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Simulation Guide

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Other

School

university of maryland

Type

Homework

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OryyOregvr

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Scenario File: Eating Disorder

Page 1

This scenario was created using the scenario template downloaded from http://sirc.nln.org with permission from the NLN and Laerdal Medical.

Scenario File: Eating Disorder

Discipline: Psych MH Student Level: interm./advanced

Expected Simulation Run Time: 10 min. Guided Reflection Time: 20 min.

Admission Date: Today’s Date:

Brief Description:

Name: Joyce Gender: Female

Age: 27 Race: Asian American

Weight: 130 lbs Height: 5’.5” cm

Religion: Buddhist Major Support:

Boyfriend of 3 years-Austin Phone:

Allergies: cephalosporins

Immunizations: Up to date

Attending Physician/Team: :Nurse/nurse

practitioner:

Past Medical History:

J is a 27 year old IT professional with

fulltime job. She lives alone in a condo in

downtown Silver Spring which she

purchased 1 year ago. J started

disordered eating in high school, at first to

control her weight, and then the behavior

became a form of coping with stress

especially with academic and

interpersonal concerns. She sought

therapy for bulimia while in college, and

was helped by short-term cognitive

behavior therapy. She did not engage in

binging and purging for over 2 years after

college, but in the past year as

occupational and relationship stress

increased, she relapsed into the binging

and purging several times a month.

History of Present illness:

Boyfriend found her passed out in

bathroom of her apartment; toilet bowl

was splattered with blood stained vomit.

He called 911 when J appeared

Psychomotor Skills Required Prior to

Simulation

Observation of patients body

language, facial expressions,

synchrony between verbal and non

verbal behavior.

Cognitive Activities Required Prior

to Simulation [i.e. independent reading

(R), video review (V), computer

simulations (CS), lecture (L)]

Nursing Diagnosis:

Collaborative Problems:

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Scenario File: Eating Disorder

Page 2

This scenario was created using the scenario template downloaded from http://sirc.nln.org with permission from the NLN and Laerdal Medical.

disoriented and continued to heave and

complain of upper GI distress.

Joyce reports symptoms as follows:

• Intense feelings of anxiety over work

stress

• Leaves work at lunchtime (her

condo is about 3 blocks from her

office) to binge/purge.

• Frequent work absences/tardiness.

• Cancels plans with boyfriend and

friends due to fatigue and fear she

will have urge to binge and will not

be able to get away.

• Poor concentration, negative

ruminations, cognitive distortions

• Frequent episodes of gastric reflux

at night and 2-3 hours after a

binge/purge episode.

• Severe ulcers of mouth and gums

• Vegetative symptoms: changes in

sleeping, eating problems increase

with more frequent bulimic

episodes-having trouble consuming

food that must be chewed

thoroughly before swallowing, e.g.

breads, vegetables, fruits, meats,

nuts.

Social History:

J is a college graduate with a MS degree

in computer science from University of

Maryland.

J has several girlfriends she has met since

graduate school and working. She

socializes with these friends 2-3 times/

month. She is an avid runner, and is in

training for the Marine Corps Marathon in

October.

At work J was named project manager for

a new account. She must shuttle between

Boston and DC at least once monthly. She

may be away from home for 7-10 days

working on the project. It is a good

assignment which will likely improve her

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Scenario File: Eating Disorder Discipline: Psych MH Student Level: interm./advanced Expected Simulation Run Time: 10 min. Guided Reflection Time: 20 min. Admission Date: Today’s Date: Psychomotor Skills Required Prior to Simulation Brief Description: Observation of patients body Name: Joyce Gender: Female language, facial expressions, Age: 27 Race: Asian American synchrony between verbal and non Weight: 130 lbs Height: 5’.5” cm verbal behavior. Religion: Buddhist Major Support: Boyfriend of 3 years-Austin Phone: Allergies: cephalosporins Immunizations: Up to date Cognitive Activities Required Prior to Simulation [i.e. independent reading (R), video review (V), computer simulations (CS), lecture (L)] Attending Physician/Team: :Nurse/nurse practitioner: Past Medical History: J is a 27 year old IT professional with fulltime job. She lives alone in a condo in downtown Silver Spring which she purchased 1 year ago. J started disordered eating in high school, at first to control her weight, and then the behavior became a form of coping with stress especially with academic and interpersonal concerns. She sought therapy for bulimia while in college, and was helped by short-term cognitive behavior therapy. She did not engage in binging and purging for over 2 years after college, but in the past year as occupational and relationship stress increased, she relapsed into the binging and purging several times a month. History of Present illness: Boyfriend found her passed out in b ...
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Tags: cognitive behavior poor concentration eating problems interpersonal concerns relationship stress