Chronic Illness Flashcards
What is anorexia?
Self-imposed starvation
Review the definition of obesity? Main causes?
Excess fat accumulation > 20% above ideal body weight Main causes: 1. "super sized" everything 2. Sedentary lifestyle 3. Unstructured mealtimes
What are complications of anorexia?
Cessation of menstruation Heart irregularities, hypotention Bone loss Altered brain processes Personality and emotional changes Nutritional deficiencies Constipation, delayed gastric emptying
Anorexia treatment and nursing?
Tx: Psychological counseling Nutritional counseling Family counseling Nursing: -early recognition -education -self-esteem counseling
What is bulimia? Includes?
Binging and purging May include: -vomiting -laxatives -excessive exercising -diuretics
Psychiatric disorders of bulimia?
Depression
OCD
Substance abuse
Bipolar
Bulimia complications
Alcohol/drug abuse
Tooth erosion, calloused knuckles, swollen salivary glands
Broken blood vessels in eyes or face
Esophageal and sinus infections from excessive vomiting
Electrolyte imbalance
Abnormal heartbeat and other cardiac complications leading to sudden death
Bulimia treatment and nursing
Tx:
Psychological counseling
Family nutritional
Obesity complications
HTN Diabetes Dyslipidemia Low-self esteem Poor body image Depression/Anxiety
Obesity nursing care
- goal = weight maintenance in most cases, not weight loss
- monitor BP, lipids, glucose
- help families establish healthy lifestyles
- healthy vs unhealthy
- increase activity level until 60 mins of daily exercise is maintained
What is ADHD characterized 3 behaviors?
- Hyperactivity
- Inattentiveness
- Impulsivity
ADHD
Tx: multidisciplinary approach
- behavior modification
- educational interventions
- medication
- need to be closely followed to determine side effects
What is autism
Complex disorder of the brain function including various social and behavioral deficits
Appears between age 2 & 4
Autism cm
Poor eye contact
Avoidance of physical contact
Limited social interaction
Some have mental retardation/some with exceptionalities
Speech and language delays
Sudden deterioration in expressive speech is a red flag
Autism treatment?
Multidisciplinary approach
-Highly structured and intensive behavior modification program
