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Flashcards in Eating Disorders Deck (27):
1

characteristics of anorexia

fear of weight gain - disturbed body image
preoccupation w/food and handling of foods
refusal to maintain norm. weight
Don't want to associate food and eating

2

presentation of anorexia

lanugo
cachetic
dehydrated
low BP, low Pulse, low temp
cool extremities

3

physical complications r/t anorexia

cardiac abnormalities
fatty liver (body is compensating)
elevated cholesterol
osteoporosis
proteinuria
electrolyte imbalances (hypokalemia)
leukopenia

4

assessing anorexic pt.

do they need to be hospitalized
do they have med/psych co-morbidity
what does the family know/understand about the condition
will they except trt
do they know where to go for support

5

physical criteria for admission to hospital (anorexia)

30% or more weight loss in 6 months
HR

6

psych criteria for admission to hospital (anorexia)

suicidal
self-mutilating
uncontrolled use of laxatives
family crisis/dysfunction

7

nurs dx r/t anorexia

imbalanced nutrition
risk for injury
decreased cardiac output
disturbed body image

8

pt goals for anorexia (pt. will...)

normalize eating pattern
demonstrate healthy eating patterns (eat 3 meals a day, eating 80% of meal)
Restore body image

9

is long term trt/therapy recommended for anorexic pt?

yes

10

communication guidelines for anorexia

address underlying emotions
build therapeutic alliance
avoid authoritarian/parental role

11

nurs interventions for anorexia

weights same time/day/clothes after void/before drink
structure mealtimes/menu
monitor after eating
establish contract - gives pt. power over disease
teach about health implications
recognize distorted self-image without minimizing
Sit in dayroom, no bathroom for 30 min

12

trt (therapies) for anorexia

group/family therapy
psychotherapy
cognitive/behavioral therapy (feelings change then behaviors change)
Accompanied for bathroom visits

13

trt (meds) for anorexia

not recommended until weight is restored
SSRI's (Prozac)
Atypical anti-psychotics (Zyprexa) - improves mood/body image

14

is anorexia a chronic or acute illness

chronic - relapses are common

15

characteristics of bulimia

recurrent binge eating
self-induced vomiting
laxative abuse
excessive exercise
difficulty w/relationships

16

assessing bulimia

slightly above/below norm. weight
impulsive behaviors

17

s/s of bulimia

enlarged parotid glands
Russel's sign
enamel loss/dental caries

18

nurs dx r/t bulimia

decreased cardiac output
low self-esteem
anxiety
ineffective coping

19

pt goals for bulimia (pt will)

refrain from binging/purging
name 2 strengths
maint. norm. electrolyte balances

20

Disturbed body image is the nursing diagnosis for a patient
with bulimia. Which outcome indicator is most appropriate
to monitor?

D.Patient expresses satisfaction with body
appearance

21

is trt usually short or long term for bulimic pt.

long term

22

communication guidelines for bulimia

form therapeutic alliance w/pt.
accepting, nonjudgmental approach

23

trt for bulimic pt.

structured unit interrupting binge/purge cycle
teach healthy diet/menu
coping/relaxation techniques

24

most effective trt (psych) for bulimic pt.

cognitive-behavioral therapy

25

medication trt for bulimia

SSRI (Prozac)

26

what are the effects of Prozac on bulimia

reduce binge/vomit episodes
trt co-morbidity (depression)

27

The core of an eating disorder

Control