Treatment Protocol for Anorexia Nervosa for Patient Lizzie

This treatment protocol entails nursing diagnosis and goals for the recovery process for anorexia nervosa for the patient. Further biological, psychosocial and social intervention for the patient has been laid as well as the expected outcomes.

Treatment protocol for Anorexia Nervosa for patient Lizzie
Name of the student:
Name of the university:
Author note:

Demographic information
The case review entails patient Lizzie, who is 24 years woman, admitted at the acute mental
health unity for her third time in the 18 months. She has a 10 year history of anxorexia
nervosa and although she has spent most of the last 10 years in and out of hospital she has
completed her university studies, she has not been able to achieve a healthy weight since she
was first diagnosed. Lizzie has been having individual psychotherapy on and off for the past
5 years and is estranged from her family. Two years ago Lizzie was sexually assaulted on the
way home from the library one night. She has been extremely unwell since that time.
Patient Case
- Eating disorder
Setting of the patient
Inpatient – the patient is admitted at the health facility.
A treatment plan for patient Lizzie
This treatment protocol entails nursing diagnosis and goals for the recovery process for
anorexia nervosa for the patient. Further biological, psychosocial and social intervention for
the patient has been laid as well as the expected outcomes.
Nursing diagnoses identified
and goals
Biological, psychological,
social intervention proposed
and rationale
Expected outcome and
evaluation approach
Goal
Improving overall nutritional
status
Nursing intervention
include;
- Supervising the patient
during meal times to
ensure compliance of
the dietary treatment
- Encouraging the intake
of liquids as it is
Biological
Application of
pharmacotherapy plan for the
patient. Administration of
Cyproheptadine is effective as
a serotonin and histamine
antagonists which is essential
for stimulating food appetite
and combat depression state.
The drug is effective as it has
no side effects.
Further administration of
antipsychotic drugs such as
Expected outcome and
evaluation tools
- The patient to
verbalize and
understand the
nutritional needs
Establishment of an
effective dietary plan
with an adequate
caloric intake which
ensures that there is the
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acceptable for the
patient more than the
solids.
(Bodell et al, 2014)
chlorpromazine. This drug
promoters improved weight
gain and ensure cooperation
for the psychotherapeutic
program.
(Hay et al, 2014)
maintenance of the
required body weight
gain.
(Bodell et al, 2014)
Tools
- Good body mass index
- Stable weight gain
- -positive score on
appetite scale
Nursing diagnoses identified
and goals
Goal
Improved low self-esteem
Nursing diagnosis
The patient has chronic self-
esteem with prolong period of
negative self-image, feelings
and capabilities.
The underlying diagnosis is
linked to distort ted body
image, expression of being
powerless to make changes
and overcoming of shame
Psychological
Psychological nursing
intervention for this patient
includes allowing the patient
to draw self-picture.
Encouraging personal
development through personal
grooming and make.
Changing body image through
changing thin clothes and
wearing appropriate clothes as
a result of weight gain.
Offering assistance to the
patient in confronting body
changes as to pertaining to
encountered sexual fears and
providing sex education on
recovery from past trauma.
Establishing a therapeutic
nurse-patient relationship and
Expected outcome and
evaluation tools
Expected outcomes for the
patient include the
establishment of realistic body
image, self-acknowledgment
as an individual and accepting
responsibility for personal
actions
These aspects will evaluate
through positive body image
Assesment, expression of
shame and guilt and
expression of little concern
and denial statements.
Tools
- 5-item "self-
enhancement"
dimension
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promoting self-concept
through moral judgment
approaches.
(Zainal et al, 2016)
- 5-item "self-
deprecation"
dimension
Nursing diagnoses identified
and goals
Goal
Ensuring guaranteed Family
support
Diagnosis
Family therapy
- Encouraging and
linking with the family
support is key to
ensure removal of
isolation.
Social
Exposing the patient to the
family support systems is key
in ensuring that adequate care
is achieved and the support
system is provided.
Further care support by
caregivers at her social and
personal cycles goes a long
way in ensuring that the
patient recovers from anorexia
nervosa.
Patients with anorexia nervosa
such patient Lizzie can have
poor interpersonal
relationships which affect
their well being and social
status.
(Pisetsky, Utzinger &
Peterson, 2016)
Expected outcome and
evaluation tools
Expected outcomes of this
intervention are geared
towards the patient having
positive social life and being
able to communicate well with
other persons close to her
environment.
Close family support ensures
that other members of the
family can offer support when
the symptoms of anorexia
nervosa are hazardous.
Key screening tools in this
category include conducting
self-assessment questionnaire
tool which gauges on the
social aspect of the patient and
how she relates with her close
acquaintances.
Rationale for interventions
Anorexia nervosa is a devastating eating disorder which causes impairment and
disability to the quality of life. It is one of the common psychiatric disorder affecting patients.
Health impacts are diverse and affect the patients negatively thus having direct mental and
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physical health effects. Assessment and early diagnosis are key in managing the effects of
anorexia nervosa.
A biological intervention of anorexia nervosa entails appropriate setting for
psychological and physical management. Many victims of anorexia nervosa often find it hard
to acknowledge that they have a serious problem, this leads to reluctance to engage in the
early treatment process, whereas condition for successful recovery is adherence to successful
treatment plans for the patient, (Dooley et al, 2012).
Offering psychological treatment to the patient ensures that there are weight gain and
adoption of healthy eating patterns which aim to reduce eating disorder symptoms and
enabling psychology recovery process. For eating disorders to be effective, the treatment plan
must align to the required levels of care. Among patients with an enduring psychological
treatment plan, there is need to ensure modest goals of treatment are put in place which
ensures that the patient recovers well with an aim of improving quality of life, (Knowles,
Anokhina & Serpell, 2012).
Administration of Cycloheptadaine to the patient ensures that the histamine antagonist
offers appetite stimulation and lowers food preoccupation and mitigates depression.
Social intervention to the patient allows for self-opportunity to focus and discussion of
patient perception on the disease progress and self-image view. There is a need to also
encourage the patients to have an enhanced personal appearance which offers help to self-
esteem ad image outlook. Improvement of the choice of clothes for the patient ensures that an
incentive not to lose weight is enhanced. Further it improves the sense of self-worth on the
patient, (Collu et al, 2016).
Due to the current of sexual history of the patient, offering sexual education and
counseling is key in curbing prolong post-traumatic stress which might be linked to anorexia
nervosa. Ensuring that the patient doesn't feel powerless and loss of control is key in
promoting self-worth and ability, (Zipfel et al, 2015).
Conclusion
The treatment plan for Patient Lizzie entails a critical review of service setting and
offering psychological, biological and social management approach towards care delivery.
For the patient psychological treatment is of the essence as it could be the enabling factor and
impediment to the recovery process. Offering nutritional support through nursing care
support system is crucial in ensuring that the patient walks on a recovery plan effectively.
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