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Health, Medicine, Nursing
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Essay
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English (U.S.)
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A Case of Eating Disorder (Essay Sample)

Instructions:

THE TASK
Imagine yourself in the role of a Nutrition Counselor and Josephine in your client. Josephine is a 20-year-old female who is present for an eating disorder not otherwise specified. She currently teaches salsa lessons at the community college and is in her last semester of college. She reports she is living at home and the food her mom prepares is not the healthiest because her mom is from Honduras and her father is from Guatemala, so the food is prepared differently. She indicates she has been thin all her life, although she has struggled to maintain her weight since puberty. Since she is a dance instructor, she has to remain fit. She reports she feels very guilty if she has consumed fried foods during the day, but since that is the way her mom primarily cooks, she feels awful to tell her mom to stop cooking that way. She reports if she does consume too much fried foods or junk food, she will run at least 2-3 miles that day or else force herself to vomit, but all the food does not come out. She reports sometimes if she has a later class, she will not eat dinner or only eat 1 meal per day. She has tried counting calories, but then she gets so mad at herself for having more than 1200 calories it causes her to exercise more, which then leads her to feeling exhausted. She indicates she is on no medication, but does take a multivitamin when she remembers. She indicates she has gone from 110 pounds to 125 pounds over 5 years and wants to be back down to 110 or even less. She also had gone to the doctor and he was quite concerned with her lab values. She has provided you a 24 hour meal record:
Breakfast:
1-6 corn tortilla
0.5 cup fried beans cooked with peppers, onions and oil
0.5 cup rice
1 cup no sugar added orange juice
Lunch:
1 slice of whole wheat bread
2 slices turkey
1 small apple
Dinner:
2- 6 tortillas
Beef with onions, peppers cooked in oil
Tomato, onion, pepper salad (made with oil and lime juice)
2 cups of rice
Height: 52 Weight: 117 pounds (based on your scale in the office)
Labs:
Test Result Reference Units
Albumin (visceral protein stores) 3.3 g/dL 3.5-4.8 g/dL
Sodium 133 mEq/L 136-145 mEq/L
Potassium 3.8 mEq/L 3.5-5.2 mEq/L
Iron 0.4 mg/dL 0.6-1.1 mg/dL
Vitamin B12 185 pg/mL 200-835 pg/mL
Questions for Unit 9:
Documentation needs to be completed at each nutrition counseling session. What information needs to be documented and kept in Josephines medical record?
Can we provide Josephines health and nutrition information to another health professional? Why or Why not?
In order for Josephine to continue to follow up, how do we address payment and reimbursement?
What motivational techniques would you use to motivate Josephine to continue making progress?
It is important to ensure Josephine is progressing through each counseling session. Answer the following questions regarding Josephines progress:
How often would you schedule follow-up sessions with Josephine?
What type of information would you like to collect at the follow-up appointments?
How would you assess her previously set goals?
Identify any obstacles which could impede her success at achieving these goals. How would you help her get beyond these obstacles?
WHAT THE SAMPLE IS ABOUT
I POSE AS A NUTRITION COUNSELLOR, AND AM SUPPOSED TO HELP JOSPHINE(MY CLIENT) PROFESSIONALLY. THE SAMPLE PROVIDES INFORMATION ON THE MOTIVATIONAL TECHNIQUES I AM SUPPOSED TO USE, THE INFORMATION THAT NEEDS TO BE RECORDED, ADDRESSING OF PAYMENT AND REIMBURSEMENT IN ORDER FOR JOSEPHINE TO CONTINUE FOLLOW UP. IT GOES FURTHER TO PROVIDE INFORMATION ON HOW I WILL ENSURE JOSEPHINE IS PROGRESSING.

