AVOIDANT/RESTRICTIVE EATING DISORDER Flashcards
·Charactenzed by an eating disturbance (e.g.,
apparent lack of interest in eating,avoidance
based on sensory characteristics of food,or
concern about aversive consequences of
eating)that leads to:
·Significant weight loss (or failure to achieve
expected weight gain in children),
·Nutritional deficiency,
·Dependence on enteral feeding or oral
supplements,and/or
·Marked interference with psychosocial
functioning.
·Not associated with body image disturbance
AVOIDANT/RESTRICTIVE FOOD INTAKE DISORDER
Risk factors
·Sensary processing sersifn ties
·Gastrointestinal conditions
.Food alergies or intolerance
·Anxiety disorders
·Autism spectrum disorders
·Obsessive compulsive traits
·Previous traumaticc eating experience
,Rigio famly routine for foxd
·Parents aroety around feoding
Cultural or farrlial beliefs about food
·Lack of exposure to diverse fooels during eany chidtood
Signs and symptoms
·Avcidance of food with certain textures,colcrs,smells or appearanco
·Narow rango of accopled foods
·Long meatimes or refusal to eat in social seltings
·Fear of choking,vomting or gastrointestinal pain
·Low body weight ar poor growth
·Nutntional deficienoes
·Fatigue,divziness,pale skin
,Amenorhea
·Gastrointestinal symptoms
.Amoety around eating
·lritabuity,low mood
·Avoidance of social situations irvolving food
Nursing interventionz
·Use genle,non judgmental approach to reduce food-related anxiety
·Estabish trust to encourage communicafion about fears and
preferences
·Monitor intake and output
·Collaborabions with other healthcare professionals
·Encourage exposure therapy to increase food varicty
·Use of desensitization technique for leared foods
·Reinforce small gains kin dietary diversity with pastive feedback
·Sensory integration strategies il sensory sensitvties are present
·Educate famly on supporting rather than pressuring the chid
·Track growth and weight
·Observe for signs of dehydraton and malnutntion
·Regular lab assessments to monitor nutntional status
Nursing lriorities
Prevent or treat
Prevent or treat malutrition and nutrient deficiencies
Monitor
Monitor calerie intake and recommend supPlements it nceded
Watch out
Provide
Watch eut lor bradycardlin,IyPotension.debydration,and electrolyrte imbalances
Provide supplemental mutrition it oral intalko is not Poasible or limited
Use
Use caln mealime environments to reduce ansiety ttiggen
Collaborate
Collaborate with therapist for ansiety 4ocused interventions
Support
Provide
SupPert the cllent in Purtieipating fin age-PPIoPrilate eating and socinl activitiee
Provide a comprehensivo health educatien
Involve
lavolve the lamily in the care of the patient
