NSG 350 Stratford University Eating Disorders Anorexia Nervosa Case Study Case study from Elsevier- Eating Disorders Scenario- JM is a 23 yo women admitte

NSG 350 Stratford University Eating Disorders Anorexia Nervosa Case Study Case study from Elsevier- Eating Disorders Scenario-

JM is a 23 yo women admitted to the psych unit last night after assessment and treatment at a local hospital ED for “blacking out at school”. She has been give a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she has very loose clothing and is wrapped in a blanket. She tells you, “I don’t know why I am here. They’re making a big deal about nothing.” She appears to be extremely thin and pale, with dry and brittle hair 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 sued to be fat, but after her surgery she didn’t feel like eating and everyone stated 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 am still fat.”

Answer the following questions with references.

1. How is the diagnosis of anorexia nervosa determined?

2. Can that diagnosis be applied to JM and explain your reasoning.

3. What is motivating JM to seek treatment?

4. What are at least 3 expected outcomes for JM to accomplish while in the psych unit?

5. Identify at least 3 nursing interventions that you would use to accomplish each goal and explain your reasoning.

Case study progresses:

JM is ready for discharge teaching and you are assisting the RN. JM states “I will be so glad to get out of this place. I am so fat and ugly. I need to lose 10 lbs. I bet I can do it in just a couple of days. I don’t want to live anymore.”

6. What will you and the RN discuss with the primary care provider PCP before any further discharge teaching or plans?

7. You report JM’s intentions to the PCP. How will the treatment plan be altered?

8. What medications would be indicated for JM to assist with resolution of both her anorexia nervosa and depression?

9. What would indicate successful treatment with JM?

10. How would you involve the family in the treatment plan?

11. Identify at least 3 websites that would benefit the patient and family as resources on eating disorders.