Nutrition in Eating Disorders Case Study

What is Emma’s nutritional status?

Answer explanation

Emma’s nutritional status can be assessed by evaluating her dietary intake, health indicators, and lifestyle. If she maintains a balanced diet and healthy weight, her status is likely good; otherwise, it may indicate deficiencies or excesses.

What are her nutritional risk factors?

Answer explanation

Nutritional risk factors may include inadequate intake of essential nutrients, poor dietary choices, medical conditions affecting absorption, and lifestyle factors such as lack of physical activity. Identifying these helps in planning better nutrition.

What are your nutrition priorities for Emma during her inpatient hospitalization?

Answer explanation

During Emma's hospitalization, prioritize balanced nutrition to support recovery, ensure adequate caloric intake, and address any specific dietary needs or restrictions she may have.

What additional information would you like to obtain?

Answer explanation

To provide a more tailored response, I would like to know the context or specific topic you are referring to, as this will help in gathering relevant and useful information.

What physiological complications of AN does Emma exhibit?

Answer explanation

Emma exhibits physiological complications of anorexia nervosa (AN) such as severe weight loss, electrolyte imbalances, and potential heart issues, which are common in individuals with this condition.

How would you interpret Emma’s labs?

Answer explanation

To interpret Emma's labs, assess key values like glucose, electrolytes, and liver function tests. Abnormal results may indicate underlying conditions, guiding further diagnostic steps or treatment options.

How might you expect her labs to change after she receives intravenous fluids?

Answer explanation

After receiving intravenous fluids, you would expect her labs to show increased blood volume, potentially leading to dilution of electrolytes and other substances, which may result in lower concentrations of certain lab values.

Is her REE expected to be high or low at this time, and why?

Answer explanation

Her REE is expected to be high due to increased metabolic demands, possibly from factors like growth, stress, or physical activity, which elevate energy expenditure.

How would you expect it to change during the refeeding process?

Answer explanation

During the refeeding process, we expect metabolic rates and nutrient absorption to increase as the body adapts to the reintroduction of food, leading to improved energy levels and weight gain.

How would you address Emma’s vegetarianism and her mother’s request?

Answer explanation

To address Emma's vegetarianism, respect her dietary choices while discussing her mother's request. Suggest a compromise, like preparing a vegetarian meal that satisfies both Emma's beliefs and her mother's preferences.