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Eating Dosorders Flashcards

1
Q

What is anorexia?

A

Prolonged loss of appetite

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2
Q

What is body image?

A

The subjective concept of one’s physical appearance, based on the personal perception of self, and the reactions of others

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3
Q

What is anorexia nervosa characterized by?

A

Morbid fear of obesity

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4
Q

What are some symptoms of anorexia nervousa

A

Gross distortion of body image, preoccupation with food and refusal to eat

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5
Q

What is the distorted body image manifested by an anorexia nervosa?

A

Individuals, perception of being fat, when he or she obviously is underweight or even emanciated

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6
Q

What is emaciated

A

Excessively thin

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7
Q

How does one usually accomplish weight loss?

A

Buy a reduction in food intake, and often extensive exercising
Self induces, vomiting, and abuse of laxatives or diuretics may occur

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8
Q

When is weight loss excessive

A

Wing less than 85% of expected weight

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9
Q

What are some signs that someone is underweight, or even emanciated

A

Hypothermia
bradycardia
hypotension with orthostatic changes, peripheral edema
lanugo (find neonatal like hair)
Bone fractures,
Acrocyanosis (bluish, color to hands and feet related to poor circulation)
Amenorrhea

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10
Q

What is the definition of anorexia nervosa

A

Refusal to maintain body weight at or above a minimal normal weight for age and stature
Body mass index less than 17.5
Intense fear of gaining weight, or becoming fat
Body image distortion
Restricting or binge perdge type

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11
Q

What are some physical signs and symptoms of inadequate caloric intake in anorexia nervosa

A

Amenorrhea
Cold hands and feet
Dry skin and hair
Headaches
Fainting or dizziness
Lethargy, lack of energy
Growth, failure or puberty delay
G.I. symptoms

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12
Q

What are some mental/emotional signs and symptoms of inadequate caloric intake in anorexia nervosa

A

Difficulty, concentrating
difficulty, making decisions,
irritability
Depression
Social withdrawal
Food obsessions

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13
Q

How is an individual with anorexia nervosa relationship with food?

A

They are obsessed with food may hoard or conceal food talk about food and recipes a great length, or prepare a elaborate meals for others, but only to restrict themselves to limited low calorie food intake

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14
Q

What is the restricting type of anorexia nervosa

A

This sub type describes presentations in which weight loss is accomplished, primarily through dieting, fasting or excessive exercise

During the last three months, the individual has not engaged in recurrent episodes of binge, eating, or purging behavior(self induced vomiting, misuse of lax)

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15
Q

What is the binge eating purging type of anorexia nervosa?

A

During the last three months, the individual has engaged in recurrent episodes of binge, eating, or purging behavior, self induced, vomiting misuse of laxatives

Binge eating could just be eating a normal meal

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16
Q

What is bulimia?

A

Excessive insatiable appetite

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17
Q

What is binging

A

An episodic, uncontrolled compulsive rapid ingestion of large qualities of food over a short period of time 

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18
Q

What is bulimic nervosa?

A

An episodic, uncontrolled compulsive rapid ingestion of large qualities of food over a short period of time

Followed by inappropriate compensatory behaviors to read the body of excessive calories

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19
Q

What is the food often consumed during a binge?

A

High caloric content, a sweet taste, in a soft or smooth texture that can be eaten rapidly, sometimes without being chewed

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20
Q

When does binging episodes usually occur?

A

In secret, and are usually terminated only by abdominal discomfort, sleep, interruption, or self induced vomiting

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21
Q

How does someone feel after they go through a binging episode?

A

Although eating binges may bring pleasure while they are occurring self degradation and depressed mood commonly follow

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22
Q

What is purging

A

To read the body of excessive calories

Self induced, vomiting, or misuse of laxatives, diuretics or enemas
Fasting or excessive exercise

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23
Q

What is a persistent over concern in a person with bulimia nervous

A

With personal appearance, particularly regarding how they believe others perceive them
Weight fluctuations are common because of the alternating binges in fast

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24
Q

What is the weight of someone with bulimia nervosa look like?

A

Within a normal weight range, some slightly underweight, some slightly overweight

25
Q

What is the diagnostic criteria for bulimia nervosa?

A

Recurrent episodes of binge eating, characterized by;
Eating in a discrete period of time and amount of food that is larger than normal for most people
A sense of lack of control over during the episode

Recurrent inappropriate compensatory behavior to prevent weight gain
Binge eating an inappropriate compensatory behaviors that occur at least once a week for three months
Self evaluation is influenced by body shape and size
disturbance does not occur during episodes of anorexia nervosa

26
Q

How long does binge eating an inappropriate button behaviors have to occur to be diagnosed with bulimia nervosa

A

At least once a week for three months

27
Q

What are some symptoms and signs of bulimia

A

Waite gain
Lethargy
Guilt
Depression
Anxiety

28
Q

Excessive vomiting and laxative or diuretic abuse in purging may lead to what

A

Problems with dehydration and electrolyte and balance
Gastric acid in the vomitus causes erosion of tooth the enamel
 sub, conjunctive hemorrhage
Russell sign
Constipation, rectal bleeding, gastritis, abdominal distention
Aspiration, pneumonia

29
Q

What is Russell’s sign?

