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Eating disorders 2(1)

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Transcript

  • 1. NUR 448 Eating Disorders
  • 2. Theoretical Perspectives
    • Historical
    • Cultural
    • Psychoanalytic
    • Family systems
    • Behavioral
    • Feminist
    • Physiologic
  • 3. Psychological factors
    • Developmental level
    • Personality component
    • Affective component
    • Interaction with culture or socio-economic class
  • 4. Major disorders
    • Anorexia nervosa
    • Bulimia nervosa
    • Binge eating disorder
    • Morbid obesity
    Anorexia Nervosa
  • 5. Anorexia nervosa
    • Refusal to maintain body weight
    • Weight less than 85% of expected
    • Intense fear of gaining weight
    • Amenorrhea for three months
    • Lanugo, dysrhythmias, anxiety,
    • Upper SEC
    • Types
      • restricting type
      • binge-eating/purging type
  • 6. Types
    • Restricting –refusal to eat
    • Binge-eating purging- eating small amount s of food and purging
  • 7. Signs
    • Laboratory
      • Decreased BUN
      • Hypokalemia
      • Hyponatremia
      • Hypochloremia
      • Increased liver function tests
    • Physical
      • Bradycardia
  • 8. Bulimia nervosa
    • Recurrent episodes of binge eating
      • eating within a discrete period of time a larger than normal amount of food
      • lack of control over eating
    • Recurrent compensatory behavior
      • vomiting, misuse of diuretics, laxatives, enemas, fasting or exercise
        • Purging type
        • Non-purging type
  • 9. Types
    • Purging –induced vomiting laxatives diuretics
    • Non-purging-ingesting large amounts of food followed by abstinence or excessive exercise
    Bulimia Nervosa
  • 10. Signs
    • Laboratory
      • Hypokalemia
      • Hyponatremia
      • Hypochloremia
      • Physical
      • Loss of tooth enamel
      • Enlarged parotid glands
  • 11. Binge eating disorder
    • Recurrent episodes of binge eating
    • Rapid eating, eating until uncomfortable
    • Eating alone, being disgusted with eating
      • eating within a discrete period of time a larger than normal amount of food
      • lack of control over eating
  • 12. Morbid Obesity
    • Eating massive amounts of food for long periods of time
    • Worry over money to buy food
    • Obsession with food
    • Clinical depression when on a weight loss program
  • 13. Nursing Diagnoses
    • Individual
      • Individual coping ineffective
      • Body image disturbance-view themselves as fat
      • Disturbance in self esteem
    • Family
      • Enmeshed
      • Over protectiveness
      • Conflict avoidance
  • 14. Anorexia-Nursing intervention
    • Positive reinforcement
    • Focus is on feelings and growth
    • Developmental issues
    • Control issues ****
    • Supportive life saving measures as necessary
  • 15. Bulimia-Nursing intervention
    • Positive reinforcement
    • Control impulsiveness
    • Assist with not acting out
    • Safety measures as needed
  • 16. Morbid obesity-Nursing intervention
    • Positive reinforcement
    • Exercise program
    • Long term supportive psychotherapy
    • Biopsychology support
    Morbid Obesity
  • 17. Questions
    • What are the age characteristics of people with eating disorders?
    • What are the cultural issues of eating disorders?
    • What is a culture bound syndrome?