PSYCHATRIC EMERGENSIS Refusal of food''

1
PSYCHATRIC EMERGENSISRefusal of food..

• Student name
• Hanan Al_Majed.
• ID Number
• 425204585
• Supervised by
• Dr.Elham.

2
Refusal of food..

• Out line
• 1-defination of refusal of food.
• 2-the causes of refusal of food.
• 3-the nursing intervention for the patients who
  suffer from refusal of food.

3

• What is the refusal of food mean?!!
• Refusal of food is considered as
  psychiatric emergency when patients refuse to eat
  for 3days consecutively.

4

• Causes.
• There are 6 causes of refusal of food that is
• 1-Schizophrenic patients
• are so preoccupied with their fantasies that
  they often fail to realize a need for food.

5

• 2-depressed patients
• may be so overwhelmed with feeling of guilt
  inadequacy that they really believe they are
  undeserving of food.

6

• 3-paranoid patients
• usually they have delusion of persecution.
• Patient may believe that food is
• contaminated or poisoned
• 4-Hallucinating patients
• patients may hear voices that command him not to
  eat.
• 5-hysterical patients
• may refuse to eat in order to gain attention.
• 6-patients with anorexia nervosa
• they have extreme fear from weight gain.

7

• People with anorexia may have psychological and
  emotional characteristics that contribute to
  anorexia.
• Signs and symptoms of anorexia nervosa
• Emotional and behavioral indicationsEmotional
  and behavioral characteristics associated with
  anorexia include
• Refusal to eat
• Denial of hunger
• Excessive exercise
• Flat mood, or lack of emotion
• Difficulty concentrating

8
Nursing intervention. The appropriate
nursing intervention will be to insert a
nasogastric tube or I.V infusion after proper
explanation of procedure to avoid
misinterpretation.
9
Any question..

• Thanks for listening..