eating dis. Flashcards
what is drunkorexics
don’t eat as many calroies as they plan to binge drink
- early cirrhosis
what is consequence of AN
death rate is 12 times higher
- 20% die
def AN
- fear of weight gain
- dist. in shape perception
- BMI
Sx of AN
- hypothermia
- lanugo
- brady card
- edema
- arrhytmias
- osteoporosis
compensatory behavs beyond your normal
- stims.
- thyroid drugs
- E drinks
signs
- russells
- dental abraison
- partid gland enlarged
- electrolyte changes
what is athletic triad
- AN
- ammen
- osterporosis
motivation in BN
- desire to escape self-awareness
- narrowing of attention disengages normal inhibitions over eating
5 question screening for EDs
SCOFF Sick because feel full Contol - lost control over eating Over - lost over 15lbs in 3 months Fat - in mind Food - dominate your life?
DDx in teens
- Diabetes (0.2%)
- Hyperthyroidism
- Peptic Ulcer Disease
- Pituitary Tumours
- Inflammatory Bowel disease
- Depression
- Malignancy
what is stats to dieting
v. common
- more afraid of fat than other things
what is implication of dieting for ED
more likely to binge eat and to vomit
set point theory
we have set height and weight
weight is 50-70% heritable
3 key physio effects for starvation
- stomach shrinks
- slowed gastric emptying
- starvation edema
5 physio effects of starvation
- Lanugo
- Hypercarotenemia: deficiency Vit. A
- Sleep disturbance: hunger/arousal
- Increased Adrenalin levels
- Dehydration
predisposing factors for ED
- peers
- genetic - moms and sisters
- bio - anxiety,OCD
- psychological - perf., self esteem
- cultural - use of food as reward/comfort
what is media influence
- kids watch lots of TV
- female characters are underwiehgt
- fiji study
- proANA websites
some common triggers
- puberty
- starting a new school,
- beginning a new job,
- breakup of an important relationship,
- graduation.
- death,
- divorce,
- marriage,
- family problems
5 keys to therapy
- est. therapeutic alliance
- weight restoration
- restore heathy eating habits
- work with family
- deal with emot. issues
4 therapeutic maneouvers
- sep. illness from patient
- empower patient and fam.
- dev. consensus
- written plan
poor prognostics
- denial
- recent weight loss of 1kg/week
- long duration
- emotional distress
- lack of fam. support
- cardiac arrhythmia
7 red flags
- Medical instability: bradycardia 10mmHg
- Severe malnutrition
- Electrolyte problems
- Severe Depression
- Amenorrhoea
- LOC
- Temp
what happens when college students give info after havoing had EDs
– Role models for the vulnerable
– Decreased stigma of Anorexia
– Glamorized Anorexia
interventions that works (3)
- prevention focus
- involve significant adults
- change social envs.
