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Mental Health assignment Word limit: total 1500 words Power point slide: 500 words  Essay : 1000 words Weightage: 80 percentage Rationale: Mental health care promotion through education and training aims to increase mental health knowledge, improve patient care, reduce stigma, encourage help seeking behaviour, and increase individual wellbeing. Task: You are a 3rd year nursing student (on clinical placement) on a very busy medical ward in Melbourne. Many of the patients on this ward are admitted through the Emergency Department. On this ward the students are expected to present a topic in relation to mental health care to the nursing staff at the monthly lunchtime in-service. Instructions: • Choose a topic from the mental health care topics list (below).Develop a 5 minute power-point presentation on your topic . Means only about Introduction and Conclusion along with the assessments,treatment and nurse interventions required to support recovery of eating disorder.  Write a 1500 word essay on your topic.You should include at least 8 high quality references (within the last 7-9 years). Referencing and formatting should follow APA 6 style Guidelines: Topic need to write about. Eating Disorder Using a clinical reasoning approach demonstrate how to care for a person with an eating disorder. Outline the assessments, treatment and nurse interventions required to support recovery. Analyse and evaluate the impact an eating disorder may have on the individual, their family and the community. IN THIS ASSIGNMENT YOU HAVE TO WRITE ONLY AN INTRODUCTION AND CONCLUSION FOR THE WHOLE ASSIGNMENT ,ALONG WITH OUTLINE THE ASSESSMENTS,TREATMENT AND NURSE INTERVENTIONS REQUIRED TO SUPPORT RECOVERY PATIENTS WITH EATING DISORDER. REMAINING PART I HAVE ALREADY WRITTEN. SO I HAVE ATTACHED THE PART WHICH I HAVE WRITTEN BELOW. About Clinical Reasoning Approach The process of clinical reasoning is used by medical professionals to aid in informed decision making. Clinical expertise, previous knowledge and using evidence based practice play an important part in clinical reasoning to make the best use of patient’s information in making a judgement (Banning 2008, Lee, Lee et al. 2016). Clinical reasoning is also helpful to care for patients having unhealthy altered eating habits that progresses to eating disorders. Eating disorders are most commonly divided into three categories, Anorexia nervosa (AN), Bulimia Nervosa (BN) and Binge eating disorder (BED)(Kupfer, Kuhl et al. 2013, Maguen, Hebenstreit et al. 2018). Considering the patient’s situation is helpful when planning care for a patient having an eating disorder. It is more prevalent in younger age groups, especially in female population aged 15 -19-year-old (Smink, van Hoeken et al. 2012, Hoek 2016). Various factors including genetic, neurobiological, psychological commonly body image dissatisfaction, personality disorders, western cultural influence and childhood sexual abuse contribute to the occurrence of eating disorders (Rikani, Choudhry et al. 2013). Knowing the patient’s story and what might’ve contributed to the exhibition of present symptoms can aid in providing appropriate interventions. Patient history including family history of eating disorders and having a past or present diagnosis of mental illnesses including obsessive compulsive disorder, anxiety, depression etc. can also have a significant impact on patient’s presentation of eating disorder (Cederlöf, Thornton et al. 2015). Assessing a patient diagnosed with an eating disorder for current issue, mental health status, developmental and societal history, medical history and current medical problems, eating patterns and compensatory behaviors is essential for planning the care and treatment plans (Wolfe and Gimby 2003). As these co-morbidities if not addressed can lead to recurrence of disease. Also, taking note of current presentation like very low or very high body weight in context of age, sex, physical health etc., fearful of being overweight, being unable to sense and control inappropriate eating habits, consuming large amount of food in a short period of time, having compensatory behaviors to avoid weight gain are the issues that need to be recognized (Harrington, Jimerson et al. 2015). These are the common signs that are observed in patients as their eating habits alter, these kinds of psychological and physical effects can be very much pronounced and easy to observe. Medical professionals and family need to take note of such behaviors and presentations, focus should also be laid on recognizing how these entities alter during treatment. Eating disorders can also have serious effects on physical and psychological health of a person. Malnutrition in anorexia nervosa can present as symptoms like brittle hair and nails, hyperkeratosis, hypotension, amenorrhea, osteoporosis at young age and it can also progress to more complications such as arrhythmia, bradycardia, edema etc. due to electrolyte imbalances and heart muscle wasting while in bulimia nervosa the clinical signs due to self-induced vomiting include oral disease, parotid