Mental Health Exam 3 - Eating Disorders Flashcards
What are the four types of eating disorders?
Anorexia nervosa
Bulimia nervosa
Eating disorder NOS
Binge Eating disorder
Characteristics of Anorexia
Refuse to maintain weight appropriate for build Fear of weight gain Restrict intake or purge Preoccupation with food Distorted self perception of body image Peculiar handling of food Rigorous exercise regimen *judges self worth by weight
*Anorexia S/S
Amenorrhea Lanugo Cold extremities Muscle weakness Constipation Hypokalemia Decreased bone density CV abnormal
Characteristics of Bulimia
Repeated episodes of binge eating followed by excessive exercise, purging, fasting, diuretic/laxative use Self induced vomitting Signs of depression Difficulties with relationships Impaired self concept Impulsive stealing Chemical abuse
*Bulimia S/S
Normal to slightly low weight Tooth enamel erosion,caries Gastric dilation Peripheral edema Electrolyte disturbances Scars on hands (Russell's sign) Cardiac abnormalities/failure
Characteristics of eating disorder NOS
Do not meet criteria for anorexia or bulimia
Very distorted perception of self image & weight
Characteristics of binge eating disorder
Repeated episodes of binge eating followed by emotional distress
Do not follow with compulsive activities
Underlying psychological impairments of eating disorders
Low self esteem
Self doubts, doubt worth as a person
Very judgmental of selves
Thoughts/ideas about weight/body image/control are the focus & over valued
Conflicts-sexual roles, other developmental factors
Females view self as ineffectual, passive and unassertive, efforts to assert themselves
Learned behavior- thinness elicits positive rewards
*Most important intervention
Medical stabilization
First step in intervention
Establish rapport
*Interventions
*Watch for refeeding syndrome
Weight restoration & maintenance
Normalization of eating habits
Target cognitive distortions
*Anorexia vs bulimia s/s
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*Scars on hands = bulimia not anorexia
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Nursing dx of eating disorders
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