Hypopituitarism ACTH & Cortisol Deficiency Care Plan

NutmeggeRN, BSN · Sep 29, 2020

This is for Addison disease ( kid is remote now)

Assessment Data

Diagnosis of Addison's disease

Nursing Diagnosis

Potential for Adrenal Crisis r/t illness or injury

Goals

Prevent injury
Prevent illness
Student will self identify any medical illness or injury
Report to health office any illness or injury

Nursing Interventions

Contribute to development of HCP/EAP
Obtain emergency plan from MD
Call parents with report of any illness or injury
Administer PO (first) or IM (call 911) meds as indicated by severity of illness or injury
Notify teachers of when to have student see nurse
Maintain PRN stock of medication, noting expiration dates

Expected outcome

Injuries will be prevented with planning
Illness mitigated (same self screen process at home while remote)
- Student will graduate next June and continue to self advocate while in the workplace or pursing higher education

ruby_jane, BSN, RN · Oct 1, 2020

So - other than provision of emergency meds, what will you be doing? With respect to NutmeggeRN (that's good data there):

1. You'd call EMS for an emergency (just like for any other kid who had any health-related emergency)

2. You would seek orders for the med just like for any other kid with a rescue med

3. I'd write somewhere that the parent is responsible for providing the med

4. Reaching waaaay back in my memory I think I remember that kids with this condition cannot be out in the sun, so I would prioritize that

5. Any other things that the MD orders say.

As I look at these IHPs crafted by nurses who wrote these beautiful words and used their NANDAs....you have to document that you did what you say you did. So only write what you will do. That's my nickel's worth of advice.