gland enlargement, scars or calluses on fingers, weight fluctuations, electrolyte imbalances leading to edema etc. (Harrington, Jimerson et al. 2015, Mehler and Brown 2015). Psychological conditions including depression, anxiety, personality disorders, substance abuse, self-harm, suicidal thoughts are commonly comorbid with eating disorders, it is unclear whether these are caused by or are a risk factor of an eating disorder (Herpertz-Dahlmann , Keski-Rahkonen and Mustelin 2016). For a patient diagnosed with eating disorder it is important to consider the vast possibilities of various medical and psychological co-morbidities and hence a very comprehensive patient assessment is essential to link the association of various diseases and formulating a treatment plan. Common diagnostic procedures for eating disorders include SCOFF questionnaire, regular weight, height and body mass index measurements, urinalysis to determine hydration status, ph. level, kidney damage, regular blood pressure measurements, electrocardiography, complete blood count etc. (Harrington, Jimerson et al. 2015). Deriving a pattern from the diagnosis and associated comorbidities a care plan can be formulated by treatment team. Attention is given to the serious medical conditions first that may be life threatening, for example, cardiac complications associated with eating disorder may require emergent hospitalization, after stabilizing those conditions focus can be moved to improve the lifestyle and providing patient with psychological and medical support to maintain that lifestyle. EFFECT ON COMMUNITY AND FAMILY: Eating disorder is a serious problem in the modern world. It is a psychological disorder which is characterized by disturbed or abnormal eating habit. For example, anorexia nervosa is an eating disorder, where people stop eating due to the fear of gaining weight and hence, suffer from severe food restriction. The perceptions of a perfect figure and resulting eating disorder have profound impact on the individual, their family and the community the individual is living in (Rohde, Stice & Marti, 2014). Today, the mass media advertises the concept of beauty in terms of youthful face and slender figure of women, which leads to the idealization of a thin body by not gaining weight. However, the ideal figure is almost impossible to achieve, but women get panicked about their weight and stop eating. Individuals can experience physical consequences, such as, malnutrition, and many chronic diseases, such as, high blood pressure, diabetes, heart disease, dental issues, heart attack, inflamed esophagus, weak bones, and sometimes even death (Blodgett Salafia et al., 2015). The physical impact of the eating disorder shows the impact gradually on the body system. The effects are long term, which cast their impact in the adulthood. If an individual suffers from this disorder and its resultant health effects, then it is an added cost to the family of the individual and the community at large. The society is then burdened to provide long term treatment to these individuals. Yu, Damhorst & Russell (2011) state that in the future, when these young people grow up with many chronic diseases, the community has to provide proper medical treatment at large, in terms of hospital facilities, drug counseling, and many more. The working capacity of that individual will also be affected due to ill health, which in turn will affect the work culture as well as the productivity of the community. The individuals with severe eating disorder suffer from isolation and substance abuse. These can have repercussions for their families. The academic performance, social interaction, participation in school and college programs, all get affected due to health issues of the individuals (Moessner & Bauer, 2017). The parents wanting to cope up with such problems, also get isolated from the society, which is again a major problem for the community. As the problem of eating disorder is more mental and less physical, it brings extreme pressure on the individual and their families although from different perspectives. The behavior coming from this disorder puts an emotional toll on the affected individual and his family and friends. They start lagging behind in confidence, which gets reflected in their regular activities of daily life and the family faces financial consequences (Gale et al., 2014). The medical cost for such nervous problem is quite high and the families and the society gets affected by the cost of treatment. It can be said that, the self perception of an individual, influenced by the media, can result in disastrous impact on the individual in terms of physical and mental ill health and the families and the community get affected through high medical cost and social isolation. So you have to write a common introduction for whole assignment including the above part and conclusion along with Nursing assessment and intervention of eating disorder. While writing essay try to write 600 words about the nursing intervention and remaining 400 words as introduction and conclusion. ?

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