Anorexia Nervosa, Case Study - 2389 Words

1. The case study. Christine is a sixteen year old girl who has severely restricted her dietary intake. She is currently forty nine kilograms and height 163cm. Her mother says she was 60kgs six months ago. In form three, at age fifteen, Christine was removed from the public school she was attending and put into a private school, where she was awarded the dux prize. She did not have any friends during this year as she spent all recesses in the library, reporting that ate alone as she ‘had no friends to eat with anyway’. Her mother says that she attends roller skating sessions up to five nights a week and believes she does this to lose weight. She is pre-occupied with food and is constantly cooking for the family. She does not sit down with†¦show more content†¦Downy hair over the body (lanugo), insomnia and early wakening are also characteristic (Wozniak, Rekleite and Roupa, 2012). 3. Key elements to recovery include patient oriented recovery, therapeutic relationships, collaboration. Reduce further deterioration and complications of the illness. The patient is admitted to a psychiatric ward when the risk of death either from suicide or physical effects of starvation is high (ASEN, 2002). During treatment, as a patient’s weight increases, anxiety and depression may return, increasing the risk of suicide (Asen, 2002). A comprehensive psychiatric assessment will be carried out including a mental state exam (MSE) and a risk assessment. Depression is assessed with Hamilton Anxiety and Depression Rating Scale or Beck as depression and anxiety are associated with AN (ANZCPG, 2004). Medication may be prescribed in the form of antidepressants such as fluoxetine; olanzapine decreases hyperactivity of AN and may reduce overvalued ideas about food, shape and weight (ANZCPG, 2004). The nurse will monitor vital signs, weight and other tests including, blood tests for deficiencies such as anaemia, electrolyte balance and cardiac function with ECG (ANZCPG, 2004). In the first stage ofShow MoreRelatedCase Study: April - Anorexia Nervosa3467 Words   |  14 PagesCase Study: April - Anorexia Nervosa XXXX Pennsylvania State University Case Study: April - Anorexia Nervosa Presenting Concerns April was a 17-year-old high school freshman who presented with severe emaciation due to self-starvation and excessive exercise. Despite being severely underweight, April indicated an intense fear of gaining weight. She bragged about how much weight she had recently lost, though she indicated that her butt was still too fat. She also reported that she was constantlyRead More The Prevalence Of Anorexia Nervosa, Bulimia Nervosa, And Binge Eating Disorder1723 Words   |  7 PagesThe Prevalence Of Anorexia Nervosa, Bulimia Nervosa, And Binge Eating Disorder How prevalent is anorexia nervosa, bulimia nervosa, and other eating disorders? Without the knowledge of research, one is likely to think eating disorders are quite prevalent in society today. 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He describes it as wasting away due to emotionalRead MoreEssay on Family Dysfunction and Anorexia: Is there a correlation?1227 Words   |  5 PagesFamily Dysfunction and Anorexia: Is there a correlation? Introduction Each year millions of people in the United States develop serious and often fatal eating disorders. More than ninety percent of those are adolescent and young women. The consequences of eating disorders are often severe--one in ten end in death from either starvation, cardiac arrest, or suicide. Due to the recent awareness of this topic, much time and money has been attributed to eating disorders. Many measures have been