EATING DISORDER IHP Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Imbalanced Nutrition: Less Than Body Requirements Restrictive eating behaviors or calorie restriction Fear of gaining weight Distorted body image Purging behaviors (e.g., vomiting, laxative use) Interventions The school nurse will collaborate with a dietitian to develop a structured, individualized meal plan that ensures adequate calorie and nutrient intake. The school nurse will educate the student about the importance of balanced nutrition and the physiological impacts of malnutrition. The school nurse will monitor the student's food intake and weight regularly in a non-judgmental manner. The school nurse will provide support during meal times, offering encouragement and reducing stress or anxiety around food. Expected Outcomes The student will maintain or gradually achieve a healthy weight appropriate for age and height. The student will demonstrate improved food intake that meets daily nutritional needs. The student will verbalize understanding of the importance of balanced nutrition and its impact on overall health. Nursing Diagnosis: Disturbed Body Image Perception of being overweight despite being underweight Fear of weight gain or body changes Social or media pressures to achieve an idealized body shape Distorted view of self and body Interventions The school nurse will encourage the student to express feelings about body image in a safe, non-judgmental environment. The school nurse will provide education on body diversity, emphasizing the health risks of extreme dieting and unhealthy weight loss. The school nurse will collaborate with a counselor or psychologist to address body dysmorphia and self-esteem issues. The school nurse will use positive reinforcement to encourage a healthier self-image and promote body acceptance. Expected Outcomes The student will verbalize a more positive and realistic perception of their body. The student will demonstrate reduced preoccupation with weight and body shape. The student will engage in activities that focus on strengths and abilities rather than appearance. Nursing Diagnosis: Risk for Electrolyte Imbalance Purging behaviors, such as vomiting or laxative abuse Excessive exercise leading to dehydration Inadequate fluid and nutrient intake Malnutrition Interventions The school nurse will monitor electrolyte levels and hydration status through regular blood tests and assessments. The school nurse will educate the student on the dangers of electrolyte imbalances, including the impact on heart function, muscle weakness, and overall health. The school nurse will encourage adequate fluid intake and provide information on the importance of rehydration. The school nurse will collaborate with healthcare providers to address any necessary electrolyte supplementation. Expected Outcomes The student will maintain normal electrolyte levels and adequate hydration. The student will demonstrate an understanding of the importance of maintaining proper hydration and electrolyte balance. The student will engage in behaviors that support electrolyte balance, such as reducing purging or over-exercising. Nursing Diagnosis: Ineffective Coping Emotional distress or inability to manage stress Use of food restriction, purging, or overeating as coping mechanisms Low self-esteem or feelings of inadequacy Fear of losing control over eating habits or body weight Interventions The school nurse will provide emotional support and create a safe space for the student to discuss feelings of stress or emotional challenges. The school nurse will teach healthy coping mechanisms, such as mindfulness, journaling, or deep breathing, to manage anxiety and stress without resorting to eating disorder behaviors. The school nurse will refer the student to counseling services for ongoing therapy to address underlying emotional triggers. The school nurse will encourage participation in hobbies or extracurricular activities that promote self-esteem and personal fulfillment. Expected Outcomes The student will demonstrate the use of healthy coping strategies to manage emotional distress. The student will reduce reliance on harmful eating behaviors as a way to cope with stress or emotional challenges. The student will participate in therapy or counseling sessions to address underlying emotional issues related to the eating disorder. Nursing Diagnosis: Anxiety Fear of weight gain or losing control over eating habits Social or performance pressures related to body image Emotional distress from managing an eating disorder Preoccupation with food, body weight, and appearance Interventions The school nurse will teach relaxation techniques, such as deep breathing, progressive muscle relaxation, or meditation, to manage anxiety. The school nurse will encourage open communication about fears and concerns, providing reassurance and emotional support. The school nurse will help the student develop a structured routine that reduces anxiety around mealtimes and food choices. The school nurse will collaborate with mental health professionals to address underlying anxiety and related emotional challenges. Expected Outcomes The student will demonstrate effective use of relaxation techniques to reduce anxiety. The student will report reduced anxiety around food and mealtimes. The student will participate in structured routines that reduce stress and promote healthy eating behaviors. Nursing Diagnosis: Powerlessness Feeling a lack of control over eating disorder behaviors Inability to manage emotions without resorting to disordered eating Social or academic pressures contributing to feelings of helplessness Low self-efficacy regarding recovery or overcoming the eating disorder Interventions The school nurse will involve the student in goal setting and decision-making about their treatment plan to foster a sense of control and empowerment. The school nurse will encourage the student to identify personal strengths and areas where they feel in control, building confidence in their ability to make positive changes. The school nurse will collaborate with mental health professionals to address underlying feelings of powerlessness or inadequacy. The school nurse will provide ongoing encouragement and reinforcement of the student’s efforts to regain control over their behaviors and emotions. Expected Outcomes The student will verbalize a sense of control over their treatment and recovery process. The student will demonstrate increased confidence in managing emotions without resorting to disordered eating behaviors. The student will actively participate in treatment and decision-making related to their recovery. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? 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