease.
The thyroid is a small gland at the base of the neck. The thyroid is shaped like a butterfly. It releases hormones that deliver energy to the cells of the body (Shomon). The thyroid releases two hormones called T3 (triiodothyronine) and T4 (thyroxine). The hormones control rates in the body such as, how fast the heart beats and how fast calories are burned. These activities make up the metabolism (“Publications”).
The thyroid is an endocrine gland located at the front of the neck, above the central trachea and below the larynx. Within the hypothalamic-pituitary-thyroid axis, thyrotrophin-releasing hormone (TRH) stimulates the secretion of thyroid stimulating hormone (TSH) from the anterior pituitary [5]. TSH then acts on thyroid gland which releases the iodine dependent hormone thyroxine (T4) and triiodothyroxine (T3) to control physiological functions such as metabolism, heart rate, blood pressure, and body temperature [5].
Approximately 20 million Americans are currently suffering from thyroid disease. This common, yet subtle disease can be have an immense impact on one’s health and lifestyle. I chose to research thyroid disease because I have had blood tests done in speculation of this disease because of the similar symptoms I was experiencing. Although I do not have thyroid disease, I am curious about how it affects the body and why this disease often goes undiagnosed. This system involving the thyroid is crucial in regulating the body’s hormones and keeping them.
Each gland of the endocrine system is responsible for the releasing of different hormones, and those hormones trigger different activities in different places of the body. Hypothalamus, pineal body, anterior and posterior pituitary glands, adrenal gland, and thyroid gland are the main glands of the endocrine system while there are some other associated glands, as well. The endocrine system is known to be as the chemical information system. Some of the main functions of this system have to do with growth and development, metabolism, tissue function, sexual function, mood swings,
Therefore, the length of the sessions would be best delineated by 90 minutes frame time with 10-15 minutes individual one –on- one visit with the healthcare provider and 45 minutes reserved for the group discussion. Before any session the physician or NP should evaluate the Hgb A1c quarterly and fasting lipid profile include LDL, HDL, cholesterol and triglyceride, liver function tests, urinary to creatinine ration, serum creatinine, estimated glomerular filtration rates, thyroid stimulating hormones in patient with dyslipidemia or in women aged >50 years annually( ADA, 2016). During the individual visits, the patient should have vital signs, pneumococcal and influenza vaccination, laboratory tests and diabetes maintenance related care performed by the registered nurses in accordance with the ADA guidelines. It is imperative to emphasis that the clinical pharmacist, physician or an NP should oversee and monitor the medication therapy and related problems, refilling the medications and glucometer supplies. Another component of the one- on-