this presentioation will help individuals learn about the most popular eating disorders known around the world, and how these disorders are spreading in the arab countries.
A crash-course ED 101 for dietitians not familiar with eating disorders
- What does "normal eating" mean and when does it become "disordered eating?"
- What are the spectrum of eating disorders?
- What are the causes of eating disorders and what does treatment involve?
- What is the dietitian's role in eating disorders?
- What are some ways to screen eating disorders and obsessive/compulsive exercise?
- Why are "Health at Every Size" and "Intuitive Eating" effective approaches in preventing clinical eating disorders?
this presentioation will help individuals learn about the most popular eating disorders known around the world, and how these disorders are spreading in the arab countries.
A crash-course ED 101 for dietitians not familiar with eating disorders
- What does "normal eating" mean and when does it become "disordered eating?"
- What are the spectrum of eating disorders?
- What are the causes of eating disorders and what does treatment involve?
- What is the dietitian's role in eating disorders?
- What are some ways to screen eating disorders and obsessive/compulsive exercise?
- Why are "Health at Every Size" and "Intuitive Eating" effective approaches in preventing clinical eating disorders?
Feeding and Eating disorders are one of the devastating disorders , Anorexia is a killer disease , very common in childhood and adolescent, mainly in girls more than boys. Bulimia is charecterize by binge eating followed by compulsive purging . Binge eating disorders and night eating syndrome are becoming very prevalent
Feeding disorders as avoidant restrictive food intake disorder , rumination disorders and pica are the types of feeding disorders in infant and childhood period
psychological rehabilitation, nutritional plan and medical therapy are the most effective lines of treatment foe eating Disorders
Binge Eating - A psychological disorderchandan28may
Binge eating is a pattern of disordered eating that is characterized by episodes of uncontrolled eating. It refers to a psychological disorder, where their is lack of control. Know more by going through the presentation.
Eating disorder is now known to reflect an interaction between an organism’s physiological variables include the balance of various neuropeptide and neurotransmitters, metabolic state, metabolic rate, condition of the gastrointestinal tract, amount of storage tissue, and sensory receptors for taste and smell.
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher Chris Jocham: Jocham@fultonschools.org
This is for a high school AP Psychology course. This is a fictionalized account of having a psychological aliment. For questions about this blog project or its contents please email the teacher Chris Jocham: jocham@fultonschools.org.
Feeding and Eating disorders are one of the devastating disorders , Anorexia is a killer disease , very common in childhood and adolescent, mainly in girls more than boys. Bulimia is charecterize by binge eating followed by compulsive purging . Binge eating disorders and night eating syndrome are becoming very prevalent
Feeding disorders as avoidant restrictive food intake disorder , rumination disorders and pica are the types of feeding disorders in infant and childhood period
psychological rehabilitation, nutritional plan and medical therapy are the most effective lines of treatment foe eating Disorders
Binge Eating - A psychological disorderchandan28may
Binge eating is a pattern of disordered eating that is characterized by episodes of uncontrolled eating. It refers to a psychological disorder, where their is lack of control. Know more by going through the presentation.
Eating disorder is now known to reflect an interaction between an organism’s physiological variables include the balance of various neuropeptide and neurotransmitters, metabolic state, metabolic rate, condition of the gastrointestinal tract, amount of storage tissue, and sensory receptors for taste and smell.
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher Chris Jocham: Jocham@fultonschools.org
This is for a high school AP Psychology course. This is a fictionalized account of having a psychological aliment. For questions about this blog project or its contents please email the teacher Chris Jocham: jocham@fultonschools.org.
Part of a 12 part series of courses at AllCEUs.com resulting in the receipt of a certificate in eating disorders counseling. Addresses bulimia, binge eating, anorexia, obesity. Uses The Body Betrayed by Zerbe and Brief Therapy with Eating Disorders by McDonald in addition to Dr. Snipes clinical experiences.
Eating disorders ( Anorexia nervosa and Bulimia nervosa)kalyan kumar
Eating disorders are a range of psychological conditions that cause unhealthy eating habits to develop. They might start with an obsession with food, body weight, or body shape.
In severe cases, eating disorders can cause serious health consequences and may even result in death if left untreated.
Eating disorders are complex, bio-psycho-social conditions, with multiple causes. Eating disorders arise from a combination of established social, psychological, biological, and interpersonal factors. While they may begin with preoccupations with food and weight, they are most often about much more than food. It is important to understand that the factors that contribute to eating disorders are complex and multifaceted; they are not simply about weight and they are certainly not choices.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
2. Prevalence:
National Statistics
In the United States, “20 million women and 10 million men” suffer from a clinically
significant eating disorder at some time in their life.
