NSG 6440 Week 5 Discussion Health Promotion Essay

NSG 6440 Week 5 Discussion Health Promotion Essay

NSG 6440 Week 5 Discussion Health Promotion Essay

Health Promotion

The 16-year-old patient in the assigned case study demonstrates concentration difficulties in school. Upon examination, it is noted that the patient is thin and frail and would like to have diet pills. The patient might be having an eating and personality disorder. Studies show that approximately 22% of patients with anorexia, restricting type, also present with obsessive-compulsive disorder (Link et al., 2017). A different study also demonstrates that adolescents with borderline personality disorder are more likely to present with anorexia nervosa, bulimia nervosa, and binge-eating purging type (Martinussen et al., 2017). It is necessary to evaluate the patient’s initial areas of concern, such as her poor concentration in school and use of diet pills, even when she is already thin and frail in appearance.

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Screening Tools

            For further evaluation of the patients eating disorder, screening tools that will be utilized include the SCOFF questionnaire, eating disorder screening for primary care (ESP), eating attitudes test (EAT-26), the questionnaire for eating disorder diagnosis (Q-EDD)and eating disorder examination (EDE) among others (CDC, 2013). The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) will also be used to assess whether the patient is suffering from any of the ten personality disorders outlined.

Health Promotion Strategies

            The patient needs to be educated on the importance of maintaining a healthy weight and the complications associated with being underweight. To maintain her weight, she needs to adopt healthy eating habits, exercises regularly, and sleep for an adequate amount of time (Martinussen et al., 2017). She also needs to adopt ways of having confidence in her physical appearance to boost her self-esteem.

Care Plan

            Rather than diet pills, the patient is recommended to take multivitamins with cyproheptadine such as Becoactineto manage anorexia and promote weight gain. Non-pharmacological intervention may comprise counseling to address her personality issues(Link et al., 2017). She should be educated on the dangers of diet pills and advised to avoid them at the moment. She needs to report back for a follow-up evaluation after four weeks. If her condition worsens, she will be referred to a psychiatrist and dietician to evaluate her condition further.

References

Centers for Disease Control and Prevention. (2013). Youth risk behavior surveillance
System (YRBSS). Retrieved from http://www.cdc.gov/healthyyouth/data/yrbs/index.htm

Link, T. M., Beermann, U., Mestel, R., & Gander, M. (2017). Treatment outcome in female in-patients with anorexia nervosa and comorbid personality disorders prevalence-therapy drop out and weight gain. Psychotherapie, Psychosomatik, medizinische Psychologie, 67(9-10), 420-430.DOI: 10.1055/s-0043-103271

Martinussen, M., Friborg, O., Schmierer, P., Kaiser, S., Øvergård, K. T., Neunhoeffer, A. L., … & Rosenvinge, J. H. (2017). The comorbidity of personality disorders in eating disorders: a meta-analysis. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 22(2), 201-209.https://doi.org/10.1007/s40519-016-0345-x

As a family nurse practitioner you are working in a rural health clinic. You are evaluating a 16-year-old adolescent patient who comes in complaining of having a difficulty concentrating in school. On exam you also note that the patient is very thin and frail in appearance and is asking you for diet pills.

What are some initial areas for concern? What screening tools can help lead you closer to your diagnosis?

Describe 1 health promotion strategy you can discuss with the patient.

Be sure to address the following in your plan of care: pharmacological and non-pharmacological (OTC) interventions, labs, follow-up, teaching, and referral/s.

Your work should integrate course resources (text/s) as well as a minimum of two (2) other evidence-based guidelines and/or articles published within 3-5 years.

Reference:
Centers for Disease Control and Prevention. (2013). Youth risk behavior surveillance
system (YRBSS). Retrieved from http://www.cdc.gov/healthyyouth/data/yrbs/index.htm