Eating Disorders: A battle between Me, Myself, and I
Storyboard Text
- One day, Jillian, a 19-year-old college student, woke up lying on a hospital bed after being brought to the hospital after suddenly fainting. Nurse Joy is in-charge of Jillian and tries to determine the cause of the problem.
- Yes. I guess I felt dizzy during that time
- Good afternoon Jillian, I'm nurse Joy. You're in Parkway East Hospital. You were rushed here after fainting during lunch time. Do you remember?
- Nurse Joy asks some questions to Jillian. It is important to establish nurse-patient relationship through trust and establish an honest communication. This helps to distress the patient and voice out their concerns.
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- My relatives kept on teasing me about my weight. My parents compare me with my cousins. I want to look good in front of everyone because it feels right and so that they will accept me.
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- Yes, I feel fat all the time. I feel sad, angry, and depressed whenever they mention anything related to food and gaining weight.
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- Your classmates said you refuse to eat with them during lunch and you frequently go to the bathroom. Would you like to tell me the reason behind this?
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- Do you believe that you are fat due to these unpleasant remarks?
- Nurses plays a vital role in the successful determination of the factors causing eating disorder in patients. Therapeutic communication techniques must be used in order to collaborate efficiently and effectively toward the patient's physical and emotional wellness.
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- I restrict myself by eating the same amount of food servings, I tend to burn food so that they taste bad, and I avoid buying foods that have no nutritional information in it. I would often go to the toilet to get the food I ate out of my system.
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- Eversince I turned 19 last January
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- Yes.
- Yes.
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- And these negative impulses drives you engage in such behaviors?
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- If it is okay with you, could you elaborate more on these behaviors that you engage yourself in?
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- How long have you been doing this?
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- Okay Jillian, I need to take your weight now. Can you stand?
- Nurses are also responsible for monitoring the patient's vital signs, weight, behavior, and nutritional and mental status.
- Your weight is currently 39Kg, you are considered underweight. I will report this to Dr. Cruz. For the meantime, you should get some more rest. I will be back after an hour or two. Please call me if you need anything
- Nurses are also responsible in educating patients about their health, illness, medications, treatments, and follow-up checkups. They must educate the patient's family about the illness and what they should do to foster a therapeutic environment for the client towards her recovery.
- 2 HOURS LATER........
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- Yes, I want to get better and restore my health.
- I feel fatigued and I couldn't sleep much.
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- Mhmm... well Jillian, it seems like you developed an eating disorder called anorexia nervosa and it is the purging type. However, you do not need to worry as we planned managements and treatments for you to address you perception about body image and weight. Will you be willing to cooperate with us?
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- Hello Jillian, I am Dr. Cruz. How are you feeling?
- Compassionate nursing have an absolute effect on health outcomes. Patient who are comfortable with their nurse are likely to recover quickly in terms of their physical, mental, and emotional states.
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- I'm glad to hear that. I hope you will continue your journey of healing.
- 20 WEEKS LATER..........
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- I feel at peace Nurse Joy. I do not feel the urge to do those behaviors anymore. My family and relatives have also been supportive since they knew about my condition. Thank you for helping and always being there for me during my therapy session.
- Goodmorning Jillian, I see you're coming for your last session today and have improved your weight and eating habits. How do you feel?
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