Case Study and Analysis (Eating Disorder)

This case study and analysis focuses on a patient suffering from an eating disorder, specifically anorexia nervosa. It provides a description of the situation and background, discusses the people involved, identifies the problems and solutions, and outlines the implementation of those solutions. The nurse's role in the patient's recovery is also highlighted, along with legal and ethical principles, cultural competency, and teaching and learning principles.

Running head: Case Study and Analysis (Eating Disorder)
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Case Study and Analysis (Eating Disorder)
STUDENTS NAME:
2/1/2019

Case Study and Analysis (Eating Disorder) 1
Contents
Part 1: The Case Study (Eating disorder)...................................................................................2
Description of situation and background................................................................................2
People involved......................................................................................................................3
Part 2: The Case Study Analysis................................................................................................4
Problems.................................................................................................................................4
Solutions.................................................................................................................................4
Implementation of Solutions..................................................................................................4
What I must do as a nurse.......................................................................................................4
Communication and therapeutic nurse-client relationship.....................................................5
Legal and ethical principles related to mental health.............................................................5
Ethical Principals................................................................................................................5
Legal Principals..................................................................................................................5
Cultural competency related to mental health nursing...........................................................5
Teaching and learning principles and health promotion to the mental health client and
family......................................................................................................................................5
Nursing process and nursing Metaparadigm..........................................................................6
Bibliography...............................................................................................................................6

Case Study and Analysis (Eating Disorder) 2
Part 1: The Case Study (Eating disorder)
Description of situation and background
The name used as the name of the patient here is Rose. This is a pseudo name and is
used here for the case study in order to maintain the privacy and protect personal information
of the patient according to Privacy Act. Rose is a 19-year-old girl who is suffering from
Anorexia nervosa. She was a healthy child in the past with normal bodyweight according to
her age. Being a teenager, she was always attracted to the idea of achieving a slim model like
physic and failed to accept the natural flaws that her body had. When she turned 17 she
started to gain a little extra body fat around her tummy but was still healthy and had a healthy
BMI and weight but due to the obsession of wanting to look thin and perfect she started to eat
less. Her parents at first did not take the situation quite seriously and thought she will get over
it herself and has changes in emotions due to the sensitivity of her brain in t6he age that she is
but the situations gradually started to worsen and her health disoriented drastically. Her
weight significantly reduced in a year making her look devoid of any body fat at all other
symptoms such as anxiety, insomnia, checking herself consistently in front of the mirror,
weighing herself, eating as less as possible etc. started to appear. Even after her body was at
the stage of malnutrition and under-weight she continued to complain about being fat and that
is when her parents became aware of how critical her condition actually is. She was rushed to
the hospital almost 6 months ago after she fainted after not eating for almost 4 days and
dehydration from not consuming any water for 2 days.
After being rushed to the hospital direct nutrition in the form of intra-vinous
injections and oral medicines were given to her to avoid worsening of her situation. She was
continuously kept under heavy medical dosage and was encouraged to eat a healthy filling

Case Study and Analysis (Eating Disorder) 3
diet. The heavy medical dosage was impacting her body in a wrong way and thus natural
food intake was becoming more and more essential to adopt for any chance of recovery but
she refused to consume any food at all even after hours of forcing by parents, nurses, doctors
and care takers.
After her treatment was carried out for 2 months and not a lot of recovery was witnessed I
was given the responsibility to dedicate all my time on her and take care of her. I made a plan
in order to follow to ensure that I have a rigid set of guidelines that will guide me to take care
of my patient to ensure her fast and effective recovery. My plan was as follows:
 Check her physical stats every day first thing in the morning and organise regular
doctor visits to ensure she is under check all the time so that any risk that might come
is avoided.
 Be very regular in providing her medicines and ensure that they are given in the
correct dosage that is prescribed by the doctor.
 Educate her about her sickness and tell her why it is so essential for her to recover and
teach her how to take care of herself.
 Help her perform day-to-day activities such as using the washroom, eating, bathing
etc.
 As her disease has the involvement of psychological wellbeing as well I planned on
being a friend to her and encourage her to love herself the way she was in order to
encourage her to work hard on becoming healthy and embracing her flaws as a sign of
beauty and not something that takes away from her beauty.
 Plan a defined diet chart for her to be followed strictly that will involve food that is
rich in all nutrients in order to help her physical health recover. Feed her 6 times a day
and encourage her to eat the amount that her body needs. Take help of a dietician in
formulating the diet.