Lifetime incidence of:
Anorexia Nervosa (0.9% for females and 0.3% for males)
Bulimia Nervosa (1.5% for females and 0.5% for males)
Binge Eating Disorder (3.5% for females and 2% for males)
It is difficult to determine specific number of people affected with eating disorders since
fewer than half seek health care for their illness (Halter, 2014).
By age 6, girls start to express concerns about their weight or shape. 40-60% of elementary
school girls (ages 6-12) are concerned about their weight or about becoming too fat.
3. Our Class Stats…
34% currently have or have in the past suffered
from an eating disorder
24% have purged in order to control their weight
90% of our class knows someone who has or
currently is suffering from an eating disorder
40% believe that they are “fat”
70% have been called fat by someone else
95% compare their bodies to models/celebrities
in the mediahttps://www.youtube.com/watch?v=F0pwXRQxSYE&index=12&list=PLuW2vBvU29jEmo7DoAkQK_fyoHYLfBvQS
4.
5. Influences from media?
● Studies have shown that culture influences the development of self-concept
and satisfaction with body size. The Western cultural ideal equates feminine
beauty to tall, thin models and has received much attention in the media as
an etiology for the eating disorders.
● Numerous correlational and experimental studies have linked exposure to
the thin ideal in mass media to body dissatisfaction, internalization of the
thin ideal, and disordered eating among women.
● The effect of media on women’s body dissatisfaction, thin ideal
internalization, and disordered eating appears to be stronger among young
adults than children and adolescents. This may suggest that long-term
exposure during childhood and adolescence lays the foundation for the
negative effects of media during early adulthood.
6. Etiology: ● TRAUMA: Childhood trauma and sexual abuse have been
reported in 20% to 50% of patients with eating disorders,
and those patients with reported abuse have poorer
outcomes from treatment than those who do not. Physical
neglect, emotional abuse, and sexual abuse have been
found to be significant predictors for eating disorders
● GENETIC: There is a strong genetic link for eating
disorders. Heritability of anorexia nervosa is 60%.
● NEUROBIOLOGICAL: Research demonstrates that altered
brain serotonin function contributes to dysregulation of
appetite, mood, and impulse control in the eating
disorders.
● PSYCHOLOGICAL: Currently, cognitive-behavioral
theorists suggest that eating disorders are based on learned
behavior that has positive reinforcement.
● CULTURAL: culture influences the development of self-
concept and satisfaction with body size.
8. Refuse to maintain a minimally normal weight
for height and express an intense fear of
gaining weight.
<75% of ideal
body weight
Some restrict their intake, others engage in
binge eating and purging.
Anorexia Nervosa
9. Signs & Symptoms
Extremely low body weight
Severe food restriction
Intense fear of gaining weight
Distorted body image and self-esteem
Lack of menstruation among girls and
women.
Other symptoms and medical complications may
develop over time, including:
Osteopenia or osteoporosis
Brittle hair and nails
Dry and yellowish skin
Growth of fine hair all over the body (lanugo)
Mild anemia, muscle wasting, and weakness
Severe constipation
Low blood pressure
Damage to structure and function of heart
10. Personality Traits
Perfectionism
Obsessive thoughts and actions relating to
food
Intense feelings of shame
People pleasing
The need for complete control
Self-destructive behaviors
13 to 18 years of age - associated with
oppositional defiant disorder
Personality disorders occur more often in the
eating disordered population than the
general population. In particular,
obsessive-compulsive personality
disorder represents only 8% of the
general population but accounts for 22%
11. Bulimia Nervosa
People with bulimia nervosa have recurrent and frequent episodes of eating
unusually large amounts of food and feel a lack of control over these episodes.
● Followed by behavior that compensates for the overeating. (Purging, laxatives, etc.)
● Accompanied by feelings of disgust, depression, embarrassment or shame.
12. Signs & Symptoms
Chronically inflamed and sore throat
Swollen salivary glands in the neck and jaw
area (aka parotid glands)
Worn tooth enamel and decaying teeth
Acid reflux disorder and other
gastrointestinal problems
Intestinal distress and irritation from severe
dehydration
Electrolyte imbalances
13. Personality Traits
Sensitive to perceptions of others
Feelings of significant shame and
totally out of control
Major depression
Substance abuse
13 to 18 years of age - strongly
associated with mood and anxiety
disorders
Borderline personality disorder occurs
in 6% of the general population but
represents 28% of bulimia nervosa
patients
14. Binge Eating D/O
People with binge-eating disorder show marked
loss of control over their eating.
not followed by compensatory behaviors like
purging, excessive exercise, or fasting.
often are overweight or obese
also experience guilt, shame, and distress
about their binge eating, which can lead to
more binge eatingOver dilation of stomach causes heartburn,
dysphagia, bloating, and abdominal pain
15. Personality Traits
Overeating is frequently noted as a
symptom of an affective disorder, such as
atypical depression.