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Content:

A Case of Eating Disorder
Name
Supervisor
Institution
A Case of Eating Disorder
Information that needs to be documented and kept in Josephine’s medical record include she’s 20 years of age, has an eating disorder, and that she has been thin all her life. Other vital information that needs to be recorded include: that upon eating fried food she run’s 2-3 miles or force herself to vomit; if she has classes later in the day she does not eat dinner or she goes ahead to eat one meal per day; upon counting her calories and realizes that she has more than 1200 calories, she gets mad and ends up exercising more thus being exhausted, and that she has only gained 25 pounds over a span of 5 years(110-125 pounds), and yet she wants to get back to having 110 pounds or less.
Josephine’s health and nutritional information could be provided to health professional particularly a mental health expert who may be able to determine what might be the reasons as to why she might be having an unhealthy attitude about food. Upon realizing this, the mental health professional might go ahead to determine what is the best therapy that might be offered to Josephine that will enable her to make progress when it comes to eating habits.
There are some motivational techniques that the nutritional counsellor may use including; listening to the client and allowing her to express herself fully without many interruptions. The nutritional counsellor should go ahead to identify the client’s positives and strengths and capitalize on them, in Josephine’s case the counsellor should acknowledge that Josephine takes multivitamins and encourage her to continue doing do. The counsellor goes further and lets the client set her goals including the number of calories that they wish to be taking and the amount of weight they would wish to add. The counsellor then collaborates with the client and comes up with ways that will enable the client to achieve his goals ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "DOI" : "10.1016/S0140-6736(09)61748-7", "ISBN" : "1474-547X", "ISSN" : "1474-547X", "PMID" : "19931176", "abstract" : "This Seminar adds to the previous Lancet Seminar about eating disorders, published in 2003, with an emphasis on the biological contributions to illness onset and maintenance. The diagnostic criteria are in the process of review, and the probable four new categories are: anorexia nervosa, bulimia nervosa, binge eating disorder, and eating disorder not otherwise specified. These categories will also be broader than they were previously, which will affect the population prevalence; the present lifetime prevalence of all eating disorders is about 5%. Eating disorders can be associated with profound and protracted physical and psychosocial morbidity. The causal factors underpinning eating disorders have been clarified by understanding about the central control of appetite. Cultural, social, and interpersonal elements can trigger onset, and changes in neural networks can sustain the illness. Overall, apart from studies reporting pharmacological treatments for binge eating disorder, advances in treatment for adults have been scarce, other than interest in new forms of treatment delivery.", "author" : [ { "dropping-particle" : "", "family" : "Treasure", "given" : "Janet", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Claudino", "given" : "Ang\u00e9lica M", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Zucker", "given" : "Nancy", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ], "container-title" : "Lancet", "id" : "ITEM-1", "issue" : "9714", "issued" : { "date-parts" : [ [ "2010" ] ] }, "page" : "583-593", "title" : "Eating disorders.", "type" : "article-journal", "volume" : "375" }, "uris" : [ "/documents/?uuid=4bd02bcd-6df7-447d-9b20-6d4390340b2b", "/documents/?uuid=a9cfda78-f96e-4ceb-a17a-7688fdecdf2d" ] } ], "mendeley" : { "formattedCitation" : "(Treasure, Claudino, & Zucker, 2010)", "plainTextFormattedCitation" : "(Treasure, Claudino, & Zucker, 2010)", "previouslyFormattedCitation" : "(Treasure, Claudino, & Zucker, 2010)" }, "properties" : { "noteIndex" : 0 }, "schema" : "https://github.com/citation-style-language/schema/raw/master/csl-citation.json" }(Treasure, Claudino, & Zucker, 2010). The counsellor should go ahead to point out the clients’ progress every time they meet up.
Schedules should be convenient to the client. At least three sessions per week for the first eight weeks, two sessions for the next seven weeks and one session for the last five sessions of the twenty-session schedule. Some of the information that can be collected during follow-ups include how many calories the client is eating per day, the client’s weight, the number of vomiting episodes and the number of meals the client is consuming on the daily basis.
The previously set goals can be assessed by putting the current performance alongside the set goals. This will enable the counselor to gauge accurately if there is any progress that is being made, whether the client is improving or regressing. It is from this information that the counsellor will collaborate with the client in coming up with new measures that will enable the client to achieve her goals quicker. For example if Josephine set a goal of eating a certain amount calories say 1400 calories per day, but she ends up eating less...
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