Treatment Plan Update—June 10, 2016
Weight: 89 lbs.
BMI: 15.3
Summary:
Treatment team has approved patient transition to Stage Two of residential treatment, with reservations by team nutritionist.
In light of low patient weight, behavior and mood, and the continued need for feeding by means of nasogastric tube, treatment team acknowledges the precocity of this transition. However, it highlights that this transition is exceptional and probationary, approved with the main purpose of allowing patient to go on a therapeutic meal outing with her spouse.
Treatment team feels reasonably confident that the benefits of the therapeutic meal outing outweigh potential risks of noncompliance and relapse at Stage Two. Maintenance of Stage Two status is contingent upon patient’s full compliance with her assigned meal plan, all treatment activities, and the team’s instructions.
Date, location, and meal plan of the therapeutic meal outing will be determined by the nutritionist. Nasogastric feeding tube will remain in place as a precautionary measure. Failure to complete any meal or snack prior to the outing will result in the immediate revocation of the permission.
Residential treatment remains necessary.
Treatment Objectives:
Complete a meal with spouse without resorting to eating-disorder behaviors or necessitating nasogastric feeding tube.
Alleviate symptoms of depression and motivate patient to resume work toward recovery.
Resume normal nutrition, restore weight. If needed, ensure nutrition through nasogastric tube feeding.
Monitor vitals. Monitor labs. Follow hormone levels.
Target caloric value: Maintain and secure at 2,700 calories until reevaluation.