Ch. 25: Feeding & Eating Disorders Flashcards
When is the onset for anorexia?
Adolescence or early adulthood
What illness has the highest mortality rate in regards to psychiatric illnesses?
Anorexia Nervosa!
BMI severity scale for AN
Mild: BMI > or = 17
Moderate BMI >= 16 - 16.99
Severe: BMI = 15-15.99
Extreme: BMI
What are two types of Anorexia Nervosa?
- Restricting type
2. Binge-purge type
Those with AN have a lack of Interoceptive Awareness:…
Interoceptive awareness: describe the sensory response to emotional & visceral cues, such as hunger.
*Those with AN cannot name the feelings they are experiencing
What is most widely accepted theory of AN?
Psychodynamic - key tasks of separation-individuation and autonomy are interrupted** (struggles around identity & role, body image, maturity fears**)
Screeening tools for anorexia?
Eating Attitude Test, EAT26, CHEAT - Children’s Eating Attitude Test
Best predictor of recovery for those with AN?
Discharge BM!
What is Bulimia Nervosa?
Recurrent episodes of binge-eating & purging (vomiting, laxatives, diuretics, over exercising)
- These episodes must occur at least 1xweek for 3 months
- Usually a normal weight**
What is Binge eating?
rapid, episodic, impulsive & uncontrollable ingestion of large amount of food over a short period of time (1-2hours)
eating is followed by guilt & severe dieting
What is one factor that is predictive of over eating or “binge” behaviour?
Dietary restraint**
When is the onset in individuals with BN?
18 - 24yrs (older than anorexia)
*More prevalent than AN
what is the primary nursing diagnosis for patients with BN?
Imbalanced nutrition: less than or more than body requirements
Powerlessness
Anxiety
ineffective coping
Major risk: hypokalemia from purging*
What relationship does Binge-eating disorder have with dietary restraint?
AN & BN - high levels of dietary restraint
BED - low levels of dietary restraint
