Question

CASE STUDY ANOREXIA NERVOSA ANORE ear-old female admitted to the psychiatric unit last night ment at a local hospital emergency room for "blacking out at en a preliminary diagnosis of anorexia nervosa. As you begin to she is very loose clothing and is wrapped in a blanket. She tells um here. They are making a big deal out of nothing". She Joyce Mann is a 23-year-old female admitted to after assessment and treatment at a local hospital school". She has been given a preliminary diagno assess her, you notice that she is very loose clothing you, "I don't know why I am here. They are making a big deal out of hou appears to be extremely thin and male 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 iust quit eating for awhile. She tells you that she is caus better now even though everyone keeps beging" 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." . She tells admit to loosing weight and nutrit feel likes einning to 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. 7. List seven (7) psychological aspects you should consider when developing the care plan. 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 ca the points you would discuss with the primary care provider based on Miss Mann's statements... Miss Mann's statements to the primary care provider

Answer 1

1.The following symptoms like extremely thin ,paleness, thin and brittle hair,significant weight loss,lack of adequate food intake,feeling cold aides in the diagnosis of anorexia nervosa.

2.The clinical symptoms of anorexia nervosa are

• Extreme weight loss, low BMI
• Thin and brittle hai nails and bones
• Fainting ,dizziness, fatigue
• Compulsive behavior, binge eating
• Cannot tolerate extreme,e temperature or cold
• No appetite
• Doing excess exercise without necessity

3.The concomitant disease associated with anorexia nervosa are

• Compulsive behavior
• Depression
• Substance abuse or sexual abuse
• Bipolar disorder
• Anxiety
• Anemia

4.Some of the additional behavior which the patient can exhibit in order to enhance her weight loss other than self starvation

• Trying to use laxatives in order to reduce weight
• Social isolation like avoiding events in the society (marriages, party,ceremonies, etc.,)
• Lack of interest towards the food preference or choices