Reference no: EM133861860
Case Scenario: Mandy is a 10-year-old who has been brought in by her new foster mother for a well-child exam. The foster mother states that Mandy was removed from her home due to neglect and physical and sexual abuse and expresses concerns Mandy may have an eating disorder.
What types of abnormal behaviors might Mandy exhibit?
o Mandy's history of severe trauma, including neglect and both physical and sexual abuse, places her at high risk for behaviors such as difficulty forming attachments, extreme mood swings, poor impulse control, and regressive behaviors like bedwetting. She might also show avoidance of specific people or situations, or dissociation. Mandy may also engage in food refusal, poor, eating habits or excessive exercise.
What physical findings might you find during the physical examination? Get top-rated assignment assistance online!
o On physical examination, findings could include bruises, scars, or healing fractures. Signs of sexual abuse may include genital irritation or injury and symptoms of urinary tract infections. If Mandy is suffering from an eating disorder, physical signs might include low weight for age, brittle nails, hair thinning, and delayed growth and puberty.
How should you manage Mandy's history of abuse?
o A comprehensive, sensitive, and child-centered approach is necessary to manage Mandy's care. It's critical to establish a safe and supportive environment for her, both during and after the exam. Psychological evaluation and therapy will also be needed to guide her to move on from the events. If an eating disorder is suspected, Mandy should be referred to a specialist team experienced in pediatric eating disorders for assessment and treatment.