Develop dhdx statements, goals, and interventions

Reference no: EM133503741

Case: Jennifer, are you ready to have your parents come in the room?" asks Dr.

Beckham, Jennifer's psychiatrist.

"Oh, whatever. Let's just get this over with! I'm fine. You all are just over-reacting. They're going to freak with your diagnosis of bulimia. I hate this! I wish everyone would just leave me alone. I'm 17 years old!" shouts Jennifer back to Dr. Beckham and her healthcare team, Sally Friesen (social worker), Marlee Ford (nutritionist), and Darcy MacAlroy (nurse and case manager).

After team meetings with Jennifer Black over the course of several appoint-ments, Jennifer has been informed that her behavior is consistent with that of a person with bulimia nervosa, a mental illness. Darcy invites Mr. and Mrs.

Black into the conference room. Jennifer does not even look at them; rather, she noticeably sits with her body in a closed position. Dr. Beckham welcomes them and informs them that Jennifer is ready to discuss some behaviors that explain why they brought her to the eating disorder clinic program in the first place a couple of weeks ago.
Jennifer begins to cry. "Mom, Dad, I'm so ashamed. I can barely say it, but for the last 7 months, I've forced myself to throw up five times a day. At first, I only did it once a day, and then I just kept doing it. Dr. Beckham says I have bulimia. Inside I know I do, and I am so embarrassed because I think it's disgust-ing. I can't seem to stop. I'm ready for help. I can't stop doing this on my own." Mrs. Black replies, "Honey, we're all about helping you fight this illness.

We'll fight it with you. You can count on us. Admitting you have bulimia is a great first step."

About 2 months ago, Mrs. Black began suspecting that Jennifer had an eating disorder. Jennifer was excusing herself from the supper table and disap-pearing. Further, she was complaining about sensitive teeth. When Mrs. Black gently asked Jennifer if she was experiencing any issues with eating, Jennifer denied any problem. In the end, Mrs. and Mr. Black persuaded Jennifer to see Dr. Beckham, which she did, but she was initially very reluctant and dismissive of the idea. Her healthcare team strongly recommended Jennifer see her dental hygienist regarding ways to lessen the tooth sensitivity while she recovered and, in addition, that the dental team become part of the healthcare team--this required Jennifer's consent. Her dental hygiene appointment is booked for next week. Develop DHDX statements, goals, and interventions

Reference no: EM133503741

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