1. Problem: Kara’s anorexia nervosa diagnosis (health management and maintenance and/or meal preparation)
Goal: Kara will successfully plan three meals (breakfast, lunch, and dinner) based on a healthy calorie amount for her lifestyle 3 out of 4 times with two verbal cues within one month.
Actions: Prior to this therapy intervention, I will determine the ideal daily calorie intake for Kara’s activity level and current weight. During the therapy interventions, I will first teach Kara about the food pyramid standards specified by the United States Department of Agriculture (USDA). I will provide her with several examples of what a healthy meal (breakfast, lunch, and dinner) looks like along with their nutritional values. I will then expect Kara to independently plan three meals (breakfast, lunch, and dinner) and determine each meal’s nutritional values and the importance of intaking calories as she is burning them
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Occupational therapy will provide her with information about support groups in the Cleveland, Ohio area as well as on campus. In addition, information will be provided to both her and her family about frequently traveling to grocery stores and restaurants, which can help with her recovery (The Importance of Using, n.d.). Kara will still need to see her physician for her recent hypotension, malnutrition, and amenorrhea diagnoses. In addition, it might be helpful if Kara sees a psychiatrist to uncover any underlying issues, which may have caused the anorexia and could prevent a relapse in the future. Kara should also see a dietician in order to keep her diet on track and a personal trainer to ensure she does not continue to over exercise. In addition, seeing an art or music therapist in order to relive some of the anxiety she is currently experiencing may be
In today’s society obesity has become a nationwide epidemic that is affecting children and adults daily. Dietitians have an essential role in the health field to treat patients with nutrition problems such as obesity, but every patient is different and how the dietician decides the course of treatment is as well. For example, there are many ways the dietician can treat the patient like goal setting, self-monitoring, meal preparation, and other strategic plans that lead to the best health of the patient. When making a plan to treat the patient many detailed factors come into play. For example, patients age, occupation, family history, and most importantly social environment.
The purpose of this assignment is to increase self-awareness of the student by analyzing personal nutritional intake and activity routine throughout the course. In turn, the student will be able to help others modify their diet and activity, and improve overall wellness. An examination of a personal food and activity assessment will provide the student with essential data from which to change their health and wellness behaviors.
The program helps RD’s insert their patient’s information and needs into a software that will evaluate what is best for that patient. It will tell people everything they need to be eating, give them a shopping list for the grocery store, and explain the recommended portion sizes. People will become aware of this software that can be available for them through a RD. Meal planning is important to RD’s, and this computer program gives them an opportunity to insure their patients are getting the best plan possible. People should consider this program both easily accessible and
The five day dietary assessment gave us a chance to see what the patient was consuming and how often. Five to six days a week the patient had fruits, juices, eggs, meat, fish, poultry, and vegetables other than starches during a meal time. Just as often she was having, milk, yogurt, potatoes, rice, other starches, cheese, and soda with sugar with both meals and snacks. In between meals she was enjoying cookies, cake, pies, and pastries at least three times a week, and sugar free gum every day. A few times a month the patient would have Coffee or tea with added sugar or flavorings, sports or energy drinks, and candy during both meals and snacks. Three things that she never consumes are cereals, diet soda, and gum with sugar. C.S. states she
Short-term goal – client will independently follow a 3-step dinner recipe beginning to by the end of the first therapy session.
It’s only human to wish you looked different or could fix something about yourself. But when a more serious notion with being thin takes over your eating habits, thoughts, and life, it’s a sign of an eating disorder. When you have anorexia, the desire to lose weight becomes more important than anything else. You may even lose the ability to see yourself as you truly are. Anorexia is a serious eating disorder that affects people of all ages. It can damage your health and threaten your life. But you are not alone. There’s help available when you’re ready to make a change. Everyone
The first step in the treatment of anorexia is to aid the client in adapting a more standardized eating pattern. A dietitian may intervene at this point to assist the affected person to adopt more healthy eating behaviors. The counselor's role is to gradually help the client begin to adopt a more normal eating style (Shekter-Wolfson et al 13). In all cases, however, there are six goals of any treatment process:
Eating disorders are diseases in which people have an unhealthy relationship with their food, and negative image reflecting how their body looks, such as, the fear of gaining weight. This type of body dysmorphia can lead to damaging eating habits, such as; starvation, purging, and even binging. Furthermore, there are numerous eating disorders recognized today, the most common being binge disorder, causing the affected person to eat far too much and experience pain, discomfort, and irritable bowel symptoms, bulimia which causes the affected person to purge their food through vomiting, and one of the most common eating disorders -- anorexia nervosa. (Eating Disorders, 2008) Many of these disorders can be treated in multiple ways, the most common way is through counselling with a social worker, the social worker helps develop a treatment plan for the client and aids them in their recovery.
