SOLVED459

June 1: Height 63 In (5 ft 5 in) Weight: 57,6 kg (127 lb) BMI 21.1 Erosion of teeth, reports numerous dental caries Parotid swelling Calluses on hands Peripheral edema Muscle wasting Client reports overeating with subsequent induced vomiting most days of the week, takes laxatives every morning. Reports being estranged from family, has “no friends. I just spend most of my time alone. That is why I eat so much. But I don’t want to be fat.” Expresses feelings of shame over inability to control eating habits. Reviewed diagnostic reports with client, explained need to eat a balanced diet to prevent electrolyte disturbances. Plan: Consult with nutritionist Group therapy Individual psychotherapy Begin Fluoxetine 20 mg PO daily June T Height 63 in (5 ft 5 in) weignt so.s kg (129 Ib BMI 21.5 Clent has been working with nutritionist, keeping food diary. Reports has not been able to completely stop overeating/purging cycle. Has discondnued laxative abuse Has attended each scheduled group therapy session, participating in discussions Reports working with counselor on developing coping skills to combat feelings of loneliness, has begun an exercise regimen to supplement medication terapy to alleviate depression. states, Im reeling a little bit better
SCIENCE
HEALTH SCIENCE
NURSING

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