NR 603 Week 6 Mental Health Management Plan and Analysis - Primary Diagnosis; Anorexia Nervosa
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| Institution | Chamberlain |
| Contributor | Hartnett Kara |
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Mental Health Management Plan and Analysis
- Management Plan
- Primary diagnosis: anorexia nervosa
- Recommended diagnostic testing based on clinical practice guidelines: EKG to assess for bradycardia, hypotension, QT interval prolongation, diminished heart rate variability and decreased diastolic ventricular function; CMP to assess electrolytes, kidney and liver function; CBC to assess for and cytopenia, anemia or infection; TSH and T4 to assess for hypothyroid (Buttaro, et. al., 2021). Vitamin D to assess for deficiency if depressed mood. Also check a UA for color, kidney damage and infection.
- Nonpharmacologic interventions: Family therapy and cognitive behavior therapy are effective modalities that can be incorporated in treatment that is specific to anorexia nervosa (Robertson & Thornton, 2021). SSRI’s and SNRI’s can help with symptoms of depressed mood and anxiety, and antipsychotics have been shown to help with the body image distortion which can be considered a type of psychosis, additionally weight gain can be a side-effect of antipsychotic medications (Attia & Muratore, 2021).
Recommended follow-up schedule and referrals with rationale: Patients should have weekly follow ups. It is essential to monitor vital signs and weight weekly to ensure adequate weight gain and treatment progression (Robertson & Thornton, 2021).
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| Instituition / Term | |
| Term | Nursing |
| Institution | Chamberlain |
| Contributor | Hartnett Kara |
