How do I install the Es Cushing Patient Family Education skill?

Run npx skillmds@latest add dromlakhani/es-cushing-patient-family-education in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Es Cushing Patient Family Education safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: docs only. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Es Cushing Patient Family Education?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Es Cushing Patient Family Education free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Es Cushing Patient Family Education?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Es Cushing Patient Family Education by dromlakhani

Name: Es Cushing Patient Family Education
Rating: 4.5 (4 reviews)
Author: dromlakhani

Es Cushing Patient Family Education

This skill provides structured education to patients and families about Cushing's syndrome pathophysiology, treatment options, and post-remission expectations. It is triggered when a clinician encounters a new Cushing's syndrome patient or family needing disease information, such as at initial diagnosis or before treatment initiation.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Patient and Family Education About Cushing's Syndrome

STEP 1 — Gather Information

Confirm biochemical diagnosis of Cushing's syndrome (UFC, late-night salivary cortisol, dexamethasone suppression), determine etiology (pituitary MRI, petrosal sinus sampling, adrenal CT), note planned treatment modality, list comorbidities (diabetes, hypertension, psychiatric disorders, osteoporosis), assess baseline knowledge, concerns, and health literacy of patient and family.

STEP 2 — Rule In / Rule Out

Decide whether the patient/family requires initial education about Cushing's syndrome (new diagnosis, upcoming treatment, or post-remission) versus needing only reinforcement or no education; if education is needed, proceed to stratification, otherwise consider brief updates or skip.

STEP 3 — Classify or Stratify

Stratify by treatment phase: pre-treatment (awaiting surgery/medical/radiation), post-treatment (immediate postoperative), or long-term remission (post-recovery); tailor education depth and focus to the phase.

STEP 4 — Decide

Deliver education covering disease basics, specific treatment plan, expected benefits and risks, postoperative care, glucocorticoid withdrawal symptoms, recurrence monitoring, lifestyle modifications, and available support resources.

Clinical Guardrails / Mimics / Pitfalls

Do not delay definitive treatment for extensive education; avoid unrealistic cure expectations; never omit discussion of lifelong monitoring and comorbidity management; refrain from giving specific medication dosing advice; ensure materials are culturally appropriate and health‑literacy sensitive.

Concrete Clinical Example

A 42‑year‑old man with newly diagnosed ectopic ACTH syndrome from a bronchial carcinoid tumor is scheduled for preoperative ketoconazole; after confirming diagnosis and noting diabetes and hypertension, the clinician educates him and his wife about ectopic CS, ketoconazole side effects, glucose monitoring, and signs of adrenal insufficiency.

Source: Treatment of Cushing’s Syndrome: An Endocrine Society Clinical Practice Guideline, Nieman et al., 2015, DOI:10.1210/jc.2015-1818

---name: es-cushing-patient-family-educationdescription: This skill provides structured education to patients and families about Cushing's syndrome pathophysiology, treatment options, and post-remission expectations. It is triggered when a clinician encounters a new Cushing's syndrome patient or family needing disease information, such as at initial diagnosis or before treatment initiation.---# Patient and Family Education About Cushing's Syndrome## STEP 1 — Gather InformationConfirm biochemical diagnosis of Cushing's syndrome (UFC, late-night salivary cortisol, dexamethasone suppression), determine etiology (pituitary MRI, petrosal sinus sampling, adrenal CT), note planned treatment modality, list comorbidities (diabetes, hypertension, psychiatric disorders, osteoporosis), assess baseline knowledge, concerns, and health literacy of patient and family.## STEP 2 — Rule In / Rule OutDecide whether the patient/family requires initial education about Cushing's syndrome (new diagnosis, upcoming treatment, or post-remission) versus needing only reinforcement or no education; if education is needed, proceed to stratification, otherwise consider brief updates or skip.## STEP 3 — Classify or StratifyStratify by treatment phase: pre-treatment (awaiting surgery/medical/radiation), post-treatment (immediate postoperative), or long-term remission (post-recovery); tailor education depth and focus to the phase.## STEP 4 — DecideDeliver education covering disease basics, specific treatment plan, expected benefits and risks, postoperative care, glucocorticoid withdrawal symptoms, recurrence monitoring, lifestyle modifications, and available support resources.## Clinical Guardrails / Mimics / PitfallsDo not delay definitive treatment for extensive education; avoid unrealistic cure expectations; never omit discussion of lifelong monitoring and comorbidity management; refrain from giving specific medication dosing advice; ensure materials are culturally appropriate and health‑literacy sensitive.## Concrete Clinical ExampleA 42‑year‑old man with newly diagnosed ectopic ACTH syndrome from a bronchial carcinoid tumor is scheduled for preoperative ketoconazole; after confirming diagnosis and noting diabetes and hypertension, the clinician educates him and his wife about ectopic CS, ketoconazole side effects, glucose monitoring, and signs of adrenal insufficiency.**Source:** Treatment of Cushing’s Syndrome: An Endocrine Society Clinical Practice Guideline, Nieman et al., 2015, DOI:10.1210/jc.2015-1818

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