Question

CASE STUDY ANOREXIA NERVOSA Joyce Mann is a 23-year-old female admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency room for "blacking out at school". She has been given a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she is very loose clothing and is wrapped in a blanket. She tells you, "I don't know why I am here. They are making a big deal out of nothing". She appears to be extremely thin and pale, with very thin and brittle hair and constantly complaining about being cold. As you question her about her weight and nutrition, she becomes defensive and vague, but she does admit to loosing "some weight" after an appendectomy two (2) years ago. She tells you that she used to be fat, but after her surgery she did not feel like eating and everybody began to comment on how good she was beginning to look, so she just quit eating for awhile. She tells you that she is eating better now even though everyone keeps "bugging" her about her weight and how much she eats. She eventually admits to a weight loss of about 40 pounds and "I'm still fat." 1. Explain how the diagnosis of anorexia nervosa was made based on the patients presenting symptoms. 2. State the clinical symptoms of anorexia nervosa. 3. List the concomitant disorders associated with anorexia nervosa 4. Identity a list of additional behaviors the patient may engage in that would enhance her weight loss other than self starvation. 5. List the common family dynamics associated with anorexia nervosa. 6. What are the clinical symptoms that should have the highest priority? A care plan is developed for this patient which is very detailed and includes many psychological aspects. List seven (7) psychological aspects you should consider when developing the care plan. 7. Miss Mann is ready for discharge teaching and you are the nurse completing her teaching. Miss Mann states "I'll be so glad to get out of this place. I'm so fat and ugly. I can't wait to lose 10 pounds. I bet I can do that in a couple of days. I don't want to live anymore" 8. Explain the points you would discuss with the primary care provider based on Miss Mann's statements... You report Miss Mann's statements to the primary care provider

Answer 1

ANOREXIA NERVOSA

Here the patient is having a preliminary diagnosis of anorexia nervosa and also we can reach at the conclusion by observing her that she worn loose fitting clothes and also she covered the body with blanket.she is extremely thin and pale and also experiencing cold .anorexia nervosa is an eating disorder causing people to obsess about weight and what they eat.It is characterized by a distorted body image with an unwarrented fear of being overweight. in this case if questioning about her weight and nutrition she becomes defensive and vague.she had a surgery 2 years ago.after that she become concerned about her weight and somebody commented also.so that she became confident of that.

CLINICAL SYMPTOMS

behavioral symptoms includes

• binge eating
• compulsive behavior
• hyper activity
• impulsivity
• social isolation
• anxiety
• apprehension

whole body feels

• dehydration
• dizziness
• fainting
• fatigue
• feeling cold
• low blood pressure
• low body temperature
• osteoporosis
• water electrolyte imbalance

gastrointestinal

constipation or vomiting

menstrual:

absence of mensuration or irregular mensuration

in developmental stage delayed puberty or slow growth

also the patient experiences

• bruising
• brittle nails
• depression
• dieting
• dry hair
• dry skin
• sensitivity to cold
• slow heart rate

list of concomitant disorders associated with anorexia nervosa

• depression
• anxiety
• other mood disorders
• personality disorders
• obsessive compulsive disorders
• infertility
• osteoporosis
• heart damage

other than starvation the client engages in substance abuse.the usage of these substances can cause loss of appetite causing the patient to loss weight . It can result in extra pleasure to the patient.Too much of exercise can also cause patient to lose weight . in the name of faith in god they try to skip food so that nobody can judge them.