Chapter 26 : Eating disorders Flashcards
The following flashcards are going to be about eating disorders from the study guide and the powerpoint lecture he has posted up on blackboard
Before we begin, what are the 5 stages of Maslow hierarchy of basic human needs?
- physiological needs
- security and safety
- love and belonging
- self esteem
- self actualization
who is more likely to develop an eating disorder between the two genders?
female
What is anorexia nervosa?
refusal to maintain body weight at or above a minimally normal weight for age and height
( less than 85% of expected )
usually patients who are diagnosed with anorexia nervosa have and intense fear of?
gaining weight or becoming fat
patients with anorexia nervosa typically have a disturbance in what?
in the way in which body weight or shape is viewed
when a patient who has anorexia nervosa typically is told about the consequences of having a low body weight, they usually tend to be in what?
denial about it
what are the two types of anorexia nervosa?
restricting
binge eating/purging
typically according to the study guide, patients who are diagnosed with anorexia nervosa have a high mortality rate due to what complication ?
cardiopulmonary arrest
patients with anorexia nervosa, their weight is about ___% less than of normal
85
what does restricting mean for a patient who has anorexia nervosa?
literally starving themselves, the restriction of consuming food
what does binge eating/purging mean for a patient who has anorexia nervosa?
will consume and then vomit it after
what does bulimia nervosa mean?
recurrent episodes of binge eating with the lack of control to stop eating
what does binge eating typically mean overall?
self induced vomiting ; misuse of laxatives, diuretics, enemas, or other medications, fasting or excessive exercise
what are the two types of bulimia nervosa ?
purging and non-purging
what is the difference between purging and non purging for a patient with bulimia nervosa?
purging - vomiting or use of laxatives, diuretics or emetics
non-purging - overexercising or fasting
typically patients who are diagnosed with bulimia nervosa, we understand they like to binge eat and then purge.
typically what is their mood when eating ?
what is their mood after finishing eating?
and when purging is done, what occurs?
increased
decreased
they usually go to sleep
the following terms you are going to have to diagnose which is which.
anorexia or bulimia behaviors
denies abnormal eating behavior
recognizes abnormal eating behavior
turns to food to cope
turns away food in order to cope
preoccupation with attaining an ideal but often unrealistic weight
preoccupation with losing more and more weight
more prevalent
earlier onset
higher mortality
anoreixa
bulimia
bulimia
anorexia
bulimia
anorexia
bulimia
anoreixa
anorexia
what is binge eating disorder ?
- dont get confused
is this the most common eating disorder?
typically seen in what ages ?
with increase in weight gain, it causes increase risk for what 2 conditions ?
eating large amount of food over a short period of time
yes
44-55 adults
Diabetes mellitus and hypertension
notes
nursing care for eating disorder patients
Assess eating habits, perception of issue, methods of weight control, impulsivity, self-esteem, family relationships, bullying
Rule out other medical problems
Vital Signs, Weight, and Height
Labs (Electrolytes, CBC, Liver enzymes, T3/T4, urine)
Integumentary System (lanugo)
Cardiovascular System
Musculoskeletal System
Reproductive System
Check hands (Russell’s Sign) and teeth
notes
nursing interventions
Focus on safety and trust
Highly structured milieu
Positive reinforcement
“Food is Medicine”
Encourage decision making and allow some control
Establish realistic goal for weight
what medication do we usually give to patient with bulimia ?
SSRI (prozac)
what is the treatment typically looking like for patients with anorexia?
hospitalization for refeeding
typically for patients who come into the hospital with bulimia or anorexia, what is the first thing we do ?
feed them!
