Nursing Assignment on Thyroid Disorder

Running head: NURSING ASSIGNMENT ON THYROID DISORDER
NURSING ASSIGNMENT ON THYROID DISORDER
NAME OF THE STUDENT
NAME OF THE UNIVERSITY
AUTHOR NOTE

1NURSING ASSIGNMENT ON THYROID DISORDER
Response to question 1.
The thyroid disorder mainly can be of two types. One is hyperthyroidism and another one
is hypothyroidism. Hyperthyroidism mainly refers to the increased rerelease of thyroid hormone.
In addition, the increase release is mediated by the hypothalamus, anterior pituitary and as well
as by the thyroid gland itself. The whole process is happened in a chain wise process. Increased
release of Thyroid releasing hormone ( TRH) from hypothalamus stimulates the secretion of
Thyroid stimulating hormone( TSH) from the anterior.TSH then reaches to thyroid gland by the
blood circulation and helps in secretion of Trihydrothyronine ( T3) and tetrahydrothyronine( T4)
or thyroxin (Fliers et al.,2015).In hyperthyroidism the level of unbound thyroid hormone in
circulation is increased. Due to several defects like tumor or other problems like receptor
problem can lead to the condition. Increased level of TRH causes more secretion of TSH in the
pituitary level and this will cause more production of T3 and T4 (Vissenberg et al.,2015).The
negative feedback mechanism is also unable to regulate the secretion of T3 and T4. The
production of thyroid-stimulating immunoglobulin (TSI), which stimulates the TSH receptor
more in the thyroid gland, will cause more growth and secretion of thyroid gland. The enlarged
thyroid gland produces more thyroid hormone and causes the hyperthyroidism. In this condition,
basal metabolic rate becomes very high due to the increased rate of degradation of carbohydrate,
fat protein. Increased thyroid level helps in increasing the sympathomimetic action, which
ultimately results in goiter disease, which is a symptom of hyperthyroidism (Mullur, Liu &
Brent, 2014).On the other hand hypothyroidism is caused due to the underactivity of the thyroid
gland. This condition can be due to the abnormal functions of hypothalamic-pituitary axis or due
to the genetic disorders. Lack of iodine in the body can cause under development of the thyroid
gland. Along with this lack of production of thyroid, stimulating hormone will alter the
hypothalamus-pituitary axis and as a result, there is less production of T3 and T4.This ultimately

2NURSING ASSIGNMENT ON THYROID DISORDER
results in a ceased thyroid gland. The inhibition of T3 and T4 synthesis is the crucial cause of
hypothyroidism (Fekete & Lechan, 2013).
Response to question 2.
The thyroid disorder patients’ face several social, psychological and as well as emotional
issues. The main social issues that are faced by a patient of thyroid disorder is the social
misconception about the disease. One of the important medication of thyroid disorder is the
radioactive iodine (RAI). People have the misconception that with this treatment, the person will
developed radioactivity in his body and that makes the patient more anxious about the diseased
condition. Another social factor that the patient of thyroid disorder often faces that they are not
given any respect and honor due to their adverse health condition ,which affect the patients
badly (Goel et al.,2017).The emotional and psychological factors that are associated with this
disease mainly are anxiety,depression,irritability, restlessness. In the endocrine system, there are
various glands and hormones and as well as neurotransmitter, that helps in maintaining the
homeostasis of hormonal level in our body. This homeostasis is responsible for the mood and
anxiety and other psychological factors in our system. During the thyroid disorder, not only the
thyroid hormone level alters, but along with this simultaneously all other endocrine systems are
also affected and cause alteration in other hormone levels those are responsible for maintaining
stable mode. So when assessing the thyroid disorder, the other hormonal level should also be
considered. The one of the most important reasons of mode swings, anxiety, and depression is
the lack of essential nutrient in the diet of a thyroid patient. The completely psychological
process is accomplished by a cascade of reaction and thyroid hormone is a key factor in that
chain. Therefore, alteration in thyroid hormone level will cause those psychological problems to