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学校护士在医疗保健第一线:识别“骨骼”并知道何时拿起电话:学校环境中学生的饮食失调。

School Nurses on the Front Lines of Healthcare: Recognizing "BONES" and Knowing When to Pick Up the Phone: Eating Disorders Among Students in the School Setting.

机构信息

Penn State University College of Medicine, Hershey, PA.

Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine, Attending Pediatric Emergency Medicine physician, Penn State Hershey Medical Center, Hershey, PA.

出版信息

NASN Sch Nurse. 2022 Mar;37(2):83-88. doi: 10.1177/1942602X20942531. Epub 2020 Jul 30.

Abstract

Through a case presentation, this article describes the assessment and management of a student presenting with a history of disordered eating and weight loss. As medical concerns are brought to the attention of the school nurse, it is important for the school nurse to be aware of common signs and symptoms seen in students with undiagnosed or established eating disorders, as well as possible medical complications associated with untreated or poorly controlled eating disorders. Possible signs and symptoms associated with eating disorders that require outpatient referral or emergent management is delineated in this article, and school nurses are provided with a helpful mnemonic called "BONES" to aid in the recognition of eating disorders in the school setting.

摘要

通过案例呈现,本文描述了对一名有饮食紊乱和体重减轻病史的学生进行评估和管理。当学校护士注意到医疗问题时,了解未确诊或已确诊的饮食障碍学生中常见的体征和症状,以及与未经治疗或控制不良的饮食障碍相关的可能的医疗并发症非常重要。本文阐述了与饮食障碍相关的需要门诊转介或紧急管理的可能体征和症状,并为学校护士提供了一个有用的助记符“BONES”,以帮助在学校环境中识别饮食障碍。

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