Anorexia
Diagnosis
- Physical exam
- Mental Health Evaluation
- Xray- check stress fractures
- DEXA Scan- bone density
- Labs: CBC, CMP, Kidney, Thyroid, Protein
Treatment?
- Therapy to change cognitive behaviors
- Fluoxetine, Prozac
- Nurturing education
- Hospitalizations
Main treatment?
Controlling your diet & exercise
May take a couple bites and say they ate or may not eat at all to avoid weight gain?
Anorexia
A Bariatric patient is having complications with a Gastric Bypass they just received. What would you expect to see?
- Change in weight
- Change in VS
- Bladder/ Bowel Issues
2 main Goals?
- Maintain eating patterns & promote weight gain
- Change thinking beliefs, thoughts about food & weight
Sign & Symptoms
- Extreme mood swings
- Poor Body Image/ excessive use of laxatives/enemas
- Binge & Purge
- Eating large amounts of food in one setting
- Vomiting or exercising after eating
BMI
Waist & hip cicumference
Height & Weight chart
Surgery
Medicine can be given to increase appetite?
Megestrol Acetate (Megace)
Psychological disorder that has serious issues w/ nutrition. Person eats large amounts of food then forces vomiting not to gain weight.
Bulimia
Treatment?
- Treat malnutrition
- Restoring healthy weight
- Food becomes the basic medicine
Diagnosis?
- Mental Health Evaluation
- EKG
- Physical Exam
- Blood and urine tests
- Physician consultation about healthy habits
What is Obesity?
Complex disease of having too much body fat.
Can be inherited physiologically and environmentally along w/ diet, activity and exercise.
A patient is having a bariatric surgery performed. What teachings would you expect to provide the patient with?
- Don't drink 30 mins before or after surgery
- Don't use a straw when drinking
- Patient will take vitamins for the rest of their life
- Stress the importance of living a healthy lifestyle
What should be a focus of Bulimia when caring for your patient?
Focus on nutrition & mental aspect (change their thinking process)
Emotional Signs and Symptoms
- Difficulty Sleeping
- Fear of Gaining weight
- Focused on Appearance
- Worried about being overweight
Causes?
Unknown
Sleeve Gastrectomy &
Gastric Bypass
Bulimia
Psychological disorder that has serious issues with nutrition. Person refuses to eat food in fear of gaining weight.
Anorexia
Physical Signs and Symptoms
- Extreme weight loss
- Depression & Anxiety
- Teeth Issues
- Swelling of arms & legs
Complications?
- Feeling suicidal or hopeless
- Social Isolation
- GI problems/ Poor nutrition
- Severe tooth decay, gum disease
- Lack of fluids = kidney Failure
Signs & Symptoms
Stretch marks
Skin Problems
SOB
Sleep apnea (children)/ Snoring or trouble breathing (aults)
A patient is recovering from a bariatric surgery where everything is connected in the GI they just "shrinked" the stomach. What is the name of the procedure?
Gastric Sleeve
What is the difference between Anorexia and Bulimia
Anorexia- Afraid of weight gain/being fat
- Depressed and will not eat or eat very little
Bulimia- Think they are fat so they eat a lot and vomit what was just consumed
- Suicidal or feel Hopeless