Case Study and Analysis (Eating Disorder) 4
 Educate her about her diet and tell her how the intake of the nutrient rich food is
essential.
 Educate her about the fact that a healthy body is a beautiful body and the flaws are
what makes a person unique and beautiful.
 Do my best in curing her mentally by conducting regular psychologist visit and
promote happiness by creation of a friendly scenario.
 Take her on walks every evening so that she gets in the mild exercise that her body
requires in order to be healthy.
 Keep a checklist and record to measure and keep note of her progress.
 Indulge in positive activities such as socialising with people more, watching positive
movies, reading positive books etc.
 Continuously inform her parents about her recovery and help and guide them about
their role in the entire process.
I followed all these and the recovery was evident. Rose gained accurate amount of weight
in the timespan of 6 months and drastically recovered.
The positive outcomes of following this plan were
 She became happier and learned to accept her body and love it.
 Becoming a friend to her encouraged her to share her feeling with me, which helped
me to take care of her in order to cure her sickness.
 Her eating patterns gradually became uniform and adequate and she was no longer
dreading the idea of consuming food.
 She also became more aware of her health and became determined to eat nutrient rich
food and exercise regularly in order to be happy and healthy.

Case Study and Analysis (Eating Disorder) 5
 Doctors were shocked to witness this drastic progress and soon her medication was
reduced.
 Her hunger levels also became normal that encouraged her to eat more and healthy.
 Establishing a personal bond with my patient helped me to understand her case and
take care of her in way that resulted in fast and effective recovery.
 The formation of this personal bond also encouraged her to get motivated to take
actions and listen to the care providers in order to work towards the betterment of her
own health.
People involved
People that were involved in this intervention were:
 Doctors
 Parents
 Nurse (me)
 Psychologist
 Dietician
 Friends
 Relatives
Part 2: The Case Study Analysis
What occurred and why?
Rose was suffering from Anorexia nervosa, which is an eating disorder that is
characterized by extremely low body weight along with an extreme fear of weight gain

Case Study and Analysis (Eating Disorder) 6
(Treasure & Alexander, 2013). People who suffer from anorexia put a lot of effort in
controlling their body weight and shape and for that, they use methods that causes threat to
their life. She is a teenager and alike many other girls of her age she became obsessed with
skinny perfect appearance (Stice, Rohde, Gau, & Shaw, 2009). She became terrified of the
idea of putting on any weight and failed to accept any flaw in her body as a result of which
she started to restrict her diet so much that it became ultimately life threatening for her
causing extreme weight-loss, weakness and malnutrition. In this case I was appointed as her
nurse to help with her recovery and with the help of proper medication, mental support and
regular nutrient rich diet I was successful in helping her recover very quickly and efficiently.
Problems
 It was extremely difficult to feed her as she is a grown up and caretakers were not
capable of forcing her to eat (Lock, et al., 2011).
 Medications were given to her to ensure that risks are avoided but due to her weak
physic and malnourished body, the medications were prone to show side effects.
 She refused to display her emotions and share feeling with anyone, which made the
process of treatment quite hard.
Solutions
 Educate her about why it is important for her to eat.
 Make a diet chart for her that will fulfil the nutrient requirements of her body.
 Give her psychological treatment to provide professional level emotional help in order
to encourage her to be more expressive of her emotions.
Implementation of Solutions
 A talk session can be held in the form a lesson to show the patient the importance of
eating.

Case Study and Analysis (Eating Disorder) 7
 Consulting a dietician to make a customised diet chart (Ozier & Henry, 2011).
 Fixing up a psychologist visit for emotional counselling
What I must do as a nurse
 Write down points about importance of eating adequately and list of points to
highlight the dreadful effects of not eating and address this to Rose in a manner that it
motivates her to eat adequately.
 Telling the dietician about Rose’s preferences in eating and all the analytics of her
physical health stats to help her in creating the diet chart and actively feeding Rose
according to it punctually
 Being with Rose while Psychologist visits to encourage her to speak what on her mind
and further inform about her mental being to the psychologist about facts she herself
fails to tell.
Communication and therapeutic nurse-client relationship
Nurses are supposed to utilise many kinds of effective communication strategies
along with interpersonal skills to appropriately develop, maintain, terminate and re-establish
the nurse-client relationship (Mathias & Pullen, 2010). This relationship encourages the
patients to share emotions and feeling that are important for the nurse to know about in order
to formulate compatible method of treatment for that particular patient (Ontario, 2019). In
this case it was important to bond with Rose as to encourage her to love her body and eat
properly.
Legal and ethical principles related to mental health
Ethical Principals
 Beneficence: benefit others

