Poremećaji hranjenja kod adolescenata - prikaz slučaja ; Eating disorder in adolescents - a case report

Cilj rada: prikazati utvrđene sestrinske dijagnoze i ciljeve te planirane i provedene intervencije pri provođenju zdravstvene njege bolesnika s anoreksijom nervozom. Opis slučaja: u prikazu slučaja prikazana je bolesnica s AN-om kojoj su utvrđene dijagnoze: socijalna izolacija u/s promjenom u zdravlju i izgledu 2° anoreksije; bespomoćnost u/sa sramom; nisko samopoštovanje u/sa strahom od debljanja; neprihvaćanje vlastitog tjelesnog izgleda u/sa strahom od pretilosti; visok rizik za samoozljeđivanje u/s osjećajem bespomoćnosti, usamljenosti ili beznađa. Provedene su sestrinske intervencije koje su prilagođene i individualizirane te su problemi otklonjeni. Zaključak: važan je multidisciplinarni pristup u liječenju bolesnika s AN-om kako bi se postavili temelji za oporavak, a medicinske sestre nerijetko su prva točka kontakta za osobe s poremećajima prehrane. To posebno vrijedi za pacijente koji možda nisu svjesni da imaju problem. Kod takvih bolesnika važno je obratiti pozornost na njihove jače strane i djelovati na njih. ; Objectives: To present established nursing diagnoses and goals, as well as planned and implemented interventions in the implementation of anorexia nervosa health care. Case: The case study depicts a patient with AN who was diagnosed with: social isolation related to changes in health and appearance; powerlessness related to shame; low self-esteem related to fear of gaining weight; disturbed body image related to fear of obesity; high risk for self-harm related to feelings of helplessness, loneliness, or hopelessness. Nursing interventions that were adjusted and personalized were implemented, and the problems were resolved. Conclusion: A multidisciplinary approach is important in the treatment of patients with AN, and nurses are frequently the first point of contact for people with eating disorders in order to lay the groundwork for recovery. This is especially true for patients who may be unaware of a problem. It is critical to recognize and capitalize on these patients' strengths.