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nurs 211

eating disorders

what part of the brain contain the appetite regulation center; in normal dietary intake it regulates the bodies ability to recognize what; hypothalamus; when it is hungry, not hungry and when it is sated;
eating behaviors are influenced by what; society and culture
historically what influences the desirable femal body society and culture
is there a single cause for these no- many factors
the old aged is never too ___ too ___ or too___ rich, blond or thin
our society is focused around eating how; in earlier society what weight was considered more healthy at open houses, weddings, sams club; heavier;
what are the 3 dx of them AN, BN and obesity
obesity: general medical condition b/c a consistent association with what; it is a ____ mechanism psych and behavior; coping
anorexia nervosa: how common in women; what age in females; what % of americans are overwt 1%; 12-30; 60%
anorexia nervosa: what is death usually caused from; they have guner pains unti caloric intake is less then ___ a day; cardiac or elec imbalances; 200;
what is more prevalent AN or bulemia anorexia nervosa:
bulimia: it is a cycle of what self induced vomiting designed to undo the eating;
both anorexia nervosa and bulimia have an extreme concern forwhat body wt and shape
what is normal BMI; what is Obese BMI 20-24; >30
anorexia nervosa: leading cause of mental illness due to what imbalance electrolyte imbalance
bulimia nervosa: what percent in women; when does it occur; occurs in what societies; 4%; late adolescence or early adulthood; ones that emphasize thinness
anorexia: there is a morbid fear of what; there is a gross distortion of what; they are preoccupied with what; obesity; body image; food
anorexia: they refuse to what; ask about what when assessing; why is lenugo formed eat; menstration, low temp, low HR, lenugo; to keep body warm
anorexia: s/s at meal time; small portions and they will eat alone often OCD, suicide attempts
anorexia: what happens to period; 1/2 of all deaths are what; why does thyroid hormone slow; what happens to WBCs; it stops; suicide; b/c metabolism slows; they are low
anorexia: what decays as body looks for protein; what happens to HR; s/s of the slow HR; why do organs deteriate heart; it slows; causes fatigue, fainting, and a great need for sleep; body is trying to find protein
anorexia: why is there constipation; bone loss casues what later in life; what layer of tissue is gone; s/s of loss of body fat from laxative abuse; osteoporosis; body fat; veins stand out, multiple bruises appear
Bulimia: def binging; def purging; ex of purging; are they normal weight or skinny episodic, uncontrolled, compulsive,rapid ingestion of large quantities of food over a short period; inappropriate compensatory behaviors to rid the body of the excess calories; self induced vomiting or misuse of laxatives, diuretics, enemas ; normal wt
Bulimia: what is self esteem; do they binge in public or private; low; private;
Bulimia: physical s/s- what is there addiction to; what happens to salivary glands diet pills and appetite suppressants like cocaine and amphetamines; swollen from vomiting;
Bulimia: phys s/s- what happens to teeth; what happens to throat; what can happen to stomach; where is there constant pain decay; sore and swollen, may bleed; ulcers and bleeding; abdomen- bowel muscle damage
Bulimia: phys s/s- what happens to lytes; why are knuckles abrased low potassium, magnesium, sodium; from vomiting
AN and BN: predisposing factors genetically- AN is more common among whom in the family sisters and moms,
AN and BN: predisposing factors neuroendocrine abnormalities- there may be a primary ___ dysfunction where; bulimia may be associated with what neurotransmitters ; in hypothamalus; serotonin, dopamine, norepinephrine;
what antidepressant meds help with bulimia SSRIs and SNRIs
freud and eating disorder: believes eating disorders result from when in life; what is wrong with ego; there is an unfulfilled sense of what very early and profound disturbances in mother infant interactions; it is retarded; separation-individuation
AN and BN: predisposing factors-family issues: families may promote and maintain what to avoid conflict; what becomes the problem psychosomatic s/s, including anorexia nervosa; the sick problem and focus on the conflict is diverted
AN and BN: predisposing factors- family: parental criticism promotes what; eating disorder is seen as a way to gain what an increase in obsessive and perfectionistic behavior on the part of the child; control
obesity:predisposing factors - what studies have supported a heredity factor; what physiological factors twin studies;; lesios in the appetite and satiety centers of the hypothalamus, hypothyroidism, insulin resistance, increased cortisone production
freud says this is due to a fixation in what stage the oral stage
with what eating disorder does nurse encourage a food diary obese- never anorexic
goals for AN and BN: client to maintain at least what % of body what; how much should pt gain a wk; what labs are done; want to verbalize what 80%; 2 lbs; serum studies; the value of adequate nutrition
nursing care of a client with an eating disorder is aimed at what; we also want to help client gain control over what; restoring nutritional balance; life situations;
obesity: what is metabolic syndrome; insulin resistance, hypertension, dyslipidemia;
tx for eating disorders: issues of ____ are central to the etiology of these disorders; for behavior change the client must perceive that he or she is in control of what control; the tx;
tx for eating disorders: the client has control over what 3 things; staff and client agree about what eating, amount of exercise, pursued coping mechanism used; goals, system of rewards
behavior modification with AN: when agreeing with staff the pt should do what; we should not let them choose what abide by the contract, gain wt, earn the desired privilege; meals
tx for AN abd BN: are there any specific meds for them; when are meds prescribed; example of associated s/s no; only for associated s/s; anxiety and depression
AN needs for hospitalization: body wt needs to be more than ___% below norm; failure of what tx; other reasons; 25%; outpt; extremely fast wt loss, medical complications, hemodynamic compromise, acute food refusal
miluea therapy for eating disorders: do not focus on what; reorient to what; assist to express what feelings; as staff remember these pts are highly what; food; goals set and contract; repressed; manipulative;
Created by: jmkettel
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