Eating Disorders Flashcards
characteristics of anorexia
fear of weight gain - disturbed body image
preoccupation w/food and handling of foods
refusal to maintain norm. weight
Don’t want to associate food and eating
presentation of anorexia
lanugo cachetic dehydrated low BP, low Pulse, low temp cool extremities
physical complications r/t anorexia
cardiac abnormalities fatty liver (body is compensating) elevated cholesterol osteoporosis proteinuria electrolyte imbalances (hypokalemia) leukopenia
assessing anorexic pt.
do they need to be hospitalized do they have med/psych co-morbidity what does the family know/understand about the condition will they except trt do they know where to go for support
physical criteria for admission to hospital (anorexia)
30% or more weight loss in 6 months
HR
psych criteria for admission to hospital (anorexia)
suicidal
self-mutilating
uncontrolled use of laxatives
family crisis/dysfunction
nurs dx r/t anorexia
imbalanced nutrition
risk for injury
decreased cardiac output
disturbed body image
pt goals for anorexia (pt. will…)
normalize eating pattern
demonstrate healthy eating patterns (eat 3 meals a day, eating 80% of meal)
Restore body image
is long term trt/therapy recommended for anorexic pt?
yes
communication guidelines for anorexia
address underlying emotions
build therapeutic alliance
avoid authoritarian/parental role
nurs interventions for anorexia
weights same time/day/clothes after void/before drink
structure mealtimes/menu
monitor after eating
establish contract - gives pt. power over disease
teach about health implications
recognize distorted self-image without minimizing
Sit in dayroom, no bathroom for 30 min
trt (therapies) for anorexia
group/family therapy
psychotherapy
cognitive/behavioral therapy (feelings change then behaviors change)
Accompanied for bathroom visits
trt (meds) for anorexia
not recommended until weight is restored
SSRI’s (Prozac)
Atypical anti-psychotics (Zyprexa) - improves mood/body image
is anorexia a chronic or acute illness
chronic - relapses are common
characteristics of bulimia
recurrent binge eating self-induced vomiting laxative abuse excessive exercise difficulty w/relationships
assessing bulimia
slightly above/below norm. weight
impulsive behaviors
s/s of bulimia
enlarged parotid glands
Russel’s sign
enamel loss/dental caries
nurs dx r/t bulimia
decreased cardiac output
low self-esteem
anxiety
ineffective coping
pt goals for bulimia (pt will)
refrain from binging/purging
name 2 strengths
maint. norm. electrolyte balances
Disturbed body image is the nursing diagnosis for a patient
with bulimia. Which outcome indicator is most appropriate
to monitor?
D.Patient expresses satisfaction with body
appearance
is trt usually short or long term for bulimic pt.
long term
communication guidelines for bulimia
form therapeutic alliance w/pt.
accepting, nonjudgmental approach
trt for bulimic pt.
structured unit interrupting binge/purge cycle
teach healthy diet/menu
coping/relaxation techniques
most effective trt (psych) for bulimic pt.
cognitive-behavioral therapy
