Eating Disorder Flashcards
Purging
Compensatory behavior designed to eliminate food by means of self induced vomiting or misuse of laxatives, enemas, diuretics.
Physical problems of anorexia nervosa
Amenorrhea Constipation Overly sensitive to cold, lanugo hair Hairloss / Dry skin / Dental carries Pedal edema Bradycardia / enlarged parotid glands Hypothermia / electrolyte imbalances
Signs of anorexia nervosa
Clients are occupied with food rlt activities: grocery shopping, food recipes or cookbooks, create fat free meals, cooking family meals.
Refuse to eat with others, cut food in minut pieces, not allow food to touch lips, believe eat will make them fat
Bulimia nervosa
Bulimia, recurrent episodes of binge eating follow by inappropriate compensatory behaviors like purging, fasting, exercise excessively, follow by guilt,shame, remorse, self contempt
SS: vomiting destroys tooth enamel, dental caries, ragged, chipped.
Night eating syndrome
By morning anorexia, evening hyperphagia, nighttime awakenings to consume snacks.
Associates w life stress, low self esteem, anxiety, depression. Most clients are obese
Tx: SSRI
Eating disorder in childhood
Pica : ingest of non-food subtance
Rumination: repeated regurgitation, rechewed, reswallowed/ spit out.
Both common in people with intellectual disability
Comorbidities with anorexia/ bulimia
Mood disorder, anxiety, subtance abuse/ dependence, depression, OCD.
Neuroticism, negative emotionality, harm avoidance, traits associated w avoidant p.disorder.
May have history of sexual abuse
Anorexia nervosa
- restriction of nutritional intakes necessary to maintain a minimal body weight, fear of gaining weight/ become fat
- disturbed perception, refuse to acknowledge the problem.
Etiology
Biologic factor: genetic
Development: control w their diet
Family influences: abuse/ no emo sp.
Social culture: family, society, peers,
Want to feel in control
Medical complication of eating disorder
Loss of fat,mass, osteoporosis, HYPOTHYROIDISM, hypoglycemia, hypotension, arrythmias, delay GI empty, bloating, constipation, abd pain, gas, diarrhea, amenorrhea, dehydration, lanugo, edema, acrocyanosis, leukopenia, anemia, thrombocytopenia
Complication of eating disorder 2
Hypercholesterolemia, hypercarotenemia, sleep disturbances,
RELATED TO PURGING/LAXATIVES
-hypoK, hypoCl alkalosis, hypoMg, elevated BUN
Salivary gland/pancreas inflame, esophageal/ gastric erosion/rupture, dysfunc bowel, sup. Mesenteric art syndrome.
Perimyolysis (erosion dental enamel)
Seizure, mild neuropathy.
Anorexia nervosa
description
Onset often associated with a stressful life event
Intensely fears obesity
Body image is distorted and a disturbed self concept
Consume food prevent weight gain/ phobia agaisnt food
Life threating, death from starvation, suicide, cardiomyopathies, elec imba
Anorexia nervosa
Assessment:
Refuse to eat/ loss of apetite Apetite denial/ feel lack of control Compulsive exercising Overarchiever/perfectionist Decrease temp, weight, gi disturbances, teeth/ gum deterioration, esophageal varices (vomiting), elec imba, dry skin, lanugo, sleep disturb, hormone deficiency, amenorrhea (>3 consecutive periods, cyanosis/numbness, bone degeneration ISOLATION / DENIAL
Bulimia nervosa
Description:
Indulges in binge eating follow by purging.
Most clients are in normal weight
Bulimia nervosa
Assessment
Preoccupied with body shape/weight
Consumption of high calorie food in secret, guilt. Binge-purge syndrome
Attemp to lose weight through diets, vomit, enemas, cathartics, amphetamines/ diuretics
NEED TO CONTROL, powerlessness due to lost of control, low self esteem, poor interpersonal rls, decrease/ absent in interest/sex. Mood swings/ electrolyte imba
