Eating Dosorders Flashcards
What is anorexia?
Prolonged loss of appetite
What is body image?
The subjective concept of one’s physical appearance, based on the personal perception of self, and the reactions of others
What is anorexia nervosa characterized by?
Morbid fear of obesity
What are some symptoms of anorexia nervousa
Gross distortion of body image, preoccupation with food and refusal to eat
What is the distorted body image manifested by an anorexia nervosa?
Individuals, perception of being fat, when he or she obviously is underweight or even emanciated
What is emaciated
Excessively thin
How does one usually accomplish weight loss?
Buy a reduction in food intake, and often extensive exercising
Self induces, vomiting, and abuse of laxatives or diuretics may occur
When is weight loss excessive
Wing less than 85% of expected weight
What are some signs that someone is underweight, or even emanciated
Hypothermia
bradycardia
hypotension with orthostatic changes, peripheral edema
lanugo (find neonatal like hair)
Bone fractures,
Acrocyanosis (bluish, color to hands and feet related to poor circulation)
Amenorrhea
What is the definition of anorexia nervosa
Refusal to maintain body weight at or above a minimal normal weight for age and stature
Body mass index less than 17.5
Intense fear of gaining weight, or becoming fat
Body image distortion
Restricting or binge perdge type
What are some physical signs and symptoms of inadequate caloric intake in anorexia nervosa
Amenorrhea
Cold hands and feet
Dry skin and hair
Headaches
Fainting or dizziness
Lethargy, lack of energy
Growth, failure or puberty delay
G.I. symptoms
What are some mental/emotional signs and symptoms of inadequate caloric intake in anorexia nervosa
Difficulty, concentrating
difficulty, making decisions,
irritability
Depression
Social withdrawal
Food obsessions
How is an individual with anorexia nervosa relationship with food?
They are obsessed with food may hoard or conceal food talk about food and recipes a great length, or prepare a elaborate meals for others, but only to restrict themselves to limited low calorie food intake
What is the restricting type of anorexia nervosa
This sub type describes presentations in which weight loss is accomplished, primarily through dieting, fasting or excessive exercise
During the last three months, the individual has not engaged in recurrent episodes of binge, eating, or purging behavior(self induced vomiting, misuse of lax)
What is the binge eating purging type of anorexia nervosa?
During the last three months, the individual has engaged in recurrent episodes of binge, eating, or purging behavior, self induced, vomiting misuse of laxatives
Binge eating could just be eating a normal meal
What is bulimia?
Excessive insatiable appetite
What is binging
An episodic, uncontrolled compulsive rapid ingestion of large qualities of food over a short period of time 
What is bulimic nervosa?
An episodic, uncontrolled compulsive rapid ingestion of large qualities of food over a short period of time
Followed by inappropriate compensatory behaviors to read the body of excessive calories
What is the food often consumed during a binge?
High caloric content, a sweet taste, in a soft or smooth texture that can be eaten rapidly, sometimes without being chewed
When does binging episodes usually occur?
In secret, and are usually terminated only by abdominal discomfort, sleep, interruption, or self induced vomiting
How does someone feel after they go through a binging episode?
Although eating binges may bring pleasure while they are occurring self degradation and depressed mood commonly follow
What is purging
To read the body of excessive calories
Self induced, vomiting, or misuse of laxatives, diuretics or enemas
Fasting or excessive exercise
What is a persistent over concern in a person with bulimia nervous
With personal appearance, particularly regarding how they believe others perceive them
Weight fluctuations are common because of the alternating binges in fast
What is the weight of someone with bulimia nervosa look like?
Within a normal weight range, some slightly underweight, some slightly overweight
What is the diagnostic criteria for bulimia nervosa?
Recurrent episodes of binge eating, characterized by;
Eating in a discrete period of time and amount of food that is larger than normal for most people
A sense of lack of control over during the episode
Recurrent inappropriate compensatory behavior to prevent weight gain
Binge eating an inappropriate compensatory behaviors that occur at least once a week for three months
Self evaluation is influenced by body shape and size
disturbance does not occur during episodes of anorexia nervosa
How long does binge eating an inappropriate button behaviors have to occur to be diagnosed with bulimia nervosa
At least once a week for three months
What are some symptoms and signs of bulimia
Waite gain
Lethargy
Guilt
Depression
Anxiety
Excessive vomiting and laxative or diuretic abuse in purging may lead to what
Problems with dehydration and electrolyte and balance
Gastric acid in the vomitus causes erosion of tooth the enamel
 sub, conjunctive hemorrhage
Russell sign
Constipation, rectal bleeding, gastritis, abdominal distention
Aspiration, pneumonia
What is Russell’s sign?
