eating disordesr Flashcards
what is an eating disroder
complex mental illness not just about food
screening tool
SCOFF
Do you make yourself Sick because you feel uncomfortably full?
o Do you worry you have lost Control over how much you eat?
o Have you recently lost more than One stone in a three month period?
o Do you believe yourself to be Fat when others say you are too thin?
o Would you say that Food dominates your life?
causes of an eating disorder
- high achievers/goal orientated families
- previous bulling/teasing related to appearance
- broken families
- peer/family/social pressures
- genetic (esp in anorexia)
- hormonal/neurotransmitters
- hobbies/sports
- physical/sexual abuse
healtjy BMI
18.5-24.9
orthorexia
obcession with eating pure or clean food
feelings of extreme gulit if unhealty eating
judge others
clinical featues of orthorexia
- fatigue
- poor immune response
- malnutrition due to not eating enough (angular chelitis (sore areas on the corner of mouth) and recurrent apthous ulceration)
anorexia nervosa
body image disorder- sufferers often believe they are fat, even when severely underweight
- disproportionate concerns about weight gain (eg from oral contraceptive pill)
- rapid weight loss
- secretive behaviours and social withdrawal
clinical features of anorexia nervosa
- muscle wasting
- hair loss
- complications for bone density
- growing ‘fur’
consequences of anorexia
- faltering growth
- delayed puberty (infertility and amenorrhea)
- dehydration (kidney failure)
- cardiac (heat failure/death)
managment of anorezia
- psychoeducation about anorexia
- mental heath (family therapy for children, GBT/group therapy)
- monitoring physical heath (no blame approach, weight gain key for recovery, meal planning and vitamin supplements)
dentla considerations for hallitosis
- halitosis (pear drops smell, ketosis when body runs out of glucose)
- dry mouth (TCAs antidepressant drug causes this)
- drug dosages
- Reduced immune response (PDD, angular chelitis malnutrition)
bulima nervosa
cyclical binge eating and purging behaviours
medical consquences of bulim
- normal/slightly overweight
- laxative abuse (lazy colon/increased risk of colon cancer)
- vomiting (barretts oesophagus occurs with prolonged vomiting is also precancerous)
- diabulimia (hyperglycaemia will purposely withhold their insulin, want to burn excess glucose)
- Cardiac (arrhythmias and heart failure/death)
managment of bulimia
- multidisciplinary and long term
- educate re harmful effects of purging
- mental health (family therapy for children and CBT)
- monitoring physical health inc risk factors (no blame approach, meal planning and vitamin supplements)
- support for family
oral/dental considerations for bulim
parotid enlargment a
acne
regular dental rewies needed for erosion
