final eating disorder

Question 1

more in females, some males, start late adolescents usually can start preadolescents
6-20% will die from disorder

Answer 1

Nursing Eating Disorders

Etiology

Question 2

biochemical imbalance with imbalances of sertonin

Answer 2

Biological factors:

Question 3

need for attention, don’t want to grow up, big fear of losing control, role bound regressed behavior reaction formation

Answer 3

Psychological factors:,

Question 4

family dynamics, society very in to be thin, control over body high expectations of them

Answer 4

Environmental factors:

Question 5

• don’t know it is happening till farther long, big baggy clothes, behaviors food in napkin make excuses why they are not hungry

Answer 5

General characteristics

Insidious onset

Question 6

: big concern, food authority, evolved elaborate meal prep, rituals before and during, know calories

Answer 6

Focused on food

Question 7

of control over food they eat and becoming fat

Answer 7

Fear loss

Question 8

: straight a student, no problem with child

-may feel hopeless, depression, withdrawn

Answer 8

Perfectionistic

Question 9

anorexic, don’t have a problem, ppl around them not theirs

Answer 9

Resistant to treatment

Question 10

• Maintenance of less than 85% Ideal body weight
• Intense fear of adding weight
• Disturbed body image: gaining weight bc thighs touch, think ugly
• Proud of behavior, happier the thinner they get
• Amenorrhea: no periods

Answer 10

Anorexia Nervosa

Question 11

vomit use a lot of laxatives, diuretics

Answer 11

Binging/purging:

anorexia

Question 12

decreasing intake, exercise excessively

Answer 12

Restricting: anorexia

Question 13

: Very distorted body image, everything about weight, bad about self, have to get thin, constantly focused on eating, restrict, loose weight start to feel good about self accomplish something positive, starvation mode feel like crap, body start to shut down bloated

Answer 13

Anorexia

Question 14

Problems with decreased bp pulse, temp control,
Hospital super low bp
Skin very dry hair=brittle specific look
Delay gastric emptying feel very full, all backed up get very constipated, dehydrated,
Lose period, osteopenia=not taking in calcium, strar using in bones have severe spinal degenerations problem with resp because crushing spine
Mid section fluid, may have to get drained off edema
Most lethal is heart arrythmias, fluid and electrolytes out of wack

Answer 14

Anorexia sx:

Question 15

1-4 percent of females, occur late adolescents early 20s Secretive, ashamed of behavior lack of control, normal weight to a little bit overweight

• Binge eating of large amount of food in a short amount of time with an associated feeling of lack of control over eating
• Recurrent compensatory behavior to prevent weight gain, make throw up
• Binging and compensatory behavior occur at least 2X per week for 3 months
• Self-evaluation based on body image

Answer 15

Bulimia Nervosa

Question 16

marker food, eat first try to continue to throw up till see it, problem with serotonin, low self-esteem and self-worth

2. Nonpurging
   - siblicial, benige eat, purging, shame, strict diet, tension and craving

Answer 16

bulimia
Types:
1. Purging:

Question 17

: Not as problematic, fluid and electrolyte balance, cardiac concerns, a lot of acid in esophagus erosion, abuse laxatives, diet pills

• different nature
• Teeth erosion can tell bc the enamel is gone
• Russell signs: calicus on the back of knuckle scrape teeth knot their

Answer 17

Bulimia Sx

Question 18

Medical stabilization: throwing pvc till more stable

Answer 18

Goals of Treatment

Short term:

Question 19

: Increase weight to 90% of IBW (anorexic)/ Maintain normal body weight (bulimic)
Reestablish appropriate eating behaviors
Increased coping skills
Increased self esteem

Answer 19

goal of treatment

Long-term

Question 20

1. DO NOT discuss food, nontopics, we are in charge of food intake, nurse in control, work on other issues take off table
2. Focus on coping skills:
3. Monitor intake
4. Monitor weight:
5. Limit activity:
6. Increase privileges with increase weight:
7. Matter of Fact approach:
8. Be consistent:
9. involve the family

Answer 20

Nursing Interventions

Question 21

assertive skills, self-talk mechanisms

Answer 21

Focus on coping skills:

Question 22

: start slow
shift of fluid from extracellular to intracellular causing cardiovascular and neuro problems if too fast / small amount like 400 then build up

Answer 22

refeeding syndrome

Question 23

first thing in morning exact same scale each time, in gown, void before, back to scale so don’t know what weight is/precise to get rid of strenuous variables, best indicator if making progress

Answer 23

monitor weight

Question 24

when very compromised, bed rest or only wheel chair until gaining weight/ exercise in the sligh, may try to at night, in shower/ may have to sleep out in the open monitor at all times

Answer 24

limit activity

Question 25

they can work with dietician to get food, more visiting privileges

Answer 25

Increase privileges with increase weight:

Question 26

here it is and move on, no fighting

Answer 26

matter of fact approach

Question 27

Set limits on manipulation one staff work with at a time, no manipulation of staff

Answer 27

be consistent

Question 28

family care, assertive with family, adult problem edu family
Dietician will be no substitution, sit with patient the entire time eating so don’t put food in napkin in plant or shoes

Answer 28

Involve the family:

Question 29

Set length of time to eat it/ do not eat figure up calories and give supp to equal in calories= then give boost if not taken that can put ng down
After meal restricted for an hour
Mom and dad have control over what happens, say they can be force fed
Older adults are trickier Emergency detection maybe how far can go

Answer 29

dietary

Question 30

-Indianapolis area, -Contact number: 295-0608
A lot of these people will end up in long term residential if can’t keep weight on and fail out pt tx, usually sent out of weight

Answer 30

Charis Center for Eating Disorders