Case Study One
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University Of Arizona *
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432
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Health Science
Date
Feb 20, 2024
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4
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THE UNIVERSITY OF ARIZONA COLLEGE OF AGRICULTURE & LIFE SCIENCES AQ Nutritional Sciences & Wellness NSC 432/532 Case Study One 45 pts Case Scenario: CJ 1s a 15 years old male, pronouns they/them. CJ was recommended to see a therapist and dietitian because they are starting to have negative experiences with eating meals and their mom is worried. Mom is a nurse and used to bake a lot with CJ. Now CJ won’t eat any of the baked goods they make. CJ reports not being hungry and is worried about summer coming up because they don’t want to wear a swimsuit. CJ is also starting to skip snacks and lunch while at school, which they have disclosed to the dietitian, but this is news to mom. Mom and dad have recently separated and Mom 1s worried since CJ seems depressed. CJ does sit ups before going to bed every night and gets stressed out if they are not allowed to. They have also recently changed schools due to “behavior issues.” CJ has lost weight per mom, mom predicts this is about 201bs in the past 5 months, and this is from what the pediatrician had told her. CJ also used to be interested in sports but has recently not had the energy to complete activities and is occasionally fainting while at school. Additional information: Labs are all within normal limits (wnl) HR is lower- 50 bpm Usual weight (before wt change): 1401bs Height: 5°5” (65 inches) Instructions: After reading the case presentation, answer the following questions thoroughly. It 1s necessary to make some inferences and assumptions about the subject to fully explore what is being asked, but make sure to be referencing the information provided to avoid getting too far into the “what if” possibilities. Each question should be answered completely, with at least 4-5 sentences to receive full credit and include references as appropriate if you are citing work that has been presented in the book or research. Note: All citations must be in APA format.
A THE UNIVERSITY OF ARIZONA COLLEGE OF AGRICULTURE & LIFE SCIENCES ition i El\llt\/r etl lCrJ1 eéSIISSClenceS NSC 432/532 What are the symptoms of eating disorders present in this case? (5 pts) As you read this document, take note of CJ's current circumstances and predicament. CJ exhibits eating disorder symptoms. firstly as a result of the mother's observation of Cl's family dynamic shifting and her background as a nurse. CJ has started skipping meals and showing more concern with his physique. He used to have a wonderful relationship with his mother since they would spend quality time together making food, but things have changed. Their actions have caused them to lose twenty pounds in five months, overtrain, become enervated or faint, and switch schools. How would you assess this client? Screening tools vs. interview, etc. Explain rationale for your choice. (10pts) I would first conduct an interview to learn more about their physical condition and to obtain a general idea of how they are doing mentally. to observe some counseling and learn about their perceptions of their current circumstances or state of affairs at home. To first acquire a sense of the patient as a person, it's important to get to know them a little before giving them your full attention. The Eating Disorder Examination Questionnaire (EDE-Q), a 28-item self-report questionnaire, is the screening tool I would use to evaluate this client. Assessing the range, frequency, and severity of behaviors associated with the eating disorder diagnosis would be made easier with the use of this questionnaire. A higher score indicates more significant eating disorders. Including some subscales that make up measurement of eating concern, weight concern, shape concern, and constraint. A 201b weight change in 5 months is significant. Consider if the patient had lost this amount of weight with these symptoms but was in a larger body, how might this complicate the diagnosis or access to care? (10 pts) This individual is diagnosed with an eating disorder; they meet the criteria for an eating disorder, with the exception that they do not drop below a certain weight that would be considered critically low or underweight. This patient has been undereating, exercising excessively, and fearing weight gain. However, because of how harmful all of these practices are to their bodies, they will be diagnosed with an eating problem. Many people may believe that some people with eating disorders may not be ill enough to be diagnosed with one, but even so, many people are affected by the disruption of food and weight in their lives, even if they are not losing a significant amount of weight. Treatment is a right for everyone, as eating disorders affect people of all backgrounds and many with no particular appearance.
A THE UNIVERSITY OF ARIZONA COLLEGE OF AGRICULTURE & LIFE SCIENCES utritional Scien EWellnessSCe &S NSC 432/532 What are some ways you can start to build rapport with this client? What questions would you ask, what support could you provide? Are there ways to validate this experience for this client? (10pts) When working with people who suffer from eating disorders, it's critical to recognize the value of building rapport and trust. Building a therapeutic relationship with patients by outlining professional boundaries in greater detail and informing them that it is acceptable to express feelings about food and eating during nutrition sessions, even though the patient's therapist will help for the recovery. Patients should be aware that their chances of receiving thorough care are increased when professionals interact with other members of the team. Educating the patient about the idea of nutritional counseling places a strong emphasis on their own health and general well-being. Weight is not the main focus, though it will be tracked as a measure of nutritional health. Informing the patient that, in my opinion, recovery is a process rather than an event. It takes time, effort, and dedication on the part of the patient and the dietician to modify eating habits. Being aware of the limits between personal and professional life, and making an effort to learn at least a little bit about the client's interests, pets, work, or educational background. In my opinion as a medical professional, it is essential that they view their patient as a person rather than just as a patient with an eating disorder. This person is being referred to a therapist and a dietitian. Given the recent change in school for “behavior issues” , mom and dad separating and reports of depression, are there suspected concerns that might be related to eating or body image that you can pick out from this limited report? (10pts) Eating disorders are influenced by many factors. Teens who suffer from eating disorders should know that their family is not to blame for the illness; instead, treatment plans can be tailored to each patient's unique needs in order to promote full recovery. Stressful families can have an effect on adolescents who may be physiologically predisposed to eating disorders due to environmental factors. In this case due to the various emotional and psychological problems the teen may have after a separation or divorce, relocating, spending less time with both parents, feeling abandoned, or being afraid of losing one parent. The teen could believe that engaging in aberrant eating behaviors will help them regain control over their life. Additionally, patients may feel in control of their looks because they believe that in order to make their parents happy, they must make changes to the way they look because they are losing care for their circumstances. Thus, the circumstances have had a varied impact on their perceptions of themselves, which may have contributed to their state of mind.
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A THE UNIVERSITY OF ARIZONA COLLEGE OF AGRICULTURE & LIFE SCIENCES Nutritional Sciences & Wellness NSC 432/532