What adverse effects should be discussed with a client prescribed long-term systemic corticosteroid therapy?

In the context of long-term systemic corticosteroid therapy, it is crucial to discuss the potential adverse effects that can significantly impact a client's health and well-being. Hyperglycemia is one of the most common effects associated with corticosteroids due to their impact on insulin sensitivity and glucose metabolism. This is particularly important for clients with diabetes or those at risk of developing diabetes. Mood disorders can also arise, as corticosteroids can affect neurotransmitter levels and brain function, leading to symptoms like anxiety, depression, or mood swings.

Awareness of these effects enables clients to monitor their health proactively and engage in discussions with their healthcare providers about management strategies for any side effects experienced during treatment. This understanding is vital for maintaining quality of life and ensuring that any required adjustments to therapy can be made in a timely manner.