Question

od NRSG 263 Case study document 2020 Case studies Week 5 Erin is a 19-year-old university student in her second year at university Erin is bright and has always been a high achiever at school, and her parents have been keen to prompt her to follow her dreams and encourage her pursuits. Erin loves cooking for her family, particularly her older brother Josh. In order to achieve the best possible Year 12 score, Erin's parents decided to move her to a private school for girls that had a good reputation for university acceptance. Erin's mother took on extra work to pay for the school fees. While Erin was sad to leave her old school and friends, she agreed that this was the best choice for her academically. Things did not go as well as planned, however, and Erin was subjected to distressing bullying from the beginning of Year 12 until she finished the school year. Erin has always been conscious of her health and weight but was targeted because she had 'fat legs' and the bullies sent her text messages of people and memes with derogatory messages about her. Because her parents had made sacrifices for her to attend this school, Erin didn't want to tell them that she was being bullied, so she kept it to herself. This bullying had a devastating impact on Erin's self-esteem, and she began dieting. People would comment on how great she looked, so she continued dieting. She felt she had some control over what she ate, and this made her feel better. When her local gym had a special rate for new members, Erin joined. When she wasn't at the gym, she was studying. Because she was working out so much, and restricting her diet, Erin became seriously constipated. So, she went to her local pharmacy and began buying laxatives. Erin noticed that they helped with her constipation, but they also reduced her weight (Erin would weigh herself daily), so she began warr WC

Answer 1

I

answer: The physical risk associated with the Erin's behavior are malnutrition and underweight as the BMI is 15.6. This is because of Erin's behavior of obsessive to become thin and strict dieting and the use of laxatives for weight loss.

II

Answer: Erin is exhibiting behavioral problems regarding scar of weight gain. This problem is called anorexia nervosa. In this condition, the person is obsessive about increase weight and try to maintain by starvation and too much exercise. In this scenario also the person is having an eating disorder that she is following a very strict diet, doing too much exercises and use of laxatives to prevent digestion leads to pass all the things whatever she eats through stool.

III.

Answer: The impact of an eating disorder in the family is that

- the feeling of guilt because of not preventing on time. They blame themselves for the condition of the child.

- Confusion about the condition and the treatment of the condition.

- Feeling hopeless by seeing behavior changes and physical changes of the child.

- Disharmony among the family members.

-Increase stress and fear of death of the child because of the disease condition.

IV

Answer: The long term issues that will affect the recovery from the eating disorder are obsessive behavior regarding the loss of weight, depression, stress, severe malnutrition.

V

Answer: The three questions that can be asked to the person related to mental status examination are

What is your opinion on the importance of weight loss? ( this can understand that the person is still thinking about weight loss or not)

What do you think about your body image in current weight and body structure? (currently, the body structure is very thin, find out that the person is happy with it)

How many times do you perform the exercise? ( to identify any excessive exercise performance)

VI

Answer:

Activities: use of laxative to reduce weight, too much exercise, strict dieting (eating disorder)

HAzard: excessive weight loss, malnutrition, BMI 15.6, underweight

Precaution: Counsel the person, consult doctor, rehabilitation of the person.

VII

Answer:

assessment	nursing diagnosis	planning	intervention	evaluation
Subjective data The patient says," She is doing strict dieting and too much exercise to reduce weight" Objective data: BMI is 15.6 and very thin	Imbalanced nutrition less than body requirement related to less intake of food and excessive exercises as evidence by BMI 15.6	To Maintain nutritional level	Assess the weight of the patient everyday provide highly nutritive diet Provide small and frequent diet provide counseling provide psychological support	Maintained nutritional level as evidence by increasing the weight of the person.