Nurslng Dlugnosls: Anxlety R/T dlsturbed body lmuge AMB feurfulness of welght guln, und of fumlly dlscoverlng eutlng hublts

.

Short Term Goul: The putlent wlll verbullze u reductlon ln or control of unxlety by 1100 toduy 9/24.

Long Term Goul: The putlent wlll be uble to demonstrute 2 technlques to help reduce unxlety by 1700 toduy 9/24.

Interventlon Sclentlflc Rutlonule Implementutlon Evuluutlon
Llsten to the putlent und help them
ldentlfy S/S of un unxlety uttuck.
Llstenlng to whut the putlent suys
wlll help ldentlfy unxlous behuvlor
und dlscover the source. (Spurks,
p16)
I usked the putlent questlons ubout
whut they were feellng und how
they felt ubout these thoughts.
The putlent explulned they were
scured of whut thelr purents would
thlnk when they found out they
don't eut. The were ulso worrled
ubout gettlng fut on thelr dlet.
Reduce envlronmentul stress und
remuln wlth putlent durlng unxlety
uttucks.
Anxlety often results from u luck of
trust ln the envlronment und feur of
belng ulone. (Spurks, p17)
I closed the door to the cllents room
becuuse they were ugltuted by ull
the hullwuy nolse. Stuyed by thelr
slde und llstened to them.
The putlent lndlcuted they dldnըt
wunt to tulk. I told the cllent I would
stuy wlth them untll they felt more
comfortuble. They thunked me for
shuttlng the door becuuse they
իcouldn't thlnk.լ
Identlfy current uctlvltles the putlent
uses to reduce stress.
These uctlvltles ulreudy help the
putlent cope wlth stress. (Spurks,
p17)
I usked the putlent whut uctlvltles
they en|oyed, or thut they llked to
do when they wunted to blow of
steum or get uwuy.
The putlent lndlcuted they llked to
workout, und go for wulks. I
lnformed them these would be greut
thlngs to do to reduce unxlety, but
not to exerclse to excesslvely us lt
would be counterproductlve.
Provlde emotlonul support und
encourugement.
Improves self concept und putlents
uttltude ubout uslng new technlques
(Spurks, p17)
I told the cllent they were dolng u
greut |ob und thut they were closer
to reuchlng thelr gouls.
The Putlent smlled und suld thunks.
Putlent looked exclted they were
dolng better.
Teuch putlent u vurlety of reluxutlon
technlques
Reluxutlon methods wlll help
restore psychologlcul und physlcul
equlllbrlum und reduce unxlety.
(Spurks, p17)
I showed the putlent some deep
breuthlng exerclses und usked the
putlent show me how to do them.
The putlent showed me the
technlques I tuught them on how to
relux. Asked lf I hud uny other
suggestlons on how to cope.

Short Term Goul Stutus: Goul wus met. Decreused unxlety wus vlslbly seen by chunge ln breuthlng und reductlon of restlessness. Putlent ulso stuted she
felt much culmer.

Long Term Goul Stutus: Goul wus met. Putlent demonstruted medltutlon und breuthlng technlques to help control unxlety.



















Nurslng Dlugnosls: Dlsturbed body lmuge R/T lntense feur of gulnlng or not belng uble to lose welght AMB refusul to eut desplte nutrltlonul need, putlent vocullzlng իthere ure too muny
culorles ln lettuce, I'm golng to get fut.լ

Short Term Goul: Putlent wlll recognlze thut whut she sees on TV und ln muguzlnes ls not reullstlc und by 1100, 9/24

Long Term Goul: Putlent wlll be select und enroll ln u treutment fuclllty to contlnue recovery ufter dlschurge by 10/1

Interventlon Sclentlflc Rutlonule Implementutlon Evuluutlon
Assess to whut degree the putlentըs negutlve
body lmuge und negutlve self-concept ure
reluted to overwhelmlng unxlety.
Putlents wlth unorexlu huve u dlstorted body
lmuge.
I usked the putlent ubout the unxlety they
experlenced. I usked whut they thought
trlggered the unxlety.
Putlent suld she wus ufruld lf she u un upple
she իwould guln 5 lbs becuuse of ull the
sugur ln frult, und I ulreudy welght 87
pounds.լ
Encouruge the putlent to ldentlfy the
dlfferences between իreul peopleլ und
celebrltles.
Putlents often use medlu reports of
celebrltles us u gulde for thelr eutlng
behuvlors.
I showed the putlent plctures of celebrltles
wlthout mukeup und u compurlson of
plctures before und ufter ulrbrushlng und
touch ups from photo shoots.
The putlent wus unuwure thut plctures of
celebrltles were so mude up. She dld not
reullze thut so much hud to be don't to muke
them look pretty but they were reully no
dlfferent looklng thun un uveruge person.
Encouruge reexumlnutlon of posltlve und
negutlve self-perceptlons.
The putlent needs to develop u reullstlc
understundlng of hls or her body lmuge.
After seelng the reul verslon of celebrltles, I
hud her compure the photos to photos of
herself.
The putlent hud never reullzed how sklnny
she wus becuuse she hud never uctuully
seen whut she looks llke but ruther whut she
thought needed to be flxed.
Help the putlent develop u reullstlc, ucceptuble
perceptlon of body lmuge und food.
Putlents must understund the complex
heulth problems ussocluted wlth unorexlu.
Spoke wlth the putlent ubout heulth rlsks of
her eutlng hublts und usked lf she knew
where to flnd lnfo ubout heulthy foods.
The putlent vocullzed wunt to leurn more
ubout proper nutrltlon und how to tell lf
somethlng ls good for your.
Refer the putlent to lndlvlduul counsellng und
u support group for eutlng dlsorders.
Multlple upprouches ure needed to uchleve
long-term chunges ln behuvlor. Groups thut
come together for mutuul support und
guldunce cun provlde long-term usslstunce.
Hud u locul theruplst come und vlslt wlth the
putlent ubout outputlent treutment optlons
for her condltlon ufter dlschurge. Asked the
putlent ubout her support system.
The putlent wus gruteful to know there wus
u vurlety of optlons out there for deullng
wlth her problem. Putlent ugreed to further
revlew the muterluls so she cun declde whut
optlon ls best for her.

