Instead focus on the emotional issues that have precipitated these behaviors Do

Instead focus on the emotional issues that have

This preview shows page 5 - 7 out of 7 pages.

Do not focus on food specially. Instead focus on the emotional issues that have precipitated these behaviors Do not discuss food or eating with the patient once protocol has been established. Offer support and positive reinforcement for obvious improvement in eating behaviors Keep record of intake and output Weigh patient daily, immediately on arising and following first void. Always use same scale Asses skin regular, moisture and color, oral mucus membranes (hydration) Sit client during mealtimes for support. Observe the amount ingested Set limitations when eating, usually 30 min. Patient should be observed for at least one hour, to allow digestion… patient may use this time to get rid of the food… throw it away or induce vomiting If weight loss occurs, enforce restrictions Limits must be carried out consistently to avoid power struggles and encourage compliance with therapy Ensure patient and family understand that nutritional status deteriorates, Tube feedings will be initiated( as a matter of fact, nonpunitive way) Encourage to explore and identify the true feelings and fears that contribute to maladabtive behaviors Emotional issues must be resolved if these maladaptive responses are to be eliminated INEFFECTIVE DENIAL Short term: verbalize understanding of the correlation with emotional issues and maladaptive eating behaviors ( with time frame for individual) Long term: Patient will demonstrate ability to discontinue use of maladaptive eating behaviors and to cope with emotional issues in a more adaptive manner. INTERVENTIONS
Image of page 5

Subscribe to view the full document.

ANGER IS A NORMAL HUMAN RESPONSE, should be expressed in an appropriate manner. Feelings that are not expressed remain unresolved and add as additional component to an already serious situation Avoid arguing or bargaining with the client who is resistant to treatment. State matter of fact which behaviors are unacceptable and how privileges will be restricted for non compliance Encourage client to verbalize feelings regarding role in the family and issues related to dependence/independence, the intense need for achievement and sexuality. Help recognize how maladaptive eating behaviors are relate to these emotional issues Imbalance nutrition: more than body requirements Keep a diary of food intake, to gain realistic picture of amount of food ingested Diary of food provides database on which to tailor dietary program Discuss feelings/emotions associated with eating. Helps identify when the client is eating to satisfy an emotional need, rather than physiological one With patient formulate plan that includes food from the required food groups, emphasis on low- fat Eliminate calories while maintain adequate nutrition Reasonable weight loss 1-2 pounds Excessive rapid weight loss result in fatigue and irritability, leading to failure Disturbed body image Anorexia
Image of page 6
Image of page 7
  • Summer '19

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask You can ask ( soon) You can ask (will expire )
Answers in as fast as 15 minutes