EATING DISORDERS Flashcards
excessive concern about food and weigh control
EATING DISORDERS
simply loss of appetite. It is a symptom. It is not a disorder, but a symptom of an abnormal condition.
ANOREXIA
- mental illness, a disorder.
- Self-starvation syndrome
- Relentless pursuance of thinness
- Weight: < 85% of their Ideal Body Weight (IBW)
ANOREXIA NERVOSA
What is the normal BMI?
Give the BMI for Anorexia Nervosa Patients
Normal: 18-24.9
BMI: <17.5
TYPES OF ANOREXIA NERVOSA
- Not eating
- Excessive excercising
RESTRICTIVE TYPE
TYPES OF ANOREXIA NERVOSA
- Extreme weight losing diet and excessive excerise
- They sometimes binge/purge
VOMITER/PURGER TYPE
What is the difference between vomiter type and bulimia?
Frequency; If less than the requirement for bulimia nervosa then it is anorexia; BN has specific frequency per week
COMMON MANIFESTATIONS OF ANOREXIA
- Because they are severely malnourished, their body is unable to produce a certain hormones needed
AMENORRHEA
COMMON MANIFESTATIONS OF ANOREXIA
- When you are not eating, you can have ulcer or
hyperacidity - Even if you don’t eat, your stomach is still producing
hydrochloric acid
EPIGASTRIC PAIN
COMMON MANIFESTATIONS OF ANOREXIA
They will have fluid and electrolyte imbalance that may cause hypokalemia and hyponatremia
EXCESSIVE EXCERICES
COMMON MANIFESTATIONS OF ANOREXIA
NO ORGANIC CAUSE FOR WEIGHT LOSS
Does not have any other disorder that causes severe malnutrition
What is the main problem of Anorexia Nervosa Patients
INTENSE FEAR OF WEIGHT GAIN
- They are obsessed about food but they don’t want to eat
- Patients have a high knowledge about nutrients, caloric diet because they are obsessed, they research about it.
Nursing diagnosis for Anorexia Nervosa Patients
Disturbed/Altered Body Image
- THEY ARE OBVIOUSLY THIN BUT FEELS FAT
They don’t eat because of loss of appetite, in fact they don’t lose their appetite, it’s their choice not to eat at all.
REFUSAL TO MAINTAIN NORMAL WEIGHT/ REFUSAL TO EAT
What are the defense mechanism used by anorexic patients?
suppression and denial
- They also refuse to acknowledge the seriousness of
their problem
PERSONAL PROFILE OF PATIENTS WITH ANOREXIA NERVOSA
- mnemonics: PAYAT
Perfectionists
Achievers in School - Disciplined
Yearns thinness
A good daughter/Son - Submissive to their parents
Teens
PERSONAL PROFILE OF PATIENTS WITH ANOREXIA NERVOSA
Perfectionist
- What is the type of parents/type of toilet training
- What dominates their personality?
- Rigid type
- superego
PERSONAL PROFILE OF PATIENTS WITH ANOREXIA NERVOSA
Common age group where they are diagnosed with anorexia nervosa
Teens
- According to Mary Townsend, girls are more
conscious with their body
PERSONAL PROFILE OF PATIENTS WITH ANOREXIA NERVOSA
In what developmental stage is crucial in root cause of anorexia nervosa
Toddlers
- Because of the type of toilet training
-Not eating or losing weight is their way of
achieving self-control.
WHAT ARE THE FAMILY SYSTEMS THEORY IN ANOREXIA NERVOSA
- Overprotective family
- Chaotic Family
- Achieving oriented family
What kind of overprotective family does anorexia nervosa patient have and what does it mean?
- Family enmeshment
- Family that has no clear boundaries.
- In attempt to be autonomous and
independent, they will not eat or control their eating habits thus, weight loss can be observed.
What causes anorexia nervosa among patients with chaotic family?
- Emotional problems
- No emotional support given who is susceptible in
anorexia nervosa - They have a lot of unexpressed emotions, and In
attempt to forget unexpressed emotions they will not eat.
They Consciously forget they want to eat
Anorexia Nervosa
Unconsciously forget their problems while losing weight
Anorexia Nervosa
