Behavior Observations : Ms. Kristie Anthony

Behavior observations: Ms. Evetta Stowers was a well-dressed 57-year-old African-American female who presented for interview and testing in a timely manner. She reported to be 5 '6" tall weighing 247 pounds. Her speech was clear, logical and goal directed. Mood was bright with congruent affect. Ms. Stowers maintained good eye contact. She was oriented and alert. There was no indication of significant depression, anxiety, hallucinations, delusions or thought disorder. She seem to have good awareness to make positive changes in her life for weight management.

Shelly is a 25-year-old Caucasian female who self-admitted herself for treatment. During the intake process, she described a plan to commit suicide. She has a feeding tube in place and is fearful of becoming over weight. In addition, she has a distorted view of herself image. Shelly has a marked interference with eating and suffers from lack of adequate daily nutritional requirements.

Keeping in mind that she has always strove for perfection, some irrational thoughts and psychological symptoms have developed concerning her standards for both food consumption and weight. These irrational fears have led her to believe that food is bad, and since she is terribly scared of getting fat, she finds fulfillment by abiding by her restrictive diet and maintaining her abnormal weight by restricting food and using laxatives when necessary to avoid weight gain. It’s easy to see that Joan has developed an obsession with both food and her weight that has taken over her life. All of these psychological symptoms have also caused some social symptoms which have negatively impacted her relationships, mainly stemming from concern of friends and family which usually result in arguments about eating. Joan’s physiological systems are also reflecting concerning symptoms such as dry, inelastic skin, liver problems, unhealthy hair, dizziness, amenorrhea, and of course, excessive

The pressure to lose weight in today’s society inhibits the personality and health of overweight people while essentially increasing the weight of the people who experience these pressures (Worley 163-167). So reasons Mary Ray Worley in her article, “Fat and Happy: In Defense of Fat Acceptance.” Worley uses her personal experience as well as a small number of facts to dispute the reason overweight people struggle as they attempt to contribute to society (163-167). In the beginning of her article she references an association of which she is a member, the National Association to Advance Fat Acceptance, to convey the possibilities to advance society when judgement based on size is abandoned (163-164). The association holds a conference every year, and Worley continually refers to the atmosphere at the convention as “another planet,” suggesting that the scarcity of judgment during the convention differed significantly from her everyday experiences (163-164, 167). Applying her encounters to all people of her weight category, she declares that even doctors blame the majority of sicknesses on weight (165). She also proclaims that people should not diet and exercise in order to lose weight, as this triggers loss of motivation without results, but to improve their attitude and mood (166). Referencing Dr. Diane Budd from the convention, she states that attempts to lose weight cause “lasting harmful effects on one’s appetite, metabolism, and self-esteem” (164). While Worley’s

Obesity is a developing issue in the U.S. today, principally created by physical latency and indulging. Along these lines, an increment in body weight can likewise be brought about by mental elements, innate qualities, using certain pharmaceutical furthermore through a man 's conduct and culture. America is among the wealthiest nations on the planet also, the fattest country and our stout rears are the objects of jokes in other lands (Klein 28). This developing pattern remains a noteworthy worry as heftiness influences an individual 's condition of prosperity, therapeutic services costs, efficiency levels and social criticism (U.S. Bureau of Health). Weight is an incessant condition characterized by having an abundance measure of muscle to fat ratio ratios. Grown-ups above 35 years of age are thought to be stout if their body mass record is 30. Then again, youngsters are viewed as overweight, on the off chance that they have a body mass list more noteworthy than or equivalent to the 95th percentile for their age (Bell). Be that as it may, a few people wind up being wrongly sorted as large or overweight (Sturm, 2002). As per a report in the Journal of the American Medical Association, around 60 million individuals in the United States weigh more than 25 percent of their body 's optimal weight. The article "Fat Times" states, "If this were about tuberculosis, it would be called a pestilence" (Elmer-Dewit 58).