Case Study and Analysis (Eating Disorder) 8
 Autonomy: respecting others right to take decisions ( NGUI, KHASAKHALA,
NDETEI, & ROBERTS, 2010)
 Justice: distribute resources equally
 Fidelity: commitment and loyalty to patient
 Veracity: communicate truthfully (Sriram, 2006)
Legal Principals
 Civil Rights and Due Process
 Admission to the Hospital- Voluntary, Involuntary, Emergency, Temporary
All rights related to admission must be obeyed.
 Patients’ rights- Right to treatment, Right to refuse treatment, Right to informed
consent must be obliged to (WHO, 2019).
 Patient Confidentiality must be maintained.
Cultural competency related to mental health nursing
It is the responsibility of a nurse to treat any patient equally irrespective of their
cultural background and provide them with equal amount of care and support to ensure fast
and efficient recovery ( Monteiro & Fernandes, 2016). While treatment of a patient only the
extent of their sickness comes as a criterion to be considered on formulating plans for their
treatment in order to ensure that it is compatible and beneficial to them ( Nardi, Waite, &
Killian, 2012).
Teaching and learning principles and health promotion to the mental health client and
family
A nurse is responsible to educate properly the patient as well as his/her family about
their sickness in detail so that they are all well aware of the patient’s condition to encourage

Case Study and Analysis (Eating Disorder) 9
proper knowledge of treatment that will help them perform their roles actively in the process
in order to ensure fast and efficient recovery. The family of the patient often becomes sad and
disheartened when they see their beloveds in that condition so as a nurse I am responsible to
support them emotionally in order to encourage them to be strong enough to perform their
role in the process of treatment and recovery efficiently.
Nursing process and nursing Metaparadigm
Metaparadigms of nursing comprises of:
 Person: The patient to whom the care is provided. This might include components like
a person's culture, spirituality, friends and family or their socioeconomic status as
well (BRANCH, DEAK, HINER, & HOLZWART , 2019).
 Environment: This includes both external as well as internal factors associated to the
patient. This can include interactions of patients with visitors and their surroundings
(Thompson, 2019).
 Health: This refers to the wellness and quality of the patient. It includes the patients
access to health care ( Nikfarid, Hekmat, Vedad, & Rajabi, 2018).
 Nursing: This refers to the nurse and his/her ability to apply his/her skills and
knowledge and his/her attributes (Francis, 2017).
It is important for nurses to apply all these metaparadigms to their nursing process while they
take care of a patient in order to address patient care as a whole (Dupree, 2019).
Bibliography

Case Study and Analysis (Eating Disorder) 10
Monteiro, A. P., & Fernandes, A. B. (2016). Cultural competence in mental health nursing:
validity and internal consistency of the Portuguese version of the multicultural mental
health awareness scale—MMHAS. BMC Psychiatry, 16(149).
Nardi, D., Waite, R., & Killian, P. (2012). Journal of Psychosocial Nursing and Mental
Health Services. Establishing Standards for Culturally Competent Mental Health
Care, 50(7), 3-5.
NGUI, E. M., KHASAKHALA, L., NDETEI, D., & ROBERTS, L. W. (2010). Mental
disorders, health inequalities and ethics: A global perspective. Int Rev Psychiatry,
22(3), 235–244.
Nikfarid, L., Hekmat, N., Vedad, A., & Rajabi, A. (2018). The main nursing metaparadigm
concepts in human caring theory and Persian mysticism: a comparative study. Journal
of Medical ethics and History of medicine, 11(6).
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Metaparadigms . Nursing, 124- 131.
Dupree, D. (2019). Four Basic Metaparadigm Concepts in Nursing. Retrieved February 1,
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metaparadigm-concepts-in-nursing
Francis, I. (2017). Nursing Informatics and the Metaparadigms of Nursing. Online Journal of
Nursing Informatics, 21(1).
Lock, J., Brandt , H., Woodside, B., Agras, S., Halmi , W. K., Johnson, C., et al. (2011).
Challenges in conducting a multi‐site randomized clinical trial comparing treatments
for adolescent anorexia nervosa. International Journal of Eating Disorder, 45(2),
202-213.

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Mathias, T., & Pullen, R. L. (2010). Fostering therapeutic nurse-patient relationships.
Nursing Made Incredibly Easy!, 8(3), 4.
Ontario, C. o. (2019). Therapeutic Nurse-Client Relationship, Revised 2006. Retrieved
February 1, 2019, from Practice Standard:
http://www.cno.org/globalassets/docs/prac/41033_therapeutic.pdf
Ozier, A. D., & Henry, B. W. (2011). Position of the American Dietetic Association:
Nutrition Intervention in the Treatment of Eating Disorders. Journal of the American
Dietetic Association, 111(8), 1236-1241.
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Stice, E., Rohde, P., Gau, J., & Shaw, H. (2009). An effectiveness trial of a dissonance-based
eating disorder prevention program for high-risk adolescent girls. Journal of
Consulting and Clinical Psychology, 77(5), 825-834.
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from Nursing Education Expert: https://nursingeducationexpert.com/metaparadigm/
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Families and Friends. London: Routledge.
WHO. (2019). MENTAL HEALTH CARE LAW: TEN BASIC. Retrieved February 1, 2019,
from WHO: https://www.who.int/mental_health/media/en/75.pdf

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