Eating Disorders in General
Prevalence of AN, Binge ED, BN for males accounts for ___% of cases
25-36%
May explain why persons with AN feel reduced anxiety when food restricting and cannot resist the compulsion not to eat?
Altered serotonin and dopamine metabolism
Risk of death during ____ if cardiac, renal, or other organ damage has occurred
Refeeding
“I gained five pounds over break, now everyone thinks I’m fat”
Catastrophizing
A body can be healthy across a wide range of weights- AVOID ____
COMPARISON
Higher rates in ___ identifying as ____
Males... bi or gay
Eating ______ increases ____ which may increase anxiety and harm avoidance for persons with AN in turn, may drive up anxiety
Thus not eating/starvation results in lowered anxiety
Carbohydrates increases serotonin
Long term physical stabilization: Wt ____% of normal
85-90%
“I’m not skinny enough, I’m huge!”
Dichotomous thinking
____ is a means to nourishment
“Ideal” body weight is the weight where you feel strong and energetic and lets you lead a healthy, normal lifestyle- _____ at every ____
FOOD
HEALTH @ EVERY SIZE
Subclinical symptoms of an ED are ______ between males and females
Similar
What explains PET scans indicate alterations in brain circuitry for reward/emotion, self-awareness, altered awareness of hunger?
Limbic and neurotransmitter dysfunction
Long-term: Psychological improvement?
• Suicide precautions
• Decrease obsession with weight
• Increased self-esteem
• Increased feelings of control in areas outside food/weight control
• Increased ability to verbalize emotions and needs
• Constructive family communication patterns
• Appropriate level of exercise
“I feel so fat today.”
“Thin girls are always so happy. I want to lose weight so I can be happy.”
Emotional reasoning
Overgeneralization
____-_____ empowers you to move on and make positive changes
SELF-ACCEPTANCE
What is the most LETHAL mental health illness?
Anorexia Nervosa is MOST LETHAL MHD
Onset in females during _____ when brain, endocrine changes, then sociocultural factors converge
Adolescence
Priority-Short-term: Physical Stabilization?
• Life support
• Adequate dietary intake to support vital function
• Cardiovascular, lung, renal function
• No binging or purging
“Did you see the way she looked at me? She must think I’m fat and ugly!”
Personalization
Find JOY IN ____ and appreciate what your body can do
MOVING
ON TEST: If someone comes into the acute care setting and they have one of these eating disorders, what is going to be the primary nursing diagnosis? WHY?
Priority is not related to this eating disorder, if they are in an acute care setting they are not their for their eating disorder, they are probably their due to something that their eating disorder caused…
Priority would NOT be "Imbalanced Nutrition"
PRIORITY IS PYCHIOLOGICAL STABILITY
“Genetics Loads the Gun and Life pulls the trigger”
Common temperament: ____ avoidant
Harm
“Yes, my BMI is normal, but I still look like a cow in my bathing suit. I’m so fat!”
Selective abstraction
Genetic inheritance influences bone structure, body size, shape, and weight differently- RESPECT _____
DIFFERENCE