Chapter 18: Eating and Feeding Disorders Flashcards
are these patients inpatient
yes but normally not for these diagnoses alone
3 main eating diagnoses
anorexia nervosa
bulimia nervosa
binge eating disorder
anorexia nervosa
- intense fear of
gaining weight
anorexia nervosa
- weight
underweight
anorexia nervosa
- experience significant differences in
sensation of taste
appetite
satiety
anorexia nervosa
- maladaptive behaviors
restriction and purging
purging
this is a type of compensatory behavior
ex: self induced vomiting, excessive exercise, laxative use, enemas, diutretics, stimulants, thyroid medications
anorexia nervosa
- two types
restricting
binge eating/purging
anorexia nervosa
- restricting type
NOT engaged in recurrent episode of binge eating or purging behavior
anorexia nervosa
- binge eating/purging
engaged in recurrent episodes or binge eating or purging behavior
anorexia nervosa
- begins when
adolescence or young adult
anorexia nervosa
- cognitive factors
learned behavior with positive reinforcement, defense against ineffectiveness and powerlessness
ex: comments about weight loss, surrounded weight loss from mother or father
anorexia nervosa
- amenorrhea
loss of mental cycle
anorexia nervosa
- body dismorphia?
yes
anorexia nervosa
- lab testing
Na, pre albumin, albumin, iron,
anorexia nervosa
- lack of albumin causes what
edema
anorexia nervosa
- hypercarotenemia
increase carotene in blood (high vit c)
body not flushing vitamins so it builds up in tissues
anorexia nervosa
- lanugo
fine body hair
anorexia nervosa
- nursing diagnoses
more based on medically stable
ex: imblanaced nutrition, decreased cardiac output, electrolyte/fluid imbalance
anorexia nervosa
- referring syndrome
lethal complications may result in
fluid balance abnormalities
abnormal glucose metabolism
hypophosphatemia
hypomagnesium
hypokalemia
thiamine deficiency
body cannot handle workload of increase food
anorexia nervosa
- avoid referring syndrome
reintroduction of nutrients slowly to avoid this
anorexia nervosa
- commonn traits
perfectionism
obsessive thoughts
treatment for this is very or not very specialized
yes it is very
anorexia nervosa
- therapy
integrative medicine (yoga, massage, acupuncture)
insight oriented individual therapy
adolescent focused therapy
family therapy
cognitive behavioral therapy
anorexia nervosa
- pharm
co occurring disorders
- SSRI
- antianxitey
- second gen
- mood stabilizers
anorexia vs anorexia nervosa
anorexia is loos of appetite
nervosa is the eating disorder
bulimia nervosa
- weight
near normal body weight
bulimia nervosa
- definition
recurrent episodes of binge eating
recurrent inappropriate compensatory behavior
bulimia nervosa
- age
later adolescence to adulthood
bulimia nervosa
- environmental factors
internalization of a thin body ideal
bullying
bulimia nervosa
- mood when eating when stopped
increased mood when eating
decreased mood when stopped
bulimia nervosa
- generally does what when binge is over
vomit and sleep
binge eating
large volume
eating outside for comfort
bulimia nervosa
- lab
glucose
K
NA
Mag
EKG
dehydration
laxative use
albumin/pre
bulimia nervosa
- physical signs
enlarged parotid glands
dental erosin/caries
doesn’t look ill
callouses on hands
bulimia nervosa
- why do we ask how to induce vomiting
so we know triggers
bulimia nervosa
- interventions
interrupt destructive cycles
bulimia nervosa
- pharm
antidepressants
- fluoxetine
bulimia nervosa
- therapy
CBT
DBT
interpersonal therapy
acceptance and commitment therapy
bulimia nervosa
- first line therapy
CBT
binge eating
- defintion
eating in discrete period of time an amount of food that is definitely larger than what most people eat
binge eating
- control
sense of lack control over eating during the episode
binge eating
- distress
marked distress over binge eating
binge eating
- periodically or once time
periodically
binge eating
- why is prevalence higher
harder to hide
people seek change
binge eating
- symptoms
GI symptoms
obesity
heartburn
dysphagia
bloating
abdominal pain
diarrhea
constipation
binge eating
- impaired nutritional intake…
more than body requirements
binge eating
- this is not about food this is about
coping with emotion
binge eating
- therapy
CBT/DBT
interpersonal therapy
binge eating
- pharm
SSRI
SNRI (duloxetine, venlafaxine)
TCA
anti epileptics
appetite suppressants
lisdexamfetamine (Vyvanse)
binge eating
- surgery
bariatric surgery
binge eating
- weight
obese
feeding disorders
pica
rumination
avoidant/restrictive food intake
pica
eating nonfood items past toddlerhood
pica can be in pregnancy due to
lack or iron
rumination
regurgitation with reviewing, reswallowing, or spitting
rumination common in
dementia
avoidant.restrictive food intake
starts in childhood
Low BMI
no distorted body image
personal or family anxiety
