Janice, a high school sophomore, wanted desperately to become a cheerleader. She practiced endlessly before tryouts, but she was not selected. A week later, her boyfriend, Roy, broke up with her to date another girl. Janice, who was 5’3” tall and weighed 110 pounds, decided it was because she was too fat. She began to exercise at every possible moment. She skipped meals and tried to keep her daily consumption to no more than 300 calories. She lost a great deal of weight but became very weak. She felt cold all of the time and wore sweaters in the warm weather. She collapsed during her physical education class at school and was rushed to the emergency department. On admission, she weighed 90 pounds. She was emaciated and anemic. The physician admitted her with a diagnosis of Anorexia Nervosa.
ANOREXIA NERVOSA
It is an eating disorder in which patient have severe disturbance of body image and a morbid fear of obesity.
1.Priority consideration in patient care
* Establishing adequate nutritional intake
*Maintain adequate body fluids and correct electrolyte imbalance
*Be mindful of the patient's distorted thinking ability
*Improve patient's self- esteem
2. Treatment plan for weight gain
*The amount of food given should be limited at first, and increased slowly
*A weight gain of 0.5-1.0 kg per week is generally recommended
*The use of micronutrient supplement is recommended
*Start enteral feeding slowly
*Maintain adequate caloric intake
Regular stable intake of food contain carbohydrate, protein, essential fatty acids, vitamins and minerals
*Restrict vigorous exercises.
3.If janice is using self- induced vomiting, the nurse can understand it by
* Supervising the patient during meal time and for a specified period after meals ( usually 1 hour)
It helps to prevent vomiting during or after eating.
* Identify the patient's elimination pattern
* Daily weight checking using same apparatus.
Janice, a high school sophomore, wanted desperately to become a cheerleader. She practiced endlessly before tryouts,...
Eating Disorder Critical Thinking Assignment Janice, a high school sophomore, wanted desperately to become a cheerleader. She practiced endlessly before tryouts, but she was not selected. A week later, her boyfriend, Roy, broke up with her to date another girl. Janice, who was 5’3” tall and weighed 110 pounds, decided it was because she was too fat. She began to exercise at every possible moment. She skipped meals and tried to keep her daily consumption to no more than 300...