PSYCHIATRIC NURSING SBAR TOOL: PSYCH

P : Patient

Patient Name: Louise Age 20 Diagnosis: Eating Disorder

S : SITUATION

What brought patient to hospital (brief/concise description of behavior and

circumstances):

Dehydration and then she was switched from Med/surg to psych bc we found she has

an easting disorder and altered body image.

Y : YOUR ASSESSMENT

Mental status; Problems; Concerns

Pt has a very distorted body image and when I tried to draw her body out compared to

what she has drawn, she was very upset and needed to change things. First we should

treat her dehydration and then treat with antidepressants, antianxiety, and possibly a

medication to stimulate huger. She will also need therapy for how severe her thought

processes are. We should hide all scales so she cannot see her weight when we weigh

her everyday. She should have a private room and have supervised meals and be

supervised at least an hour after meals to make sure she is not throwing up.

C : CRITICAL INFORMATION

Last medications given within last 12 hrs. Antidepressant (sertraline), Fluids (NSS 0.9%)

Allergies: NKDA

Recent CIWA score (if pertinent): N/A

Level of Agitation: 0

H : HELP

What do you need for pt. now/orders?

I think patient would benefit from:

One on one therapy and the use of a journal. She could also use a prescription for anxiety medications to

calm her down before eating her supervised meals with us.

NURS 211 - Psych - SBAR TOOL

Concepts And Practice Iv (NUS 211)