Scarring, or hyper pigmented calluses on knuckles, secondary to long-term self induced vomiting
Cannot be a reliable diagnostic, because individuals with purging behaviors can induce vomiting without their hands
What is binge eating disorder?
We current episodes of binge eating, characterized by:
Eating in a discrete period of time and amount of food larger than most people
A sense of lack of control over eating during the episode
The bitch eating episodes are associated with three or more of the following
Eating much more rapidly than normal
Eating until feeling uncomfortably full
Eating large amounts of food when not hungry
Eating alone, because of embarrassment
Feeling disgusted with oneself depressed, or very guilty after over
How long does binge eating have to occur to be diagnosed with the disorder?
Occurs on average at least two days a week for six months
How is binge eating disorder different from bulimia nervosa?
BED does not include compensatory purging
There’s a marketed distress regarding binge eating presents
What are clients at risk for with BED?
Risk for substantial weight gain
What are some interpersonal stressors of B.E.D.?
Low self-esteem boredom
They feel out of control
Accompanied with guilt and depression
What is the mortality rate associated with anorexia nervosa?
12 times higher than the death rate associated with all causes of death for females
Who is at the highest risk for developing an eating disorder?
Athletes specifically, gymnastics, ballet, figure skating, wrestling or at highest risk
Why do students not seek treatment for an eating dis
They don’t feel there’s a need
They’re unaware of their disorder
Unaware of treatment resources
Embarrassed
How did genetics play a factor in anorexia?
Incident of anorexia Rosa, among first-degree relatives of those with an anorexia nervosa is higher than expected
Explain more than 50%
What are the biological factors of bulimia nervosa?
Dysregulation of serotonin metabolism results in binge eating a high carb foods
Family, history of alcoholism and effective disorders
What are the personality traits of a patient with anorexia?
They’re negatively emotional perfectionism drive for thinness in effectiveness of obsessive, compulsive anxious inhibited controlled
What is the family like in a patient with anorexia?
Overprotective, rigid lack of conflict resolution in early history of separation stress and sexual abuse
Physiological history of a patient with bulimia
History of incest, rape, or sexual abuse
What is the family like for a patient with bulimia?
Parental enmeshment to absence
Chaotic conflict in critical
Effectively liable under controlled active
What is the history you would like to get with someone who has an eating disorder?
Waite history
Detailed diet and exercise history
Body image history
Detailed menstrual puberty history
Sexual physical abuse, history
Substance abuse, sexual behaviors, compulsive, impulsive behavior
Family history
What is the initial physical assessment you will do?
Wait and height
BMI
Vital signs, including orthostatic, pulse, and blood pressure
Is there a single confinformatory test for an eating disorder
No, you get a CBCESR you’re an analysis, electrolyte levels, including calcium, magnesium, ECG, and a bone density scan
What are you looking for when you get a bone density scan and then eating dis
Deterioration in calcium levels, osteopenia Swiss cheese, looking bones
How do you get your period back after an eating disorder?
When you get 5 to 10% waking from the initial weight, no estrogen replacement therapy
What is refeeding syndrome?
The series of negative intracellular, electrolyte shifts associated with aggressive nourishment in a male nourish patient
What are some nursing interventions for a patient who has an imbalance nutrition?
Sometimes receive an NG tube
Do not focus on food or eating or discuss
Keep strict record of INO
Way patient daily
Assess vital signs, including blood pressure and orthostatic hypotension
Sit with patient during meal times for support observed amount ingested
Observed for at least one hour following meals
What are some indications for hospitalization in an eating disorder?
Severe male nutrition, weight, less than 75% IBW
Dehydration
Electrolyte disturbances
Physiological instability
Arrested growth and development
Failure of outpatient treatment
Acute
How long does the treatment duration of anorexia nervosa last?
Six months to two years
What is behavior modification?
Efforts to change the male adaptive, eating behaviors of clients with anorexia, nervosa and bulimia nervosa
What is the maudsley approach?
Modifies the traditional thoughts about the focus of control
What is the first stage of treatment in the maudsley approach
Focused on weight restoration in this phase the parents are actively engaged in establishing the rules and guidelines around eating
Parents often needs substantial support during this phase
When client accepts parental demands for increased food intake, demonstrates steady, waking in their change in mood of the family relief at having taken charge of eating disorder
What is phase 2 of the Maudsley approach
Control of maintaining weight gain is returned back to the adolescence. Once here she demonstrates the ability to maintain above 95% of ideal weight.
What is phase 3 of the Maudsley approach
Focuses on assisting the adolescence to develop a healthy self identity. This includes incorporating CBT and DBT skills.
What psycho pharmacological methods have helped eating disorders
Fluoxetine 
