Bulimia nervosa

psychiatry useful

1. Good Morning…

2. Bulimia Nervosa Presented by , Ms. Ankita R. Hiwarale , M.Sc nursing 1 st year, Dr . P.D.N.I.Amravati .

3. INTRODUCTION Eating disorders refer to a group of conditions defined by abnormal eating habits that may involve either insufficient or excessive food intake to the detriment of an individual's physical and mental health. Bulimia nervosa, anorexia nervosa, and binge eating disorder are the most common specific forms in the United States. Bulimia Nervosa is characterized by episodes of binge eating followed by feelings of guilt, humiliation, depression and self-condemnation.

4. DEFNITION “It is an eating disorder marked by binge eating i.e. out of control eating, followed by purging, such as vomiting, taking laxative, and/or excessive activity to prevent the individual from gaining weight - (Stanley, 1999).”

5. ETIOLOGY

6. CLINICAL FEATURES

7. COMPLICATIONS Gastric rupture during period of binge eating. Dental caries , erosion , of tooth enamel , parotitis and gum infection. Dehydration or electrolyte imbalance. Chronic irregular bowel movements and constipation from laxative use Increased risk of suicide and psychoactive substance abuse.

8. DIAGNOSIS The diagnosis of bulimia nervosa cannot be made if the binge-eating and purging behaviors occur exclusively during episodes of anorexia nervosa. In such cases, the diagnosis is anorexia nervosa, binge eating-purging type. Medical evaluation to rule out upper gastro intestinal disorder. Psychological evaluation and Beck Deprssion Inventory.

9. Cont … History Laboratory test ( serum electrolytes , blood glucose , baseline ECG ) Confirmed if ICD 10 criteria met.

10.   TREATMENT

11. NURSING INTERVENTIONS Engage patient in therapeutic alliance to obtain commitment to obtain commitment to treatment. Establish contract with patient that specifies amount and type of food she must eat at each meal. Set a time for each meal. Identify patients elimination patterns .

12. Cont … Teach patients to keep journal to moniter high risk situations that cue binging and purging behaviours . Encourage patients to recognized and verbalize her feelings about her eating behaviour. Explain risk of laxative , emetic , and diuretic abuse.

13. SUMMARY

14. CONCLUSION

15. Thank you…