Anorexia Nervosa is usually psychological as well as possibly an eating disorder which is life-threatening well-defined by a tremendously low body weight comparative to stature, great and needless weight loss, fear of gaining weight and distorted discernment of an individual’s self-image and body. There are several clinical factors of this eating disorder, and they are the following: the victim has a tendency of fearing his normal body weight where in this case, a person fears to be fat. In other words, the fear of normal body weight is very common in this eating disorder which is observed as a pathognomonic of the situation. In the case of Joshua, his parents should understand that he fears to get fat such that he already feels that his body
Food insecurity is the unreliable availability to consistently obtain food without resorting to socially unacceptable practices with over 14% of the people in the U.S. affected and the rate is higher among the Hispanic population (ADA, 2017). The goal for J.M. is to become more educated about diabetes mellitus and healthy food choices. Behavioral objective for J.M. would be to consult with a dietician and diabetic educator to review smart food choices, exercise and community resources which may be available to guide her in self-managing her illness. The outcome to this objective is the patient obtained the knowledge to make healthy food choices for both herself and her family evidenced by verbal understanding and loss of 1-3 lbs. within the next 6 weeks.
Sally, a 19 year old girl, has anorexia nervosa. She feels like she is rapidly gaining weight anytime she eats, so she has begun starving herself. This has caused her to lose a lot of weight, and she is a danger to herself.
The Diagnostic and Statistical Manuel of Mental Disorders 5th edition defines anorexia nervosa as an eating disorder characterized by self-starvation and excessive weight loss; it is a serious and potentially life-threatening disorder. According to the DSM 5, the typical diagnostic symptoms of anorexia nervosa are: dramatic weight loss leading to significant low body weight for the individuals age, sex, and health; preoccupation with weight; restriction of food, calories and fat; constant dieting; feeling “fat” or overweight despite weight loss and fear about gaining weight or being “fat.” Many individuals with anorexia nervosa deny feeling hungry and often avoid eating meals with others, resulting in withdrawal from usual friends and activities
When I think of anorexia, a few things come to mind. I think of really bad episodes of Beverly Hills 90210 and Baywatch in which females, ususally teenagers, starve themselves and take diet pills. The eating problem is always resolved within the timespan of one 30 minute episode. From the research I've done thus far on anorexia, I now know that this is a very unrealistic representation of what is actually a very serious disease.
Finally, we will look at possible treatments for anorexia. People that suffer can get better and gradually learn to eat normally again. Anorexia involves both mind and body. Therapy or counseling is a critical part of treating eating disorders. In many cases family therapy is one of the keys to eating healthily again. Parents and other family members are important in helping the person see that his or her
The first step to treat anorexia is to bring awareness to the problem before the condition is too severe (nytimes.com). As with many other illnesses and diseases, like alcoholism, the victim must recognize that she is a victim of the disease. The victims cannot deny their true state of suffering and must accept that help is an option for recovery. One method of treatment is nutritional rehabilitation alongside behavioral monitoring. Nutritional rehabilitation aims to reestablish the weight of the subject. Unfortunately, nutritional rehabilitation poses risks like “the refeeding syndrome, a problem of electrolyte and fluid shifts, can cause permanent disability or even death” (Mehler, Winkelman, Andersen, & Gaudiani, 2010, p. 1). Therefore, the patients’ behaviors must be monitored in order to avoid this complication (Mehler, Winkelman, Andersen, & Gaudiani, 2010, p.