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Understanding the Struggles of Severe Anorexia: A Case Study of a 32-Year-Old Female

This case study delves into the life of a 32-year-old female with severe anorexia nervosa and complex medical history. Initially experiencing a happy childhood, her life took a tragic turn with childhood sexual abuse, leading to issues with eating control and substance use. Despite multiple treatments and hospitalizations, including palliative care, her health deteriorated severely. This account aims to highlight the challenges faced by individuals with severe eating disorders and the implications for their mental and physical well-being.

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Understanding the Struggles of Severe Anorexia: A Case Study of a 32-Year-Old Female

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Presentation Transcript

  1. Re E ‘I don’t want to eat, but I don’t want to die’

  2. 32 yo female • 18th May 2012 COP application • Severe AN • Refusing to eat • On Palliative care regime

  3. Background • 2 sisters • Happy early childhood • Sexually abused between ages of 4-11 • Age 11 started to control eating • Age 12 binge eating, SIV, and ETOH • Age 15 admitted EDU for 9/12 • Successful schooling and started studying medicine • Relationship led to travelling, ETOH and dropping out. Remembered as happy

  4. 2006 onwards continuous series of emergencies and adm • 3 specialist EDU (3,5 then 8 months) • 1 ETOH treatment unit (2/12) • ‘Revolving door’ • MHA 10 occ. Longest 4/12 • Relationship ended in 2008

  5. Advanced decisions • July 11 no medical intervention to prolong life • Oct 11 signed another and detained that day

  6. 3rd April 2012 unanimous decision that all treatment options exhausted • 20th April palliative care pathway

  7. Dx • Severe AN • BPD • ADS • Opiate dependence • Malnutrition • Osteoporosis • Hip replacement • Wheel chair bound

  8. BMI • <14 for 4 years • <12 for 2 years • Current 11.3

  9. Options • No intervention • Prolonged IP adm with forced feeding

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