What are some nursing considerations for a patient with acromegaly?

1)Assess for ADL deficiencies and provide support as needed 2)Treat pain and stiffness with nonopioid analgesics as needed 3)Monitor regularly for jaw pain and difficulty chewing or swallowing and modify diet as needed 4)Schedule regular eye examination to determine vision complications 5)Monitor for self image and self esteem deficiencies and provide support as needed 6)Assess regularly for visceromegaly(Vital signs, palpation) 7)Monitor for changes in weight 8)Monitor for changes in respiratory function