Appetizers
Anorexia, bulimia and binge eating disorder
What are eating disorders?
Food rituals, frequent dieting, frequent GI complaints, social isolation, weight fluctuations, problems with dental, skin and hair growth.
What are some warning signs of eating disorders?
•Characterized by lack of interest in food, fears of negative consequences of eating, and selective or picky eating.
What is avoidant-restrictive food intake disorder? ARFID
Being bullied about their weight or body, having issues around gender or sexuality, being in sports or professions in which a certain body type or weight is important (wrestling, jockey, model), focused on reducing fat and increasing muscle.
What are risk factors for males to have eating disorders?
When conducting a physical assessment on a known bulimic patient, be sure to check for adventitious lung sounds because of this risk related to purging.
What is aspiration pneumonia?
Real life threatening illnesses with potentially fatal consequences
What are eating disorders?
Frequent food binges without compensatory measures to counteract the binge eating.
What is binge eating disorder?
–Mood disorders
–Anxiety disorders
–Substance abuse
What are the most common comorbidities of eating disorders?
Occurs at least once a week for three months
What are the criteria for Binge-purge behaviors being diagnosed as bulimia according to the DSM 5?
This electrolyte is usually decreased due to frequent vomiting and use of laxatives in bulimics and can place the patient at risk for cardiac problems.
What is potassium?
Biological, psychological and sociocultural factors
What causes eating disorders?
•Musculoskeletal problems
•Gallbladder disease
•High blood pressure; high cholesterol; heart disease
•Type II diabetes
What are medical consequences of binge eating?
Has the highest mortality rate of any psychiatric disorder
What is anorexia?
Less than 85% of ideal body weight?
By definition according to the DSM 5 what do most anorexics weigh?
The only FDA approved medication used to treat bulimia.
What is fluoxetine? (Prozac)
Extreme emotions, attitudes and behaviors around weight, food and size
What do eating disorders involve?
•Frequent trips to bathroom after meals•Excessive, rigid exercise regimen; compulsive need to “burn off” calories taken in•Discoloration or staining of the teeth•Withdrawal from usual friends and activities•Continued exercise despite injury•Calluses on the back of hands and knuckles from self-induced vomiting
What are characteristics of bulimia?
•Inpatient
•Residential
•Partial hospitalization
•Intensive outpatient
•Outpatient
What are levels of care for eating disorders?
Fine hair on back, upper arms and face that develop after the patient loses subcutaneous fat layer.
What is lanugo?
This type of therapy has been proven effective in reducing binge-purge behavior in bulimics as part of their treatment.
What is cognitive behavioral therapy? CBT
People of all walks of life
Who can get eating disorders?
–Inadequate food intake leading to a weight that is clearly too low–Disturbance in the experience of body weight or shape–Intense fear of weight gain, obsession with weight, and persistent behavior to prevent weight gain–Inability to appreciate the severity of the situation
What are signs of anorexia?
•Give advice about weight, exercise, or appearance
One of the DON'Ts for friends/relatives of eating disordered patients
Enlarged parotid glands
What physical assessment finding correlates with a bulimic who purges frequently?
This precaution may be ordered by the nurse or doctor to prevent purging behavior.
What is reverse room restriction? RR