Anorexia nervosa is an eating disorder characterized by refusal to maintain a healthy body weight and an obsessive fear of gaining weight. It is often coupled with a distorted self image which may be maintained by various cognitive biases that alter how the affected individual evaluates and thinks about her or his body, food and eating. Persons with anorexia nervosa continue to feel hunger, but deny themselves all but very small quantities of food. The average caloric intake of a person with anorexia nervosa is 600-800 calories per day, but there are extreme cases of complete self-starvation. It is a serious mental illness with a high incidence of comorbidity and the highest mortality rate of any psychiatric disorder.
Anorexia most often has its onset in adolescence and is most prevalent among adolescent girls. However, it can affect men and women of any age, race, and socioeconomic and cultural background. Anorexia nervosa occurs in females 10 times more than in males.
(wikipedia)
Nursing Care Plan for Anorexia Nervosa
NCP for Anorexia Nervosa
Assessment and collection of data
- record inadequate nutrition
- record the weight loss of 15% below normal, or more
- examine skin turgor
- leg muscle strength
- amenorrhea
- electrolyte imbalance
- dental erosion
Examination information:
- anemia
- electrolyte imbalance
- electrocardiogram
Nursing diagnosis, planning, and implementation
Imbalances nutrition: less than body requirements related to inadequate intake, vomiting
Expected outcome : diet according to individual body weight.
- monitoring of patient weight
- monitoring vital signs and laboratory
- increase patient confidence
- give eat little but often
Body image disorders associated with psychosocial and cognitive changes
Expected outcome: patients verbally expressed satisfaction with the body.
- review and document verbal and nonverbal responses
- listen to patients and bring to reality
- monitor the expression of negative patient and document patient's verbal and nonverbal
- examine the need referral to counseling and social services
- give an award verbally
Evaluation
- Patients receive the appropriate weight
- patients satisfied with her body
- patients to assess the positive effect in the body.