Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan
Primary Diagnosis
Learner Selection
Model Documentation
Diagnosis: Pre-Participation Sports Physical
Identified as primary
Evidences:
Samantha reports the reason for her visit is a sports physical
Learner Rationale:
The patient indicates that she came for a sports physical.
Score: 3 out of 3
Additional Diagnosis
Learner Selection
Model Documentation
Diagnosis: Inappropriate Diet and Eating Habits
Evidences:
– Samantha reports a desire to lose baby fat
– Samantha reports dizziness
– Samantha reports wanting to look more athletic
– Samantha reports skipping lunch once or twice each week
Score: 5 out of 5
Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan
Model Rationale:
Samantha’s desire to lose baby fat and appear more athletic, as well as her diet modifications, are clear indications that Samantha’s diagnosis pertains to Inappropriate Diet and Eating Habits. This subjective data, along with Samantha’s normal weight range and healthy BMI collected during a physical examination, indicate that Samantha’s problematic behavior is not severe enough to meet the criteria of other eating-related diagnoses or disorders. Therefore, Inappropriate Diet and Eating Habits is the correct additional diagnosis at this time. American Psychiatric Association. (2017). Feeding and Eating Disorders. In Diagnostic and statistical manual of mental disorders (5th ed.).
Care Action
Learner Selection
Model Documentation
Recommended
Score
Pharmacological Intervention
Selected: No
No disease or problem was indicated by the patient
Recommended: No
Score: 1 out of 1
Non-Pharmacological Intervention
Selected: Yes
Discussing with the patient about her food and dieting habits
Recommended: Yes
Score: 1 out of 1
Educate Patient
Selected: Yes
Patient should be taught to take care of her own health
Recommended: Yes
Score: 1 out of 1
Preventive Screening and Intervention
Selected: No
Samantha already got preventive screening during her 13-year-old well visit
Recommended: No
Score: 1 out of 1
Diagnostic Testing: Labs and Imaging
Selected: No
No conditions were indicated that would require testing
Recommended: No
Score: 1 out of 1
Referral of Care
Selected: No
This selection is not appropriate
Recommended: No
Score: 1 out of 1
Continued Care and Follow-up
Selected: Yes
A follow-up appointment is essential to see how the patient is complying with non-pharmacological interventions
Recommended: Yes
Score: 1 out of 1
Non-Pharmacological Intervention
Learner Selection
Model Documentation
Recommended
Score
Discuss life-threatening health problems caused by eating disorders, such as heart failure, bone loss, hair and tooth loss, and loss of menses.
Selected: Yes
–
Recommended: Yes
Score: 1 out of 1
Discuss limiting Samantha’s media intake, including unfollowing fitness accounts on social media and refraining from watching shows about weight loss or dieting.
Selected: Yes
–
Recommended: Yes
Score: 1 out of 1
Discuss with Samantha various ways to track her calorie intake, including apps and food diaries, to ensure she meets her recommended caloric intake.
Selected: No
–
Recommended: No
Score: 1 out of 1
Educate Samantha on identifying problematic eating behaviors, including skipping meals on purpose, misusing laxatives, counting calories, or purging via exercise or vomiting.
Selected: No
–
Recommended: No
Score: 1 out of 1
Increase knowledge of coping mechanisms for low self-esteem and poor body image, including journaling, support groups, relaxation and stress management, positive self-talk, and affirmations.
Selected: Yes
–
Recommended: Yes
Score: 1 out of 1
Inform Samantha that if she sets her mind to it, she can overcome her body issues and low-self esteem through proper diet and exercise.
Selected: No
–
Recommended: No
Score: 1 out of 1
Education
Learner Response
Model Response
Forcing yourself to diet or skip meals can make you very sick because strong bones, teeth, and hair require adequate nutrition. Eating as much as you should is a very important part of staying healthy. Forcing yourself to diet or skip meals can make you very sick. Strong bones, hair, and teeth all require sufficient nutrition and calories. Eating well is important for development. Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan You mentioned feeling self-conscious about not having your period yet, but you’re developing at a normal rate. Eating regularly will help you stay on track to develop properly, which includes getting your period. Also, you’re a soccer player — that requires a lot of energy and stamina. Eating plenty of food allows you to perform on the field and helps protect you from injury and overexertion. As an athlete, a student, and a young woman, having three meals of balanced food a day will help you achieve your goals.
–
In your own words, discuss limiting media intake with Samantha and Jackie.
You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size. Samantha, you mentioned social media and your friends’ follower count as influencing your body-image. We’re going to talk about social media and strategies you can use to protect your mental health and body-image. It’s critical you limit your exposure to media sources that promote diet culture, fad diets, weight loss, fitness goals, and idealized, unrealistic bodies Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan. Instead of focusing on how you look in comparison to others, try to reframe those thoughts and remind yourself that your body isn’t a problem to be solved or punished. When you see images, articles, or TV shows that make you feel bad, turn them off and remember your body deserves to be fed, cared for, and appreciated, regardless of its size. Samantha Monroe Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.”
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Top of Form
Discussion Topic
Learner Response
Model Response
We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.
Now, we’re both going to have to reconsider our perspectives on our bodies and have conversations about nutrition. I don’t want my daughter to face challenges with her self-esteem.
Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan
Discussion Topic
Learner Response
Model Response
In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie.
Now we’re going to talk about some specific coping strategies you can use to interrupt negative thoughts about yourself and work towards a more neutral, if not positive, approach to your body. You can try journaling, relaxation and stress management techniques, replacing negative self-talk with positive things you like and appreciate about yourself, and affirmations. A good affirmation for you might be, “All bodies deserve to be fed and watered,” or “All bodies deserve care and praise.” You can also consider going to a support group for teens looking to build-up their self-esteem. Body image and disordered eating can significantly impact a person’s anxiety levels and sense of control over their lives. Try using these coping strategies the next time you have anxious, controlling, or restrictive thoughts about your body or food.
Discussion Topic
Learner Response
Model Response
You can try journalling, relaxation and stress management techniques, and affirmations
Now we’re going to talk about some specific coping strategies you can use to interrupt negative thoughts about yourself and work towards a more neutral, if not positive, approach to your body. You can try journaling, relaxation and stress management techniques, replacing negative self-talk with positive things you like and appreciate about yourself, and affirmations. A good affirmation for you might be, “All bodies deserve to be fed and watered,” or “All bodies deserve care and praise.” You can also consider going to a support group for teens looking to build-up their self-esteem. Body image and disordered eating can significantly impact a person’s anxiety levels and sense of control over their lives. Try using these coping strategies the next time you have anxious, controlling, or restrictive thoughts about your body or food.
