Anorexia Case Study Jess Essay

1488 Words May 11th, 2015 6 Pages
Case Study 130
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 (ED) 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
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Hiding food, self induce vomiting, use of laxatives or diuretics, question #2, purging

6. What common family dynamics are associated with anorexia nervosa?
In the theory of the family as a system, psychosomatic symptoms, including anorexia nervosa, are reinforced in an effort to avoid spousal conflict. Parents deny marital conflict by defining sick child as family problem. Unhealthy family environment: members strive at all cost to maintain appearance. Control. Passive father, domineering mother, overly dependent child, perfectionism- child feels that she must satisfy standards. he child eventually begins to feel helpless and ambivalent toward the parents. In adolescence, these distorted eating patterns may represent a rebellion against the parents, viewed by the child as a means of gaining and remaining in control. The symptoms are often triggered by a stressor that the adolescent perceives as a loss of control in some aspect of his or her life.

You review her admission laboratory studies. An ECG has also been ordered.
Admission Lab Work Sodium 135 mEq/L Potassium 3.4 mEq/L Chloride 99 mEq/L BUN 18 mg/dL Creatinine 1.0 mg/dL Hemoglobin 11 g/dL
7. Which lab results might be of concern at this time? Explain your answers.
Hypokalemia is a problem. Depression, low blood pressure, dysrhythmias, weakness, and fatigue. She is at risk for falls, depression, over feed reaction, delirium, and if it goes too low, cardiac arrest. Hemoglobin is low, so…

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