Thyroid Dysfunction Management

This playbook outlines the procedure for managing thyroid dysfunction, focusing on medication adherence, diet modifications, and regular health monitoring for both overactive and underactive thyroid conditions.

Step 1: Diagnosis Confirmation

Confirm the diagnosis of an overactive or underactive thyroid by reviewing the patient's medical history, symptoms, and conducting appropriate thyroid function tests.

Step 2: Medication Prescribing

Prescribe the appropriate medication for the thyroid condition. For hypothyroidism, this typically includes synthetic thyroid hormone replacement. For hyperthyroidism, the prescription may involve antithyroid medications or beta-blockers.

Step 3: Medication Adherence

Educate the patient on the importance of medication adherence. This includes understanding the dosing schedule, potential side effects, and the necessity of taking the medication for the long term.

Step 4: Dietary Advice

Provide dietary advice tailored to the thyroid condition. This should include guidance on foods to eat or avoid and the role of iodine and other nutrients in managing thyroid function.

Step 5: Regular Monitoring

Set up a schedule for regular monitoring of thyroid function through blood tests. Adjust medication dosages as needed based on test results and clinical presentation.

Step 6: Lifestyle Counselling

Offer lifestyle counseling to support thyroid health, including managing stress, getting enough sleep, and engaging in regular physical activity.

General Notes

Patient Education

Ensure the patient understands their condition, the reasons behind each prescribed action, and the importance of maintaining their health through regular check-ups and medication.

Referral Consideration

Consider referring the patient to an endocrinologist or a dietician if the condition is complex or if specialized dietary management is needed.

Regular Follow-Up

Advise the patient to schedule regular follow-up appointments to review medication effectiveness and adapt the treatment plan as necessary.