Patient+and+Family+Education

===Explain to the patient the signs and symptoms of both hypothyroidism and hyperthyroidism. It is important to include the teaching of hyperthyroidism so the patient can know what symptoms they may develop if they have toxic symptoms of thyroid hormone replacement. Also explain these to the caregiver because it can sometimes be difficult for a patient to notice these symptoms in themselves.===

===Teach the patient that if they have any signs of overdose including orthopnea, dyspnea, rapid pulse, palpitations, nervousness, or insomnia, that they should contact their healthcare provider immediately (Lewis, 2011, p. 1271).===

===Discuss with the family that thyroid replacement therapy is very important. When teaching about thyroid replacement therapy emphasize that this is a lifelong need and that the patient should also receive regular follow-up care.Explain any side effects of thyroid hormone replacement therapy (Lewis, 2011, p. 1271).===

===Explain to the patient that they will be more susceptible to cold due to cold intolerance so they should understand they need a warm environment. Also emphasize to elderly that they should take extra care in the winter (Lewis, 2011, p. 1271).===

===Teach the patient proper skin care to prevent skin breakdown. This includes explaining that only small amounts of soap should be used, and lotion should be applied to the skin regularily (Lewis, 2011, p. 1271).===

===Explain to the patient to avoid the use of any sedatives. If a sedative needs to be used, explain to the patient that they should use the smallest dose possible. Also explain to the family that they should monitor the patient's mental status as well as their level of consciousness and breathing (Lewis, 2011, p. 1271).===