Case Study: 2. Young Adult Case Study (100 points) Kylie is a 22-year-old female
ID: 160132 • Letter: C
Question
Case Study: 2. Young Adult Case Study (100 points) Kylie is a 22-year-old female who is in her senior year of college. She tearfully discloses in confidence to you, a nursing student and her best friend, that she has had some concerns about her weight for much of her adolescent and young adult life. She has just gotten engaged to Michael, they are excitedly planning their wedding, and Michael says he “Can’t wait to have children!” Because she had dreams of becoming a professional ballet dancer, Kylie has always had to restrict her weight from a young age. She believes her training in dancing contributed to the intense preoccupation she has with her weight and body image. She recalls being repeatedly told that she was too fat by her dance instructors, despite the fact that she dieted constantly, and friends have always told her that she looked quite thin. Kylie has not been able to shake the feeling that she is too fat at her current weight of 98 pounds (Kylie is 5 feet, 10 inches tall). Kylie says that she sometimes gets so hungry after dieting for several days that she will simply lose control of her eating and consume large amounts of junk food. Feeling horrible about having broken her diet, she would then force herself to throw up what she had eaten. This cycle would repeat itself weekly, and has been going on for about 5 years. Kylie has become concerned because her menstrual cycles have not yet started, and she is becoming concerned about her ability to have children and what Michael would think if he knew about her preoccupation with her weight. Discussion Questions a. As Kylie’s best friend, what steps might you take in discussing this problem with her, or wouldn’t you? Why or why not? b. What are some factors that contribute to the development of eating disorders? c. What are some of the health risks associated with eating disorders? d. Should you tell Michael, Kylie’s fiancé, about this conversation? Why or why not? e. What are some treatment options for Kylie’s eating disorder?
Explanation / Answer
A) Discussing with her regarding the problem we will ask her about during the time when she is on diet does she consumes some medication also to get thin, Has she avoided some kinda food for long so is there any vitamin deficieny and what hse usually eat in the junk food and then we will try to corelate that thing with the symptoms of menstural cycle obstruction and harmonal imbalance
B) For factors of eating disorders :-
1. Hereditary Factors :- There is some co relation between the generations for this eating discorder . it has been seen that the genes may pass from parents to off spring
2. It can also be biological when we see that the part of the brain is not cordinating and because of which person is having eating disorder
3. interpersonal reasons can also be a cause, sometime because of some stress person is not able to eat food timely
4 social and emotional disbalance can also lead to eating disorder
c) muscle loss, weakness, abnormal slow heart rate, loss of hair, harmonal disbalance, sever dehydration etc are the health risk associated with eating disorder
d) we should tell her because he can help her in giving strength to fight with the situation so that the risk factors can get reduced and she can go back to normal diet
e) family psychotherapy , medical care , nutritional counselling and medications can solve the issue to a certain extent.