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DQ 1 Health issues in a clinical setting can be influenced by nutrition. Identify a health issue that has been positively influenced by nutrition in your clinic. How does nutrition improve health? How can the doctoral-prepared nurse apply this information in practice? Explain. Support your rationale with a minimum of two scholarly sources
Anorexia nervosa (AN) can be considered as a psychiatric disorder, presenting poor nutritional status as a main physical symptom. Anorexia nervosa affects up to 3% of young women and has the highest mortality rate of any psychiatric disorder with approximately 5% of patients dying within four years of the diagnosis. Severe weight loss and malnutrition can cause widespread damage to organs that may persist over time, even if anorexia nervosa is ultimately well-managed (Kawada, 2022).
Nutrition helps patients with disorders such as bulimia and anorexia. These eating disorders are necessary to address but will not be resolved in one Emergency department visit. One study suggests that a referral to a Registered Dietician along with therapy can help. The RDN assists the patient and family transition to a healthier lifestyle, including adjusting meal plans, increasing activity and increasing the variety of foods consumed (Ariail et al., 2018). A study in Japan’s hospital found that “refeeding in patients with anorexia nervosa (AN) is associated with a risk of refeeding syndrome, which is a disruption in metabolism with a variety of features including hypophosphatemia. Oral or intravenous phosphate was given to some patients to treat or prevent RH. Patients with RH had a significantly lower body mass index, were older, and had higher blood urea nitrogen than those without RH. Severe complications associated with RH were recorded in only one patient who showed convulsions and disturbed consciousness at Day 3 when her serum phosphate level was 1.6 mg/dL. The significant risk factors for RH that we identified were lower body mass index, older age, and higher blood urea nitrogen at admission. No significant difference in total energy intake was seen between the RH and no RH groups, suggesting that RH may not be entirely correlated with energy intake. Precisely predicting and preventing RH is difficult, even in patients with AN who are given phosphate for prophylaxis.” At older age anorexia nervosa was associated with death from suicide (Auger et al., 2021).
References
Auger, N., Potter, B.J., Ukah, U.V., Low, N., Israël, M., Steiger, H., Healy-Profitós, J. and Paradis, G. (2021), Anorexia nervosa and the long-term risk of mortality in women. World Psychiatry, 20: 448-449. https://doi.org/10.1002/wps.20904
Ariail, A., Carpenter, E., Smith, T., & Sacco, B. (2018). Effective Treatment of Pediatric Eating Disorders. Pediatric annals, 47(6), e250-e253. https://doi.org/10.3928/19382359-20180517-01
Kawada, T. (2022). Nutritional status in women with anorexia nervosa: Mortality risk consideration. Clinical Nutrition (Edinburgh, Scotland), 41(6), 1457. https://doi-org.lopes.idm.oclc.org/10.1016/j.clnu.2022.04.012
     New Findings from University of Tokushima School of Medicine in the Area of Hypophosphatemia Described (Risk factors for refeeding hypophosphatemia in Japanese inpatients with anorexia nervosa). (2017, January 10). China Weekly News, 725. https://link.gale.com/apps/doc/A476774513/OVIC?u=canyonuniv&sid=bookmark-OVIC&xid=4b6d693d
SCIENCE
HEALTH SCIENCE
NURSING
NURSING DNP810A
