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Flashcards in Eating Disorders Deck (25):
1

what are triggers for eating disorders

onset of menstruation
traumatic personal incident
family stress
feelings of lack of personal control
perception they are putting on weight

2

what are family characteristics of eating disorders

high parental expectation
difficulty managing conflict
poor communication
enmeshment of fame
devaluation of the mother
marital tension

3

what are the SCOFF questions for screening of eating disorders

1. Do you make yourself SICK because you feel uncomfortably full
2. Do you worry that you have lost CONTROL over how much you eat
3. Have you recently lost more than ONE stone (14lb) in a 3 month period
4. Do you believe yourself to be FAT when others say you are too thin
would you say that FOOD dominates your life

4

Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain

anorexia nervosa

5

what are the "trophies" of anorexia nervosa

collar bones
hip bones
thigh gap

6

anorexia nervosa people are usually

perfectionists
academically high achievers
conforming
conscientious
typically have high energy levels with marked emaciation
may eventually develop bulemia

7

anorexia nervosa's whole self worth is based on

the amount of body fat they have

8

what eating disorder maintains a sense of control

anorexia nervosa

9

what are the anorexia subtypes

restricting type and purging type

10

what are CM of anorexia nervosa

profound weightless
amenorrhea
bradycardia
low body temp
hypotension
dry skin
brittle nails
lanugo hair
thinning hair
bone pain with muscle wasting

11

how is anorexia nervosa dx

based on clinical manifestations and conformity to DSM IV criteria

12

what is the most common and most severe medical complication of anorexia nervosa

cardiovascular problems

13

recurrent inappropriate compensatory behaviors in order to prevent weight gain

bulimia nervosa

14

how often should binge eating occur in order to be dx with bulimia nervosa

at least 1x week for 3 months

15

what eating disorder whats to be in control

anorexia nervosa

16

what eating disorder has a pattern related to guilt

bulimia nervosa

17

may be of average or slightly above average weight

bulimia nervosa

18

the feeling that one has lost control and cannot stop eating, a sense of shame for the amount of food consumed

the binge

19

inappropriate behavior to rid consumed food such as self induced vomiting, lax/enemas, diet pills, excessive exercise

the purge

20

what are CM of bulimia nervosa

sores around mouth
swollen parotid glands
loss of tooth enamel
esophageal ulcers
osteoporosis
Brussel sign (callus of knuckles)

21

how is bulimia nervosa dx

confirmed by at least two binge eating episodes per week for the preceding 3 months

22

what is the treatment for eating disorders

interdisciplinary
long treatment
family based may be beneficial
goal is to keep them outpatient for therapy

23

what is important to avoid in nutrition therapy

avoid refeeding syndrome in which replacement is given too rapidly (goal is 0.5-1lb per week to prevent)

24

what are nursing interventions for eating disorders

weigh patient (blind weight)
supervise meals during and 2 hrs after
tell them to seek staff when feel they need to vomit
encourage food journaling

25

what is important about communication with these patients

don't make any comments about their appearance instead say something like "you're really strong"