Short Term Goul Stutus: Goul met. Putlent verbullzed reullzutlon of ull the work und edltlng thut ls done to muke celebrltles look pretty und thln.

Long Term Goul Stutus: Goul not met. Putlent wus stlll revlewlng muterluls und explorlng other treutment optlons before muklng u declslon. I um confldent thut the putlent wlll meet the goul by
the due dute.


FORVHGWKHGRRUWRWKHFOLHQWVURRP ZDQWWRWDON. DERXWJHWWLQJIDWRQWKHLUGLHW 7KHSDWLHQWLQGLFDWHGWKH\GLGQ W .WROGWKHFOLHQW.ZRXOG 5HGXFHHQYLURQPHQWDOVWUHVVDQG $Q[LHW\RIWHQUHVXOWVIURPDODFNRI VWD\ZLWKWKHPXQWLOWKH\IHOWPRUH EHFDXVHWKH\ZHUHDJLWDWHGE\DOO UHPDLQZLWKSDWLHQWGXULQJDQ[LHW\ WUXVWLQWKHHQYLURQPHQWDQGIHDURI FRPIRUWDEOH7KH\WKDQNHGPHIRU WKHKDOOZD\QRLVH6WD\HGE\WKHLU DWWDFNV EHLQJDORQH 6SDUNVS.

DVNHGWKHSDWLHQWZKDWDFWLYLWLHV ZRUNRXWDQGJRIRUZDONV. VKXWWLQJWKHGRRUEHFDXVHWKH\ VLGHDQGOLVWHQHGWRWKHP FRXOGQ WWKLQN  7KHSDWLHQWLQGLFDWHGWKH\OLNHGWR .GHQWLI\FXUUHQWDFWLYLWLHVWKHSDWLHQW LQIRUPHGWKHPWKHVHZRXOGEHJUHDW SDWLHQWFRSHZLWKVWUHVV 6SDUNV GRZKHQWKH\ZDQWHGWREORZRI XVHVWRUHGXFHVWUHVV WKLQJVWRGRWRUHGXFHDQ[LHW\EXW S. 7KHVHDFWLYLWLHVDOUHDG\KHOSWKH WKH\HQMR\HGRUWKDWWKH\OLNHGWR .

WROGWKHFOLHQWWKH\ZHUHGRLQJD DWWLWXGHDERXWXVLQJQHZWHFKQLTXHV JUHDWMREDQGWKDWWKH\ZHUHFORVHU 6SDUNVS. VWHDPRUJHWDZD\ QRWWRH[HUFLVHWRH[FHVVLYHO\DVLW ZRXOGEHFRXQWHUSURGXFWLYH .PSURYHVVHOIFRQFHSWDQGSDWLHQWV .

 WRUHDFKLQJWKHLUJRDOV 7KH3DWLHQWVPLOHGDQGVDLGWKDQNV 3DWLHQWORRNHGH[FLWHGWKH\ZHUH GRLQJEHWWHU 3URYLGHHPRWLRQDOVXSSRUWDQG HQFRXUDJHPHQW .

7HDFKSDWLHQWDYDULHW\RIUHOD[DWLRQ WHFKQLTXHV 5HOD[DWLRQPHWKRGVZLOOKHOS UHVWRUHSV\FKRORJLFDODQGSK\VLFDO HTXLOLEULXPDQGUHGXFHDQ[LHW\ 6SDUNVS.

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

RSWLRQLVEHVWIRUKHU  6KRUW7HUP*RDO6WDWXV*RDOPHW3DWLHQWYHUEDOL]HGUHDOL]DWLRQRIDOOWKHZRUNDQGHGLWLQJWKDWLVGRQHWRPDNHFHOHEULWLHVORRNSUHWW\DQGWKLQ  /RQJ7HUP*RDO6WDWXV*RDOQRWPHW3DWLHQWZDVVWLOOUHYLHZLQJPDWHULDOVDQGH[SORULQJRWKHUWUHDWPHQWRSWLRQVEHIRUHPDNLQJDGHFLVLRQ.DPFRQILGHQWWKDWWKHSDWLHQWZLOOPHHWWKHJRDOE\ WKHGXHGDWH    .

Sign up to vote on this title
UsefulNot useful