feeding disorders

Question 1

feeding and eating disorders overview

Answer 1

• DISRUPTION OF NORMAL EATING PATTERNS
• DISRUPTION OF THE BODY’S NUTRIENT SUPPLY
• ITERRUPTIONS OF METABOLISM
• COMPLICATED BY PSYCHOLOGICAL STATES

Question 2

TYPES OF DISORDERS

Answer 2

• anorexia nervosa
• bulimia nervosa
• binge eating disorder
• PICA
• rumination disorder
• avoidant /restrictive food intake disorder

Question 3

CONTRIBUTING FACTORS

Answer 3

• GENETICS
• BEHAVIORAL CONDITIONS
• SOCIOCULTURAL
• SELF CONCEPT
• FAMILY INFLUENCE

Question 4

ANOREXIA NERVOUSA

Answer 4

• -EATING DISORDER THAT COMPELS PEOPLE TO LOSE AN UNHEALTHY AMOUNT OF WEIGHT

refusal to gain weight

• restricting
• binge eating -purging
• symptoms present for at least 3 months
• severity rated by BMI
• highest mortality rate of any mental illness
• industrialized nations
• teens and females

Question 5

CLINICAL MANIFESTATIONS OF ANOREXIA

Answer 5

• intense fear of gaining weight, refusal to gain weight , distorted body image
• appears malnourished
• brittle nails, hair
• lanugo
• skin dry hair loss
• poor temperature control
• bradycardia and hypotension
• impaired thinking
• amennorhea
• cardiac dysrhythmias

Question 6

BULIMIA NERVOSA OVERVIEW

Answer 6

episodic uncontrolled binging followed by purging behaviors

• recurrent episodes of binge eating
• larger amounts of food than most people
• sense of lack of control
• recurrent compensatory behaviors
• symptoms at least weekly for 3 months
• self evaluation by body shape and weight
• episodes not exclusively during episodes of anorexia nervosa
• severity determined by number of compensatory behaviors /week

Question 7

BULIMIA NERVOSA CLINICAL MANIFESTATIONS

Answer 7

incessant obsession with food and body weight

• menstrual irregularity
• sore throat, damaged teeth, scarring on backs of fingers, injury to esophagus or stomach, damage to parotid glands/ swollen cheeks, ruptured blood vessels in eyes, stomach pain, gerd
• dehydration
• bloating
• slowed pweristalsis
• cardiac arrhythmias

Question 8

Binge eating disorders overview

Answer 8

• binging once a week for at least 3 months
• absence of purging
• loss of control
• interferes with personal relationships
• eat after feeling fullness
• relief followed by disgust , guilt
• severity determined by number of binge per week
• complications , obesity, HTN, high cholesterol, type 2 diabetes, and heart disease
• complications of obesity : obstructive sleep apnea , arthritis , and others

Question 9

CO - OCCURING DISORDERS

Answer 9

• depression
• anxiety disorders
• PTSD
• alcoholism/substance abuse
• borderline personality disorder
• self injury / self harm

Question 10

NURSING ASSESSMENT

Answer 10

• precipitating stressors
• patient symptoms
• nutritional status
• review of lab and diagnostic tests
• safety issues
• depression /anxiety
• resilliance factors
• current coping strategies
• response to previous treatment
• compliance with treatment

Question 11

nursing diagnoses examples

Answer 11

-risk for injury
-deficient fluid volume
- imbalanced nutrition lethan or more thanbody needs
-disturbed body image
- ineffective coping
chronic low self esteem
- anxiety
- impaired oral mucous membrane

Question 12

SHORT TERM GOALS

Answer 12

-safety
adequate fluid intake 
powerlessness
impulse control 
daily functioning 
self esteem

Question 13

long term goals

Answer 13

restoring nutritional status

maintenance of body weight withing an acceptable range development of healthy body image

Question 14

NURSING INTERVENTIONS

Answer 14

promote safety 
develop therapeutic relationships 
encourage expression of feeling 
identify areas of control 
set clear limits
avoid arguing or bargaining 
maintain Iand O's 
provide structure