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1
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Bedside evaluation mental state antipsychotic medication
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Crying, retching
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Passive: infusion
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Sits in bed if supported
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2
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Build alliance with family, establish supportive relationship with patient
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Nurse gets in contact with patient, offers contact, occupation at frequent short intervals
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Infusion
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Continued, able to sit alone in bed
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Patient decides when to stop (some minutes)
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3
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Weight control, check caloric supply nasogastric tube
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Breathing exercises by nurse, explore cognition: how does it feel in your stomach? Cognitive stimulation: school work at bedside
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Sensory input, water in mouth without swallowing, mashed soup via tube, initially administered by nurse, then by father
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Sensory input wash feet twice a day by father
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Breathe slowly for self regulation reflection on inner state
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4
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Weight gain, antipsychotic medication stopped
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Occupation continued, variety of tasks
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Continued
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Sits at bedside for a moment
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Crying diminishes
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5
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Continued variety of tasks, longer attention span
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Continued
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Crying stops, is getting calm
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6
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Safe relationship to nurse
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Praised by family and professionals
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Active: able to swallow liquid
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Active intake of food—very proud
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7
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Takes part in group painting
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Sits in group at table
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8
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Active: eats solid food nasogastric tube removed
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Passive: massage of legs; active: guided movements, relaxation exercises
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Expresses wish for favourite food, active movements of legs despite being anxious
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9
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Occupation for 1 h needle work fast, skilful
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Able to sit in group for 1 h, stands with support
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Able to ask for material, persists on own ideas in painting, able to say no, assertive behaviour, confident
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10
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Some steps on her own without support
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