Clinical Sessions Flashcards
What are the signs of anorexia nervosa?
Missing meals/ strict dieting Moody irritable Believing they’re fat Lack of periods Dizziness Low BP/ weakness Feel cold and weak Hair thinning/ fallout
What is bulimia nervosa?
Binge eating with compensatory behaviour- improper use of laxatives, fasting, excessive exercise, vomiting
Signs of bulimia nervosa?
Mood swings Bingeing Feeling anxious Depressed Low self esteem
Physical symptoms of bulimia
Stomach pain Vomiting Irregular periods Enlarged salivary glands Regular changes in weight Electrolyte abnormalities from purging
Who came up with the social comparison theory
Festinger
Which eating disorder has no compensatory behaviour?
Binge eating disorder
Things that make people vulnerable to eating disorders
Mental health problems Perfectionism Family history Dieting Being part of a sport/ activity where there is an emphasis on appearance eg sport.
What is Pattons theory
Moderate dieting = 5x more likely to develop an eating disorder
Severe dieting = 18x
Poor mental health = 7x
What are the three main stages of treatment of eating disorders
1) weight management
2) psychological therapies
3) relapse prevention
What is one of the main pathways leading to an eating disorder
Dieting
Which two main risk factors does Connor’s model talk about?
Body dissatisfaction
Self -regulatory risk factors
What is upwards social comparison
Compare ourselves to others who are ‘better’ us - feel bad about it
What age is the peak of anorexia nervosa?
15 - 18 years
After how many months of starvation would a normal fit adult die?
2 months
After how many months of starvation would a patient who’s undergone major surgery/ infection/ trauma?
1 month
Give 6 consequences of poor nutrition
Reduced muscle power Reduced mobility Poor wound healing Reduced immune response Fatigue/ depression Swallowing problems
What is enteral feeding?
Nutrition goes into the GI tract
Used when there’s poor oral intake eg due to dysphagia/ head injury
Which route is nutrition administered in parenteral feeding
Intravenously
Which type of artificial feeding would be used if patient has a functioning GI tract?
Enteral feeding
Which route is taken for short term intravenous feeding
Peripheral feeding= veins outside SVC
Which route is taken for medium term intravenous feeding?
Central feeing (PICC) = fed into larger central vein
Which route is taken for long term intravenous feeding?
Tunnelled lines - Hickman
Give 4 complications of total parenteral feeding?
Infection
High blood sugar
Electrolyte disturbance
Refeeding syndrome
What is refeeding syndrome
Too much too soon
Metabolic disturbances
