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Eating Disorder Case Study Essay example

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Eating Disorder Case Study


Mother is concerned that daughter is not eating enough, restricting
food intake for 8 months because she feels fat, feels she needs to
lose ten pounds, feels that her thighs and stomach are to large,
reporting 35 lb weight loss over last 8 months, denies any eating
problems, began menarche at age 16 periods normally regular, stop
three months ago, exercises daily 20 min. to 2 hours, experiences low
energy, chronic constipation and lightheadedness, favorite TV show is
“America’s Next Top Model” and reports “feeling down in the dumps” for
about nine months, college student, good grades, finding it difficult
to concentrate, admits to feeling worthless and having no friends,
moved to new city middle of senior year, has difficulty falling asleep
awakens in middle of night often, mother reports that she is often
irritable and cries often. When did the depressed mood start in
relation to the move, was it within three months of the move, Is she
taking any medications, has she ever felt like this before and if so
what made it better, dose she take naps, what time does she go to
sleep and wake up, does she take meds to go to sleep, how much
caffeine does she use, does she have nightmares, does your mind race
when you try to go to sleep, have you ever binged or fasted, used
laxatives or vomiting, how often do you weigh, 24 hour diet recall,
are you afraid of gaining weight, how would you describe your energy
level, what do you enjoy doing, are the activities you use to enjoy
still enjoyable, have you been feeling sad, angry, irritable, or
happy, describe your mood on a scale of 1-10 ten being best, have you
ever ...


... middle of paper ...


...rting family by
telling them that 25% of patients fully recover and another half are
improved and function well.

Labs/screenings: BUN, electrolytes, CBC, Thyroid function, UA, if
malnourished perform an EKG, calcium, phosphorous, LFT, blood
chemistry

Medications: Stool softeners – docusate calcium 240mg capsule for
constipation prevention, Remeron (mirtazapine) 15mg at hs for one week

Teaching plan: Educating family that patients will resist
hospitalization and plea for their families to remove them from the
hospital. Body image correct BMI, nutritional counseling for
appropriate diet and exercise.

Counseling plan: individual therapy, family therapy, nutritional
counseling (see treatment plan)

Follow up: Continual monitoring of weight and progress. Continued
outpatient therapy and family therapy.


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Eating Disorder Case Study Essay example - Eating Disorder Case Study Mother is concerned that daughter is not eating enough, restricting food intake for 8 months because she feels fat, feels she needs to lose ten pounds, feels that her thighs and stomach are to large, reporting 35 lb weight loss over last 8 months, denies any eating problems, began menarche at age 16 periods normally regular, stop three months ago, exercises daily 20 min. to 2 hours, experiences low energy, chronic constipation and lightheadedness, favorite TV show is “America’s Next Top Model” and reports “feeling down in the dumps” for about nine months, college student, good grades, finding it difficult to concentrate, admits to fe...   [tags: Papers] 886 words
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