Anorexia Case Study Jess Essay - 1488 Words

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 â€Å"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, â€Å"I dont know why Im here. Theyre 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†¦show more content†¦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, soShow MoreRelatedBulemia in a 17 Year Old Girl 2028 Words   |  9 Pagesin the case study of a 17 year old girl called Jess. Jess has bulimia Jess also surfered from anorexia and she was hospitalised after her weight dropped to 6.5 stone. Jess is unsure what age she became a bulimic. Karen, Jess’s mother who is also bulimic is concerned about Jess’s Physical health and had her reviewed by a gastroenterologist. Her consultant has noticed jess is presenting with downy hair on her arms and believes this is an indication of anorexia. To fully understand Jess’s case the conditionRead MoreIs There Pressure On Girls To Have Perfect Bodies. From1826 Words   |  8 Pagespills, herbal diets, herbal cleanses, diet drinks, body wraps, waist trainers, enemas, ab challenges and weight loss spas to help women lose weight. Close to 5 percent of U.S teenage girls and young adults suffer from some form of eating disorder- anorexia, bulimia or binge eating- with some estimates placing that figure at more than twice that rate. (Today Books 3) Women get hair extensions, wigs, dyes, cuts and blow dries all in the name of beauty. Women young and old have to confirm to what societyRead MoreMarasco 10. . Depression. By. Mary Katherine Marasco. Ms.3212 Words   |  13 PagesPhysiology H 23 February 2016 Depression Depression- the most diagnosed mental illness in the world- is also the most misunderstood. Depression?a sad or discontented mood?can leave a person feeling lethargic, unmotivated, or hopeless, and in some cases ? contemplate suicide. Unfortunately, depression usually begins as high levels of anxiety and with exposure to trauma in children. Higher levels of anxiety or exposure to stress-inducing and traumatic situations as a child could mean an increased risk