Home-Based Nursing Management of Hypothyroidism in an Adult Woman: A Community Case Report

Abstract

This case study details the care of “Y”, a 45-year-old woman with hypothyroidism residing in Narag village, District Sirmaur, Himachal Pradesh. The study aimed to assess the condition, identify health needs, implement nursing interventions, and provide health education to improve the quality of life. Data were collected through interviews, physical examination, and environmental assessment. The client complained of fatigue, weight gain, cold intolerance, constipation, dry skin, and lethargy. Physical examination revealed mild thyroid enlargement and generalized weakness. Nursing diagnoses included fatigue, activity intolerance, knowledge deficit, and risk for impaired skin integrity. Interventions focused on medication adherence, nutritional guidance, energy conservation, lifestyle modification, and health education. Following nursing interventions, the client demonstrated improved understanding of the disease, adherence to treatment, and better management of symptoms. This case highlights the vital role of community health nurses in providing comprehensive home-based care for clients with hypothyroidism.