A

Scarring, or hyper pigmented calluses on knuckles, secondary to long-term self induced vomiting

Cannot be a reliable diagnostic, because individuals with purging behaviors can induce vomiting without their hands

30
Q

What is binge eating disorder?

A

We current episodes of binge eating, characterized by:
Eating in a discrete period of time and amount of food larger than most people
A sense of lack of control over eating during the episode

31
Q

The bitch eating episodes are associated with three or more of the following

A

Eating much more rapidly than normal
Eating until feeling uncomfortably full
Eating large amounts of food when not hungry
Eating alone, because of embarrassment
Feeling disgusted with oneself depressed, or very guilty after over

32
Q

How long does binge eating have to occur to be diagnosed with the disorder?

A

Occurs on average at least two days a week for six months

33
Q

How is binge eating disorder different from bulimia nervosa?

A

BED does not include compensatory purging
There’s a marketed distress regarding binge eating presents

34
Q

What are clients at risk for with BED?

A

Risk for substantial weight gain

35
Q

What are some interpersonal stressors of B.E.D.?

A

Low self-esteem boredom
They feel out of control
Accompanied with guilt and depression

36
Q

What is the mortality rate associated with anorexia nervosa?

A

12 times higher than the death rate associated with all causes of death for females

37
Q

Who is at the highest risk for developing an eating disorder?

A

Athletes specifically, gymnastics, ballet, figure skating, wrestling or at highest risk

38
Q

Why do students not seek treatment for an eating dis

A

They don’t feel there’s a need
They’re unaware of their disorder
Unaware of treatment resources
Embarrassed

39
Q

How did genetics play a factor in anorexia?

A

Incident of anorexia Rosa, among first-degree relatives of those with an anorexia nervosa is higher than expected
Explain more than 50%

40
Q

What are the biological factors of bulimia nervosa?

A

Dysregulation of serotonin metabolism results in binge eating a high carb foods
Family, history of alcoholism and effective disorders

41
Q

What are the personality traits of a patient with anorexia?

A

They’re negatively emotional perfectionism drive for thinness in effectiveness of obsessive, compulsive anxious inhibited controlled

42
Q

What is the family like in a patient with anorexia?

A

Overprotective, rigid lack of conflict resolution in early history of separation stress and sexual abuse

43
Q

Physiological history of a patient with bulimia

A

History of incest, rape, or sexual abuse

44
Q

What is the family like for a patient with bulimia?

A

Parental enmeshment to absence
Chaotic conflict in critical
Effectively liable under controlled active

45
Q

What is the history you would like to get with someone who has an eating disorder?

A

Waite history
Detailed diet and exercise history
Body image history
Detailed menstrual puberty history
Sexual physical abuse, history
Substance abuse, sexual behaviors, compulsive, impulsive behavior
Family history

46
Q

What is the initial physical assessment you will do?

A

Wait and height
BMI
Vital signs, including orthostatic, pulse, and blood pressure

47
Q

Is there a single confinformatory test for an eating disorder

A

No, you get a CBCESR you’re an analysis, electrolyte levels, including calcium, magnesium, ECG, and a bone density scan

48
Q

What are you looking for when you get a bone density scan and then eating dis

A

Deterioration in calcium levels, osteopenia Swiss cheese, looking bones

49
Q

How do you get your period back after an eating disorder?

A

When you get 5 to 10% waking from the initial weight, no estrogen replacement therapy

50
Q

What is refeeding syndrome?

A

The series of negative intracellular, electrolyte shifts associated with aggressive nourishment in a male nourish patient

51
Q

What are some nursing interventions for a patient who has an imbalance nutrition?

A

Sometimes receive an NG tube
Do not focus on food or eating or discuss
Keep strict record of INO
Way patient daily
Assess vital signs, including blood pressure and orthostatic hypotension
Sit with patient during meal times for support observed amount ingested
Observed for at least one hour following meals

52
Q

What are some indications for hospitalization in an eating disorder?

A

Severe male nutrition, weight, less than 75% IBW
Dehydration
Electrolyte disturbances
Physiological instability
Arrested growth and development
Failure of outpatient treatment
Acute

53
Q

How long does the treatment duration of anorexia nervosa last?

A

Six months to two years

54
Q

What is behavior modification?

A

Efforts to change the male adaptive, eating behaviors of clients with anorexia, nervosa and bulimia nervosa

55
Q

What is the maudsley approach?

A

Modifies the traditional thoughts about the focus of control

56
Q

What is the first stage of treatment in the maudsley approach

A

Focused on weight restoration in this phase the parents are actively engaged in establishing the rules and guidelines around eating
Parents often needs substantial support during this phase
When client accepts parental demands for increased food intake, demonstrates steady, waking in their change in mood of the family relief at having taken charge of eating disorder

57
Q

What is phase 2 of the Maudsley approach

A

Control of maintaining weight gain is returned back to the adolescence. Once here she demonstrates the ability to maintain above 95% of ideal weight.

58
Q

What is phase 3 of the Maudsley approach

A

Focuses on assisting the adolescence to develop a healthy self identity. This includes incorporating CBT and DBT skills.

59
Q

What psycho pharmacological methods have helped eating disorders

A

Fluoxetine 

Psych (13 decks)

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