Eating Disorders Flashcards
what are the different types of eating disorders
axorexia nervosa
bulimia nervosa
binge eating disorder
what is the relevance of eating disorders in comparison to dentistry
oral health- dental defects erosion, caries, hypersensitivity effets on bone oesteoprosis and later perio disease oral mucosa and salivary changes early detection and assistance secondary prevention opportunity practical advice for dental health
what are the diagnostic features of anorexia
active maintenance of low body weight (<85% of expected wt or BMI=or<17)
extreme shape & weight concern
amenorrhea (women only)
what are the types of anorexia nervosa
restriction, binge purging
what organs are affected in anorexia nervosa
severe physiological and psychological effectsall organ systems - starvation
WHAT IS THE AGE OF ONSET OF ANOREXIA
PEAKTS AT 15 & 18
what are the behavioural signs of anorexia
setting high standards and being a perfectionist Depression & anxiety symptoms social withdrawal excessive exercising counting calories may lie about what they've eaten cutting food into tiny pieces strict dieting avoid fattening foods eating low calorie missing meals vomiting or misusing laxatives fear
what are the physical signs of anorexia
severe weight loss find difficulty sleeping or tiredness feeling dizzy getting irratable and moody difficulty concentrating stomach pains constipation and bloating feeling cold or having shaking hands weakness swelling growth of hair on the body hair falls out amenorrhea
what are the diagnostic features of bulimia nervosa
recurrent binge eating- large amounts quickly, loss of control
compensatory behaviour
vomiting, laxatives, fasting, exercise
extreme shape and weight concern
what is the binge frequency in bulimia
1-3 episodes a week
what is the data of bulimia nervosa
95% female
late, adolescent onset
what is the prevalence of bulimia nervosa
1-3% girls aged 18-25
what is the impairment of having bulimia
complications of purging
severe psychological defects
what are the behavioural signs of bulimia nervosa
binging
disappearing after eating
preoccupied with thoughts of food and life may be organised around shopping, eating,purging
distorted perception of body
associated with depression, low self esteem and misuse of alcohol
secretive
feeling a loss of self control after over eating
feeling guilt
mood swings
what are the physical signs of bulimia
excessive exercising fatigue stomach pain constipation feeling bloated GI issues amenorrhea regular changes in weight vomiting
what are the diagnostic feats of binge eating disorder
recurrent binge eating large amounts quickly, loss of control features of binge episodes (to distinguish from overeating) marked distress regarding binge eating no compensatory behaviour
what is eating disorder NOS
anorexia nervosa- above 85\5 body weight
bulimia nervosa- less frequent binge episodes
what does NOS stand for
not otherwise specified
what do eating disorders have in common
behaviour around food
core beliefs and associated concerns
levels of distress
what makes a young person more likely to develop eating disorder
perfection
history of significant dieting
family history
mental health problem
why does adolescence affect girls
high levels of shape and weight concern
acted out through food
irregular eating, skipping meals, dieting
vegetarianism
what can cravings be triggered by
by negative mood
what is involved in eating and emotion disorders
stopping eating
binge eating and purging
who can the ED team involve
CAMHS practitioners dietitian family therapists nurses paediatrics psychiatrists
what are the physical risks of ED and medical checks that occur
height weight blood pressure ecg routine bloods
what is the course of disordered eating
single short crisis, chronic disorder,
what is more likely if it is a short single crisis
recovery is more likely who are offered help fast
what are treatment issues
getting help early
access to psychological interventions
specialist CAMHS
what is a dentists responsibility
communication-explain oral changes
be aware of community resources
what do we need to practice
monitor dental erosin mucosal lesions minimise abrasive materials advice of toothbrushing sugarless gum
