Question

CASE STUDY ANOREXIA NERVOSA Jovee Mann is a 23-year-old female admitted to the psychiatric unit last night assessment and treatment at a local hospital emergency room for "blacking out at - She has been given a preliminary diagnosis of anorexia nervosa. As you begin to sher, you notice that she is very loose clothing and is wrapped in a blanket. She tells don't know why I am here. They are making a big deal out of nothing". She he extremely thin and pale, with very thin and brittle hair and constantly app i ng about being cold. As you question her about her weight and nutrition, she fensive and vague, but she does admit to loosing "some weight after an two (2) years ago. She tells you that she used to be fat, but anternet appears to be extremely becomes defensive and vas appendectomy two (2) ye surgery she did not feel was beginning to look, so she justo d not feel like cating and everybody began to comment on how uit eating for awhile. She tells you that she is eating though everyone keeps "buggine" herhout loss of about 40 pounds and I'm better now even though eve eats. She eventually admits to lain how the diagnosis of

Answer 1

7.The psychological aspects which has to be considered when developing the care plan are

• The psychodynamic aspect of dealing with the Id, ego and superego. This enables to read a person's behavior from many aspects from child hood and treat accordingly from their sub concious mind.
• The cognitive aspects focuses on a persons thinking ability decision making capacity, inter relating things ,their ability to tackle difficult situations etc.,
• The biological aspects focuses on a person's behavior through their genetic inheritance or as an occurence to brain injury making people psychologically disturbed
• The behavioural aspect focuses on a person's growth in accordance to the environment they grew up
• The motivation at times plays a key role in modifying the behavior of an individual called as humanistic approach
• The evolutionary aspects concentrates on the changes faced by the person generation after generation in the worldly changes
• Culture plays a key role in studying the behavior of a person which differs in culture and followed

8.The points to be discussed with the primary care provider are

• The symptoms are still persistent in the patients inner mind
• Negative thoughts ,low self esteem and confidence
• Poor cognitive functions in making a correct decision
• Suicidal thoughts in extreme case which needs immediate attention

9.The three primary changes to be made in the care plan are

• Addition of anti anxiety medications, antidepressants to modify the cognitive behaviours
• Psychotherapy ,talk therapy is very essential to make patient understand what is right
• Family therapy can be introduced which can support the patient to gain confidence and trust that family members are their to care for and help in difficult situations.
• Counseling to be given regarding the nutrition
• Prolongation of hospital stay until patient stabilised and relieved from suicidal thoughts.

10.The following medication can be indicated for the patient

• Selective serotonin reuptake inhibitors to reduce the depressive moods and negative thoughts(Clonazepam ,Quetiapine)
• Anti anxiety medication to relieve stress (Alprazolam)
• Nutrients supplements like vitamin tablets to prevent malnutrition

11.The patient should exhibit a positive approach in life,proper diet or nutritional intake ,having an optimistic approach in problem solving , increased self esteem and confidence, decreased anxiety and depression, good communication with others or socializing,etc.,