The Best Little Girl in the World
The Best Little Girl in the World Overview Casey Powell, from The Best Little Girl in the World, is an adolescent obsessed with losing weight. What began as a diet has turned into slow self-starvation. Casey has made desperate attempts to gain attention from her family, fit in as a cheerleader, and become a thin ballet dancer. Her weight loss eventually did attract her family’s attention—they took Casey to a doctor, who diagnosed her condition as anorexia nervosa and referred her for therapy. Casey continues to lose weight and is hospitalized when her unstable medical condition becomes life-threatening. You are a nurse working at the hospital in which she is admitted. Client Name: Casey Powell Psychiatric diagnosis: Anorexia Nervosa; Binge-eating/purging type; Extreme *For the criteria supporting this diagnosis, please refer to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, by the American Psychiatric Association, and/or your Wolters Kluwer mental-health nursing textbook. Date: Your name: Name of the client you are assessing: Casey Powell Name of the movie: The Best Little Girl in the World What is the chief complaint? (In the client’s own words, and report of others) Response: Based on the above information and a close viewing of the movie, what questions would you ask during history taking? What are some possible answers? You might base your questions on the: · History of the client’s illness. · Psychosocial history. · Family dynamics and relationships. Response: What other observations do you have about the client’s behavior? Response: In your opinion, is the diagnosis above correct? Response: What requirements does the client meet that support this diagnosis, based on DSM-5 criteria? Response: What treatment plan would you outline? Response: With what expected outcomes? Response: SCIENCE HEALTH SCIENCE NURSING
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