Need and Goal of the step

Interventional Practice

Who to Administer ( By who)

Managing Ashley’s compulsive urge to indulge in Weight loss activities, purge activities and habitual exercises

Here Asley will experience the freedom to fully participate in his treatment procedures and in the provision of an enabling environment that would be safe and Supported

Both nursing and non-nursing staff in contact with Ashley will be required to offer him guidance and support by giving him a conducive environment and supporting him in his guided-self therapy procedures that will eventually help him to change his perception of his weight and body structures.

All nursing staff in Ashley's wardroom, a specific guiding nurse, All ward staff, Ashley himself

Subjecting Ashley to steps that would ensure the acquisition of healthy body weight. This step is depended upon by the subsequent steps to facilitate speedy recovery from his severe anorexia nervosa. The site provides tat the boy resumes a healthy and sustainable weight and learn to adopt proper nutrition

Guiding Ashely through psychotherapy processes through family-based therapy as well as guided-self therapy.

They are indulging primary care doctors and mental health professionals. Primary care doctor will offer an assessment of calorie needs and mechanize an intervention to mechanize Ashely's calorie needs until the required weight gain.

 

Family-based therapy will be guided since Asley is a teenager and can't make effective decisions on healthy nutritions while in the middle of his condition. Parents and the closest family will be mobilized to guide the feeding and weight restoration processes properly till he is fit to make sole decisions on feeding programs.

Individual therapy will be offered by the psychotherapist to enhance the patient’s beliefs and thoughts that would instead uphold restrictive eating. 

 

Evaluation

Literature that advocate for interpersonal psychotherapy approaches as the most preferred nursing care method for anorexia nervosa symptoms is focussed on reducing the aspect of binge eating rather than changing the mental state of these patients against the limited perception of self against the demands of specific physical requirements (Amayasu et al., 2015). However, it appears more beneficial to adopt patent management methods that target the patient’s emotional regulation and most of which portray limited threats to patients during care.  Despite the inaccuracies and disparities that are evident in the practice use of guided-self therapies are way much more effective in intriguing patient responsiveness and abilities to self-manage their emotions towards their bodies and hence regulate binge eating.

This analysis of literature that relates to the care and management of binge eating and compulsive feeling of dissatisfaction with self-body structures in the context of anorexia nervosa eating disorder will potentially influence my future nursing practice.  The influence will be possible since it will transform my mentality to be considerate towards the potential impact that my choices and behavior can have on patients who show the signs of eating disorders. Besides, this practice will effectively guide me to enhance my sensitivity while preparing care plans for patients who show possible signs of excessive weight loss, binge eating, and regular purging signs. Additionally, through the review in the analysis, I will be able to develop sensitivity regarding boundaries approach to effectively manage and provide care for patients who show symptoms that may inform eating disorders.

Thorough mastering the processes involved in conducting evidence- guided understanding of the diagnosis and care for patients with eating disorders, a genuine expression of empathy and concern as well as communication will guide my future indulgence with these patients. To effectively achieve the outlined goals, there will be a rational need to formulate risk assessment and hence come up with a nursing care plan that will be by the diagnostic criteria and which I would confident to work with during implementation.


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