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Eating Disorders
Psych
| Question | Answer |
|---|---|
| cx | negative sel-esteem /genetics: hypothalamus malfunction/ improper Dopamine levels/ Cultural |
| types | 1. Anorexia nervosa 2. Bulimia 3. morbid obesity |
| Anorexia nervosa | aversion to food a desire to avoid food refuse to eat |
| Symptoms | excessive wt loss (> 25% baseline wt) refusal to maintain a normal wt excessive exercise distorted view of body obssesive thoughts shy and introverted amenorrhea (absence of period) sleep only 2-3 h |
| Bulimia nervosa | eat up to 8,000 cal in a hour but vomit afterwards and abuse laxatives and diuretics |
| what is the main difference between anorexia and bulimia? | "binge eating" obsession w/ food = bulimia not eating / obsession w/ diet and exercise = anorexia |
| what does vomiting cx in bulic pts? | trauma to back of throat/ enemal of teeth (gone)/ hoarsiness of voice / sense of loss of control |
| what kind of people are bulimics? | impulsive/ low self-esteem |
| Morbid obesity | > 100 lbs above the ideal wt |
| when are fat cell numbers stabilished? | number of fat cells estabilished at birth |
| what other dz are associated with morbid obesity? | MI, DM 2, osteoarthritis increased risk of cancer, gallblader, and HTN , edema , dehydration |
| tx | Bariatric Surgery |
| meds | Zanax /BuSpar/ Serax (alcohol detox) |
| caution for antidepressants | teens r/t suicidal thoughts |
| What are eating disorders? | disorders of body image |
| Eating disorder affect more ____ in the age group of _____ | women 12-30 |
| what theory states that eating disorders originate in childhood (ineffective parent emotional nurture)? | psychological theory |
| how does the lack of nurturing by parents affect the child? | he/she develop a maladaptive response to not being worthy of love. this feeling is caried out through adulthood and self detructive actions are taken to validate the "unworthy of love" theory |
| women who develop anorexia usually have ______ feelings towards their _____ | negative feelings towards their mothers |
| what defense mechanism is activated during an eating disorder crises? | regression |
| what does the Biologic theory say the cx of eating disorders are? | 1. women have more fat than men (pregnancy) 2. disfunction in the hypothalamous functioning 3. disturbance in Dopamine |
| what is the cx of obesity according to the Behavorist theory? | culture. Food is pleasure or a reminder of pleasure in sad times |
| Anorexia nervosa | aversion of food. pt refuses to eat - as early as 8 years old |
| S/S of anorexia | excessive exercise - excessive dieting (diet can be cut down to 200 cal/day or even less)- perfectionism - obession - sleep little - distorted body image - |
| Bulimia nervosa | binge eating (up to 8,000 cal/day) followed by forced vomiting |
| S/S of bulimia | excessive exercise - abuse of laxatives and diuretics - obsession w/ eating - thoughts of suicide - sensitive to body coments- eroding teeth and enemal |
| what monitoring is needed for bulimic pts? | electrolytes |
| MOrbid Obesity | > 100 lbs |
| other dz that can cx morbid obesity if not controled | DM and Hypothyroidism |
| according to the psychoanalitic theory, what phse of development is the obese pt stuck in? | the oralphase (oral gratification) |
| medical complications of eating disorders | 1. electrolyte imbalances 2. cardiac irregularities 3. edema and dehydration 4. GI problems |
| what vitamine will post op bariatrics have to take for the rest of their lives? | B12 |
Created by:
luwetherrbee
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