Eating Disorders Flashcards
what are triggers for eating disorders
onset of menstruation traumatic personal incident family stress feelings of lack of personal control perception they are putting on weight
what are family characteristics of eating disorders
high parental expectation difficulty managing conflict poor communication enmeshment of fame devaluation of the mother marital tension
what are the SCOFF questions for screening of eating disorders
- Do you make yourself SICK because you feel uncomfortably full
- Do you worry that you have lost CONTROL over how much you eat
- Have you recently lost more than ONE stone (14lb) in a 3 month period
- Do you believe yourself to be FAT when others say you are too thin
would you say that FOOD dominates your life
Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain
anorexia nervosa
what are the “trophies” of anorexia nervosa
collar bones
hip bones
thigh gap
anorexia nervosa people are usually
perfectionists academically high achievers conforming conscientious typically have high energy levels with marked emaciation may eventually develop bulemia
anorexia nervosa’s whole self worth is based on
the amount of body fat they have
what eating disorder maintains a sense of control
anorexia nervosa
what are the anorexia subtypes
restricting type and purging type
what are CM of anorexia nervosa
profound weightless amenorrhea bradycardia low body temp hypotension dry skin brittle nails lanugo hair thinning hair bone pain with muscle wasting
how is anorexia nervosa dx
based on clinical manifestations and conformity to DSM IV criteria
what is the most common and most severe medical complication of anorexia nervosa
cardiovascular problems
recurrent inappropriate compensatory behaviors in order to prevent weight gain
bulimia nervosa
how often should binge eating occur in order to be dx with bulimia nervosa
at least 1x week for 3 months
what eating disorder whats to be in control
anorexia nervosa
what eating disorder has a pattern related to guilt
bulimia nervosa
may be of average or slightly above average weight
bulimia nervosa
the feeling that one has lost control and cannot stop eating, a sense of shame for the amount of food consumed
the binge
inappropriate behavior to rid consumed food such as self induced vomiting, lax/enemas, diet pills, excessive exercise
the purge
what are CM of bulimia nervosa
sores around mouth swollen parotid glands loss of tooth enamel esophageal ulcers osteoporosis Brussel sign (callus of knuckles)
how is bulimia nervosa dx
confirmed by at least two binge eating episodes per week for the preceding 3 months
what is the treatment for eating disorders
interdisciplinary
long treatment
family based may be beneficial
goal is to keep them outpatient for therapy
what is important to avoid in nutrition therapy
avoid refeeding syndrome in which replacement is given too rapidly (goal is 0.5-1lb per week to prevent)
what are nursing interventions for eating disorders
weigh patient (blind weight)
supervise meals during and 2 hrs after
tell them to seek staff when feel they need to vomit
encourage food journaling
what is important about communication with these patients
don’t make any comments about their appearance instead say something like “you’re really strong”