In today’s society mental health has become something that is much more known to individuals and their families. Mental health is something that is as serious as a physical illness but it is still feared and misunderstood by many people including those who are diagnosed with mental illness (Stuart, 2012). Though you cannot see mental illness physically it inside the body and mind and can do just as much damage, if not more. There are many forms of mental illness that include; anxiety disorders, depression, bipolar, schizophrenia, eating

At the present time, the patient has two of the risk factors for heart disease, genetic predisposition, and obesity. The first risk factor, genetic disposition, is non-modifiable, however, the second, obesity, is a modifiable risk factor. The nursing diagnosis that can be applied in this situation is imbalanced nutrition: more that body requirements, evidenced by weight is more than 20% over ideal for height and frame, triceps skinfold >25mm in women and, sedentary lifestyle. The desired outcome for this individual is to demonstrate a change in eating patterns to attain desirable body weight with optimal maintenance of health, as well as to initiate and maintain an individually appropriate exercise program. Nursing interventions for this client should be (1) determine client’s desire to lose weight, (2) review usual daily caloric intake and dietary choices, (3) establish a realistic weight-reduction plan with the client, (4) encourage client to maintain a food diary that includes when and where eating takes place and the circumstances and feelings around which the food was eaten, and (5) refer to dietitian or weight management program (Doenges, Moorhouse, & Murr,

Anna is a 30-year-old mother of Latino descent, who is a single mother of her daughter Elizabeth. Anna's husband and Elizabeth's father, John, was an officer in the U.S. Army, John died in the line of duty when Elizabeth was six. Anna and Elizabeth live in Rogers Arkansas, in a small two bedroom home. Anna is a single parent and works full-time as a Librarian. Anna depends on John's parents for help with Elizabeth, due to the face that Anna's family lives’ in Mexico. Anna has noticed some concerning behaviors about her daughter and has decided to take her to the local pediatrician, Dr. Johnson.

It is clear that Miss E has low self-esteem, feeling of uncertainty, and need of love. As therapist our first task should be to boost her ego, self-esteem and confidence in order to ensure that her treatment for losing weight will succeed. Now let’s look into how to design a treatment plan for Miss E’s issues. To begin with, I would have to look at all information

Observations: Mrs. R is a wife, retired, and mother of two daughters. she is obese (160 lbs) and relatively short (4 ft. 7 inches). She dressed casually in relaxed pants and a loose fitting hoodie. She has a hard time getting up and walking around. In addition, back pain limits her mobility

The use of a cognitive therapy approach makes it feasible to directly explore and question common assumptions about the importance of weight and shape. Having aired these assumptions, clients can decide whether they wish to continue to espouse them, modify them, or replace them with alternative ones.

Behavioral Observations: Ms. Estala’s parents had an initial intake with Frank Emmett, PhD., and Ms. Estala had three assessment sessions with Dylan Dimock.

As Brandy got into Oklahoma State University, she lost control of her disorder. She no longer had any normal eating habits. She is becoming quite miserable with herself, despite appearing to be thriving in everything she attempts at Oklahoma State. Her disorder has caused her to become susceptible to social pressures of thinness. She has finally sought

1. As described in the case study, Maria’s eating can be described as someone diagnosed with relative energy deficiency in sports (RED-S). Moreover, Maria’s eating behaviors describes her as having relative energy deficiency because her energy output exceeds her energy input, meaning that she is consuming an inadequate amount of energy to support the range of body functions involved in optimal health. Furthermore, some physical symptoms of relative energy deficiency that she presents are fatigue, lack of concentration, and dry skin, which match some of the criteria for energy deficiency in RED-S. Further, she is also showing signs of increased concern about eating healthy, and her body weight, which has caused Maria to isolate herself from other people whenever she eats and experiment with restrictive eating. In addition, another indicator that suggests Maria has relative energy deficiency is that her blood pressure is low, which is an indication of low blood glucose levels because of not enough glucose being provided through the diet to give rise to blood glucose levels.. As well as low blood pressure, the fact that Maria used to have anorexia nervosa, is another reason that she can possibly have RED-S even though she recovered from it. Previously having anorexia nervosa increases her chances of having RED-S even more because she can possibly fall into old habits again.

At the outset of treatment, the patient and health care provider should discuss and agree upon goals. The goals must take into account the food habits, exercise behaviors, psychological outlook and support systems of the individual. Realistic expectations, short- and long-term, may be promoted by a discussion of a healthy weight versus an ideal body weight. Features of weight management