Higher rates of affective and
personality disorders are found
among binge eaters.
Binge eaters report a history of major
depression and anxiety disorders
significantly more often than non–binge
eaters.
https://www.youtube.com/watch?v=ljyExHVsZFg
16.
17. Case Study
Stephanie is a 17 year old female who presents to the ED after her parents found
her lethargic and severely confused. Her parents tell the nurse that she has been
isolating herself, is stressed with college applications, and seems to be eating more
than usual. They also report that they found laxatives in her room. Upon initial
assessment, patient complains of leg cramps, feeling dizzy, and being tired/weak.
Her teeth are visibly eroded and her parotid glands are swollen. You take her vital
signs and they show: BP 115/78 sitting, 91/60 standing, pulse 70 beats/min
sitting, 97 beats/min standing. Her weight is within 95% of her ideal weight,
potassium level 2.8 mmol/L. EKG came back abnormal, consistent with
hypokalemia.
18. Case Study
What signs and symptoms might indicate that Stephanie has an eating disorder?
Overeating, use of laxatives, tooth erosion, enlarged parotid gland and low potassium contributing to low
blood pressure, confusion, lethargy, abnormal EKG, muscle weakness, dizzy and tired
What are some possible nursing diagnoses?
Risk for injury r/t low potassium and other physical changes secondary to binge eating and purging
Powerlessness related to inability to control binging and vomiting cycles
Decreased cardiac output/disturbed body image/ineffective coping/chronic low self esteem/social
isolation
Imbalanced nutrition/ risk for imbalanced fluid volume
Goals? Outcomes?
K+ will be WNL throughout hospitalization and afterwards will identify S+S of low K+
Stephanie will recognize need for treatment
Demonstrates effective coping, reports decrease in stress, uses personal support systems, uses effective
coping strategies
Stephanie will report congruence between body reality, ideal and presentation and satisfaction with body
appearance
19. Case Study
Interventions?
Establish therapeutic relationship
Educate Stephanie regarding the ill effects of self induced vomiting, laxative use, low K+ level and dental erosion
Educate about binge-purging cycle and its self-perpetuating nature
Explore ideas about trigger foods and challenge irrational thoughts and beliefs about “forbidden foods”
Teach patient the importance to plan and eat regularly scheduled balanced meals
Help Stephanie with use of relaxation techniques and develop better coping skills
Medication? SSRIs and Tricyclic antidepressants might help reduce cycle
What are our plans for Stephanie following discharge? How might this differ for a
patient with Anorexia or binge eating disorder?
Admit to partial hospitalization program designed for patients with eating disorders.
3-4 days a week and participates in individual and group therapy.
Examine underlying conflicts and body dissatisfaction that sustain the illness
CBT is best for psychological treatment and significantly reduces relapse risk
20. Other Nursing Considerations?
An assessment of eating disorder symptoms will assist the clinician in identifying target symptoms and behaviors
that will be addressed in the treatment plan as well as in determining the diagnosis of eating disorder.
Assess a detailed report of food intake during a single day in the patient’s life. Challenge to assess obese patients
with binge eating disorder?
Obtain a family history regarding eating disorders and other psychiatric disorders, alcohol and other substance
use disorders, obesity, family interactions in relation to the patient’s disorder,
Assess family attitudes toward eating, exercise, and appearance.
Promote caloric consumption for anorexic patients
Assess for suicidal ideation
Provide ongoing support to the patient and their family
23. References
Chakraborty, K., & Basu, D. (2010). Management of anorexia and bulimia nervosa: An evidence-based review.
Indian Journal of Psychiatry, 52(2), 174–186. http://doi.org/10.4103/0019-5545.64596
Eating Disorders. Retrieved April 24, 2016, from
http://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml
Halter, M. J., & Varcarolis, E. M. (2014). Varcarolis' foundations of psychiatric mental health nursing: A
clinical approach. St. Louis, MO: Elsevier.
National Eating Disorders Association. Retrieved April 24, 2016, from
http://www.nationaleatingdisorders.org/