Question

You are a nurse on an inpatient psychiatric unit. J.M., a 23-year-old woman, was admitted to the psychiatric
unit last night after assessment and treatment at a local hospital emergency department 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 has very loose clothing, she is wrapped in a blanket, and her extremities are very thin.
She tells you, "I don't know why I'm here. They're making a big deal about nothing." She appears to be
extremely thin and pale, with dry and brittle hair, which is very thin and patchy, and she constantly complains
about being cold. As you ask questions pertaining to weight and nutrition, she becomes defensive
and vague, but she does admit to losing "some" weight after an appendectomy 2 years ago. She tells you
that she used to be fat, but after her surgery she didn't feel like eating and everybody started commenting
on how good she was beginning to look, so she just quit eating for a while. She informs you that she
is eating lots now, even though everyone keeps "bugging me about my weight and how much I eat." She
eventually admits to a weight loss of "about 40 pounds and I'm still fat."

Can you help me write detailed SBAR for this case study

Answer 1

Situation - J.M.is already diagnosis with anorexia nervosa . Physical alterations -many occur and can include decreased temperature, pulse , GI disturbances, electrolyte imbalances, dry scaly skin , presence of lanugo on extremities, sleep disturbances ,deficiency cyanosis and numbness of extremities and bone degeneration.

Background-Onset often with the stressful life event )(appendectomy) . Intensely fears obesity.

Assessment- Body image is distorted and a disturbed self concept .preoccupied with foods that prevent weight gain and has a phobia against food that reduce weight gain .

Recommendations-assess nutritional status and severity of any medical problems. Establish a plan concerning the nutritional plan for the day.encourage the client to express feelings about the eating behaviour and how the client feels about her health. Encourage psychotherapy. Administer antidepressant medication. Encourage the client to participate in diversional activities. Monitor and elimination patterns.