eating disorders
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| 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;
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| eating behaviors are influenced by what; | society and culture
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| historically what influences the desirable femal body | society and culture
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| is there a single cause for these | no- many factors
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| the old aged is never too ___ too ___ or too___ | rich, blond or thin
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| our society is focused around eating how; in earlier society what weight was considered more healthy | at open houses, weddings, sams club; heavier;
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| what are the 3 dx of them | AN, BN and obesity
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| obesity: general medical condition b/c a consistent association with what; it is a ____ mechanism | psych and behavior; coping
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| anorexia nervosa: how common in women; what age in females; what % of americans are overwt | 1%; 12-30; 60%
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| 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;
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| what is more prevalent AN or bulemia | anorexia nervosa:
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| bulimia: it is a cycle of what | self induced vomiting designed to undo the eating;
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| both anorexia nervosa and bulimia have an extreme concern forwhat | body wt and shape
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| what is normal BMI; what is Obese BMI | 20-24; >30
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| anorexia nervosa: leading cause of mental illness due to what imbalance | electrolyte imbalance
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| bulimia nervosa: what percent in women; when does it occur; occurs in what societies; | 4%; late adolescence or early adulthood; ones that emphasize thinness
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| anorexia: there is a morbid fear of what; there is a gross distortion of what; they are preoccupied with what; | obesity; body image; food
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| 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
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| anorexia: s/s at meal time; | small portions and they will eat alone often OCD, suicide attempts
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| 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
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| 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
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| 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
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| 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
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| Bulimia: what is self esteem; do they binge in public or private; | low; private;
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| 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;
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| 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
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| