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FIN_PSYCHIA_EATING
FEEDING & EATING DISORDERS
| Term | Definition |
|---|---|
| contains the appetite regulation center within the brain. | hypothalamus |
| feeding and eating d/o onset | early & late adolescent |
| feeding and eating d/o is common among early & late adolescent due to | being self concious, social standards |
| which feeding and eating d/o where it is described as eating 1/more non-food for at least 1 month | Pica |
| Pica symptoms should be present for at least | 1 month |
| which feeding and eating d/o where it is described as repeated regurgitation of food after feeding for at least 1 month | Rumination d/o |
| which feeding and eating d/o where it avoid or restrict intake of food | Avoidant / Restrictive d/o |
| which feeding and eating d/o where it is described as persistent energy restriction as to fear of becoming fat | Anorexia nervosa |
| which feeding and eating d/o where it is described as recurrent episode of binge eating resulting to inappropriate compensatory behaviors | bulimia nervosa |
| which feeding and eating d/o where it is described as eating an amount larger than most people would eat; sense of lack of control & marked distress over eating | binge eating d/o |
| which feeding and eating d/o where it does not meet full criteria | other specified feeding or eating d/o |
| which feeding and eating d/o where it criteria not met due to insufficient info | unspecified feding or eating d/o |
| Feeding & Eating Disorders Characteristics | often use food and the control of food Dieting, bingeing, and purging |
| Dieting, bingeing, and purging is a way to | cope with painful emotions feel in control of one's life |
| Psychological factors of Feeding & Eating Disorders Characteristics | Low self-esteem Feelings of inadequacy or lack of control in life |
| Interpersonal Factors of Feeding & Eating Disorders Characteristics | Difficulty expressing emotions & feelings History of being teased or ridiculed based on size or weight History of physical or sexual abuse |
| Social Factors of Feeding & Eating Disorders Characteristics | Cultural pressures Cultural norms Narrow definitions of beauty |
| Medical criteria for hospitalization of patients with eating disorder | Hypo kalemia/phosphatemia Temp < 36.1 BP < 80/50 mmHg Acute weight loss <85 % below ideal |
| Psychiatric criteria for hospitalization of patients with eating disorder | risk for suicide severe depression |
| A disorder that manifests itself through an INTENSE FEAR of gaining weight and body fat, and results in behaviors such as extreme dieting, fasting and excessive exercising to burn calories. | ANOREXIA NERVOSA |
| 2 types of Anorexia nervosa | Restricting Binge eating |
| Anorexia nervosa results in | starvation & SEVERE WEIGHT LOSS |
| ANOREXIA NERVOSA Characteristics | counting calories, skipping meals, Use laxatives, enemas, or diuretics, exercising excessively, |
| Med. mgt in ANOREXIA NERVOSA goals | weight restoration nutritional rehabilitation rehydration |
| Nsg. intervention for ANOREXIA NERVOSA | Keep a journal and stay with the pt. while eating |
| One of the challenge of treatment of ANOREXIA NERVOSA is to help the person recognize which is the problem? | eating behavior is itself a problem, not a solution to other problems. |
| If medication is prescribed to ANOREXIA NERVOSA, primary goal is weight gain as such, which meds can be given | Prozac |
| is an illness in which a person binges on food or has regular episodes of significant overeating and feels a loss of control. | Bulimia Nervosa |
| Bulimia Nervosa uses various methods such as | vomiting and laxative abuse |
| Bulimia Nervosa feartures | Lack of control over eating self-induced vomiting Misuse of laxatives or diuretics |
| Binging in Bulimia Nervosa usually precedes | vomiting about 1 yr. |
| Medication tx for Bulimia Nervosa | SSRI |
| D/O where it is characterized by recurrent binge-eating episodes during which a person feels a loss of control over his or her eating. | Binge-eating Disorder |
| D/O where they also experience guilt, shame and/or distress about the binge-eating, which can lead to more binge-eating | Binge-eating Disorder |
| D/O where it is not followed by purging, excessive exercise and fasting | Binge-eating Disorder |
| Binge-eating Disorder body type is usually | overweight/obese |
| Obese people with binge-eating disorder often have | coexisting psychological illnesses including anxiety, depression, and personality disorders |
| Characteristics of Binge-eating Disorder | Preoccupation with weight and shape Impairment in work and social functioning Significant time and energy devoted to dieting |
| Treatment of Binge-eating Disorder | antidepressant, appetite suppresants, CBT |