Anorexia Nervosa (NCP)

ANOREXIA NERVOSA

CASE SCENARIO: Mayumi Joaquin, a 21 years of age, bor n on july 4, 1990 at Arkong Bato, V a l e n z u el el a C i t y . S h e i s t h e o n l y c h i l d o f M r . R u s t y C h a s o n J o a q u i n a n d M r s . Madhy Joaquin. She is a ramp model for two years. Durin g her early childhood, she had suffered from gastrointestinal problem. She has no family history of  heart disease and hypotension. Last friday, she collapsed and was admitte d at Fatima University Medical Center (FUMC).

Assessment

Subjective:

Diagnosis

Imbalanced  N u t r i t i o n : l e s s “Ayokong than body kumain kasi, requirement takot akong related to tumaba” as Emotional verbalized by the stress as  p a t i e n t . manifested by weight loss. Objective: 

Dehydrate d  Dry mouth  Pale color   Body mass index 18 or less  Sunken eyes  Body Malaise  Amenorrhe a  Hypotensi on  Bradypnea

Planning

After 6 months to 1 year nursing intervention, the patient will regain her normal weight.

Implementation

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Establish rapport High protein and high carbohydrate diet, serve foods the  p a t i e n t p r e f e r  in small frequent feeding Provide information about disorder  Increase selfesteem by not  b e l i e v i n g t h e  p e r f e c t i o n o f  thinness. Accompany to the bathroom to ensure that they will not self induce vomiting Stay with the client during meals Do not accept excuses to leave eating area Identify the  p a t i e n t s n o n weight related interest

Evaluation

After 6-1 year of  nursing interventio n, the  p a t i e n t regained her normal weight .

GOAL MET!