Hyperparathyroidism: the overlooked disorder

Hyperparathyroidism often goes undiagnosed because the early symptoms are very subtle and, if they are noticed, are attributed to old age, depression, or anxiety. The serum calcium level is crucial to the diagnosis. Some of the symptoms of the disorder suggest anxiety or depression, but the overall cluster does not fit DSM-III R or nursing diagnosis criteria. Because hyperparathyroidism requires surgical intervention, nurses can offer assistance by providing emotional support and recommending strategies that will help elderly persons maintain function until the treatment is completed.