J.M.'s eCG results show normal sinus rhythm with no stsegment or other changes. you meet with J.M. to formulate a plan of care

Question

Name at least four nutritional interventions.

List at least six psychological aspects of the plan of care for J.M.

Answer 1

• Refer to a registered dietitian (RD) for medical nutrition therapy. Calories should start at basal
needs of 300 to 400 kcal/day, and the diet should be referred to as low calorie.Gradually increase to
1200 kcal/day or more.
• Sit with the patient during mealtimes; don't prompt to eat. Normal conversation can help increase
appetite.
• Discuss food choices.
• Weigh each morning after voiding, in hospital gown with the patient's back to the scale.

• The initial focus is on stabilizing her physical condition and immediately addressing any acute
psychiatric symptoms, such as suicidal ideations.
• Approach the patient calmly and in a matter-of-fact manner.
• Reward for weight gain.
• Discuss minimal weight gain weekly that is acceptable to the patient.
• Encourage patient to set realistic and attainable goals for weight.
• Go over laboratory values with patient and importance of normality.
• Discuss with patient the willingness to work on self-esteem and body distortion issues.
• Discuss the importance of physical activity but that limitations are necessary.
• Remain nonjudgmental.
• Work on assertiveness skills with the patient.
• Encourage patient to participate in the treatment plan.
• Encourage participation in group therapy.
• Provide individual therapy after discharge.
• Praise successes and give immediate positive feedback, focusing on health promotion and
wellness. Often, patient privileges are linked to weight gain and adherence to the treatment plan.
• Monitor all trips to the bathroom, especially after eating, to prevent self-induced vomiting.