mental health Flashcards
anorexia/bulimia
Anorexia Nervosa
All are low
HR, BP, temperature
cognition
digestion (constipation)
thyroid function (hypothyroidism)
electrolyte (hypokalemia)
body weight
Lanugo (fine hair covering the body to conserve body
heat)
Dehydration
Amenorrhea
Psychological and behavioral
Distorted body image (perceives self as fat
despiteweight)
Denies that caloric restriction and weight are
problematic
Obsession with weight loss and being thin
Depression and social isolation
Likely to have a history of perfectionism and high
academic achievement
Address risk for suicide
electrolyte imbalances,
and cardiac complications:
Bulimia Nervosa
Normal or near-normal weight
Signs of self-induced vomiting, laxative, or
diuretic abuse:
Dental erosion, swollen parotid glands, and
scarring or calluses on hands
Dehydration and electrolyte disturbances
(hypokalemia)
Interventions for Eating Disorders
Maintain consistent meal times, supervise
the client during meals to prevent hiding or
discarding food, and monitor the client for 1-2
hours afterward to prevent purging.
Interventions for Eating Disorders
Monitor treatment progress by weighing the client
every morning, while wearing the same clothing,
after using the bathroom, and before eating.
Interventions for Eating Disorders
Malnourished clients should gain weight gradually
(2 lbs [1 kg] per week) to prevent refeeding
syndrome, a potentially fatal complication
characterized by hypophosphatemia.