A Nursing Care Plan on

Addison’s Disease

In Partial Fulfillment of the

Requirements of NCM 212 – RLE
Care of Clients with Problems in Oxy, F/E, Infection
Inflammatory & Immunologic Response
Acute & Chronic

Submitted to:
Edric Joy A. Ebero, RM, RN, MAN
Clinical Instructor

Submitted by:
Kyla T. Fronteras, St. N.

August 2021
Name of Patient: C.F.D
Chief Complaint: Gradual onset of weakness and fatigue, and abdominal pain
Date/ Cues
Time
A Subjective Cues:
U - Di ko ganahan
G mokaon maam
U kay isuka gihapon
S nako
T - Pag mokaon ko
maam ginagmay
2 ra kay way gana –
2 as verbalized by
, the client
- Kapoy kayo
2 paminaw sakong
0 lawas maam pero
2 tarong man kog
1 pahulay
Objective Cues:
@ Vital Signs
7 O
Age: 32 years old Bed #:
Diagnosis: Addison’s Disease Physician: Dr. Becker
Interventions/
Need Nsg. Diagnosis Pt. Outcome Implementation Evaluation
N Imbalanced Nutrition: Less After 8-hours of 1. Establish rapport August 22,2021
U Than Body Requirements nursing intervention, R: Promotes connection with @3 PM
T related to insufficient dietary the patient will be others on a personal level, “Goal partially met”
R intake as evidenced by able to: and it helps establish
I weight loss, hypoglycemia - Regain comfortable working At the end of my 8-
T and fatigue interest in environments. hour shift the patient
I food as 2. Assess patient’s level of was able to:
O Rationale: evidenced by understanding, - Regained
N increase in communication ability and interest in
A A decline in the caloric intake readiness for interventions eating food
L concentration of ACTH in the - Recover and teachings.
- blood leads to a reduction in normal weight R: Allows you to better - Was able to
M the secretion of adrenal and BMI assess your patients' verbalize
E hormones, resulting in - Verbalize understanding of their understanding
T adrenal insufficiency. understanding medical problems. It allows about the
A Adrenal insufficiency leads about the you to uncover and clarify disease
B to unintentional weight loss, disease any misunderstandings your
lack of appetite, weakness, patients may have about the
: • BP: 90/60 L nausea, vomiting, and low plan. It also helps you to
0 • T: 36.6 I blood pressure engage in a more
0 • PR: 85 bpm C (hypotension). collaborative relationship with
A • HR: 87 bpm your patients.
M • RR: 18 cpm P Reference: 3. Discuss Addison’s disease
A NORD (2018), Addison’s in their level of
T Disease, retrieved from understanding

ROM: All ROM within T https://rarediseases.org/rare- R: When caring for patients

normal limits E diseases/addisons-disease/ with diseases, it is

- Weight: 53 kg (55 R particularly important to

kg prev.) N ensure that they have a good

- BMI: 18.3 understanding of their

Underweight complication.

- Cortisol level @ 4. Take patient’s vital signs

7AM 4mcg/dL R: Vital signs give you a

(low) baseline when a patient is

- Nauseous healthy to compare to the

- Dry skin patient's condition when they

- Abnormally tan aren't healthy. Abnormalities

skin (face) in vitals can also be a clue to

- Fair skin illness or disease that can be

complexion
- Low blood sugar hurting the organ systems in
- Dark colored the patient's body
gums 5. Assess appetite and for the
- Abdominal pain presence of nausea,
- Pain scale of 6/10 vomiting, or diarrhea
R: Cortisol deficiency can
impair GI function, causing
nausea and vomiting
6. Weigh the patient regularly
R: The patient’s actual
weight can help assess
weight loss and nutritional
status
7. Assess food that patient
can tolerate
R: Appetite may increase
with preferred and tolerable
foods
8. Monitor serum glucose
levels
 R: Patients with adrenal
insufficiency are likely to
experience hypoglycemia
9. Assess for salt craving
R: Aldosterone deficiency
causes increased renal
excretion of sodium
10. Ask dietician to provide
high-protein, low-
carbohydrate, high sodium
diet
R: The patient tires because
of inadequate production of
hepatic glucagon; the
recommended diet prevents
fatigue, hypoglycemia, and
hyponatremia.
11. Split the meals into six
small units instead of three
large ones.
R: The small units taken in
regular intervals reduce the
 fullness feeling and the risk
of vomiting.
12. Foster healthy oral hygiene
and dentition
R: Oral hygiene improves
taste of food. Dentures have
to be clean and comfortable
to help the patient eat with
ease
13. Suggest need for frequent
small meals
R: Inadequate caloric intake
in meals may precipitate
hypoglycemia. Promotion of
oral intake maintains
adequate blood
glucose levels and nutrition.
14. Keep a late-morning snack
available
R: In case the patient
becomes hypoglycemic
15. Encourage rest periods
after eating
R: This is important to
facilitate digestion

Kyla T. Fronteras,
St. N