Eating Disorders lecture psychiatric.pptx

Eating Disorders

1. Eating Disorders

2. Eating Disorders Anorexia Nervosa:   Obsession about weight and what they eat Unrealistic fear of obesity Risk factors: Adolescent females; mental illness with highest death rate from suicide Signs and Symptoms: starvation malnutrition Vigorous exercise Severe: Extreme weight loss (<75% expected- 25% below normal) Fluid and electrolyte imbalance Lanugo (thin hair) Amenorrhea Cold intolerance Low vital signs (low HR, BP

3. Anorexia Nervosa Goals:   Priority short term goals: increase caloric intake for gradual weight gain One on one supervision during eating Admission for malnutrition Strict record: protein and calorie intake Stay with client during meal and 1 hour after Morning weights prior to oral intake Help client to ID triggers No exercise Communication: Encourage & reinforce “progress toward healthy weight”

4. Bulimia Clients have distorted view of body image and obsessive desire to lose weight. Involves 2 cycles: Uncontrolled binge eating in secret Followed by self induced vomiting Use of diuretics, laxatives and fasting, excessive exercise Signs & Symptoms Binge eating then compensatory behavior: purging, exercise, fasting, laxatives Tooth and gum deterioration Scaly skin Normal body weight

5. Bulimia Interventions: Followed by self induced vomiting Monitor 1-2 hours after each meal One on one during meals Monitor for fluid and electrolyte imbalances Check for hidden binging or purging signs Food diary during hospitalization

6. Other eating disorders