Eating Disorder Critical Thinking Assignment Janice, a high school sophomore, wanted desperately to become a cheerleader. She practiced endlessly before tryouts, but she was not selected. A week later, her boyfriend, Roy, broke up with her to date another girl. Janice, who was 5’3” tall and weighed 110 pounds, decided it was because she was too fat. She began to exercise at every possible moment. She skipped meals and tried to keep her daily consumption to no more than 300 calories. She lost a great deal of weight but became very weak. She felt cold all of the time and wore sweaters in the warm weather. She collapsed during her physical education class at school and was rushed to the emergency department. On admission, she weighed 90 pounds. She was emaciated and anemic. The physician admitted her with a diagnosis of Anorexia Nervosa. Answer the following questions about Janice
Remember to include in-text citations and your references at the end
1. What will be the priority consideration in her care?
2. How will treatment be directed toward helping her gain weight?
3. How will the nurse know if Janice is using self-induced vomiting to rid herself of food consumed at meals?
1. ANS: The primary intervention of Mr Janice is to achieve a normal weight gain.
Explanation: Anorexia Nervosa is an eating disorder characterized by low body weight and fear of being obese. The primary intervention of the nurse is to assess J's nutritional status because the body needs adequate nourishment to sustain the treatment process.
2. ANS: At first make a structural plan to helping her gain weight. The interventions that can help in gaining weight are:
Monitoring the intake of food through documentation
Verbalization of emotions about eating
Working in collaboration with the patient in making an eating plan
Motivating and supporting the patient step by step in order to meet goals
Make an exercise program
3. ANS: Required ways to detect Janice is doing self-induced vomiting.
There is no significant change from patient weight.
The patient suffers from tooth damage.
The patient skin is dry and sensitive to cold temperature
Self-induced vomiting is done by manual stimulation of gag reflexes in order to exhibit induced nausea and vomiting. If a person demonstrates self-induced vomits, the gastric acid from the stomach accumulates in the enamel of teeth therefore; tooth damage is seen in patients with eating disorders. Sensitivity to cold is also common because of having dry skin from being thin.
Eating Disorder Critical Thinking Assignment Janice, a high school sophomore, wanted desperately to become a cheerleader...
Janice, a high school sophomore, wanted desperately to become a cheerleader. She practiced endlessly before tryouts, but she was not selected. A week later, her boyfriend, Roy, broke up with her to date another girl. Janice, who was 5’3” tall and weighed 110 pounds, decided it was because she was too fat. She began to exercise at every possible moment. She skipped meals and tried to keep her daily consumption to no more than 300 calories. She lost a great...