Eating Disorders Flashcards
0
Q
2 Types of Anorexia Nervosa
A
- Restricting Type
2. Bing-eating/purging type
1
Q
Anorexia Nervosa
A
- Clients are preoccupied with food and the rituals of eating, along with a voluntary refusal to eat.
- Client exhibit a morbid fear of obesity and a refusal to maintain a minimally normal body weight (body weight less than 85% of expected normal weight for the individual) in the absence of physical cause.
- Most commonly occurs in females from adolescence to young adult.
2
Q
Anorexia Nervosa
Restricting Type
A
- The individual drastically restricts food intake and does not binge or purge.
3
Q
Anorexia Nervosa (Binge-eating/purging type)
A
The individual engages in binge eating or purging behaviors.
4
Q
Bulimia Nervosa
A
- Clients recurrently eat large quantities of food over a short period of time (binge eating), which may be followed by inappropriate compensatory behaviors, such as self-induced vomiting (purging), to rid the body of excess calories.
- Most clients who have bulimia nervosa maintain a normal weight
- Average age of onset in females is 15-18 years.
generally occurring between 18-26.
5
Q
2 Types of Bulimia Nervosa
A
- Purging Type- self-induced vomiting, laxatives, diuretics, and or enemas to lose or maintain weight.
- Non purging Type- Client may compensate for binge eating through other means, such as excessive exercise and the misuse of laxatives, diuretics, and or enemas.
6
Q
Binge eating disorder
A
- Clients recurrently eat large quantities of food over a short period of time without the use of compensatory behaviors associated with bulimia nervosa.
- Binge eating disorder affects men and women of all ages, but is most common in adults ages 46-55.
- Weight gain associated with binge eating disorder increases the cleints risk for other disorders including type 2 DM, HTN, cancer.
7
Q
Comorbidities include
A
- Depression
- Personality disorders
- Substance use disorders
- anxiety
8
Q
Risk Factors
A
- Family genetics
- biological- hypothalamic, neurotransmitter, hormonal
- Interpersonal relationships
- Psychological influences
- Environmental factors- media, society
- Individual history of being a “picky” eater
- Participation in athletics
- Hx of obesity.
9
Q
Mental Status
A
- Overgeneralizations
- High interest in perparing foods, but not eating
- Terrified of gaining weight
- perception of being severly overweight
- low self esteem, impulsivity, difficulty with interpersonal relationships
- intense physical regimen
- experience guilt or shame due to binge eating behavior
10
Q
Vital Signs
A
- Low BP, possible Ortho
- Decreased HR & Temp
- HTN, may be present in ppl. who have binge eating disorder
11
Q
Weight
A
- Anorexia Nervosa- body weight <85% of expected normal
- Bulimia Nervosa- maintain a weight within the normal ranger or slightly higher
- Bing eating disorder- typically over weight or obese
12
Q
Skin, Hair, Nails
A
Clients who have anorexia nervosa may have fine, downy, hairy on the face and back, yellowed skin, mottled, cool extremeties, and poor skin tugor
13
Q
Head, neck, mouth, and throat
A
- Enlargement of parotid glands
2. Dental erosion and caries (if client is purging)
14
Q
Cardiovascular system
A
- Irregular HR, heart failure, cardiomyopathy
2. Peripheral edema
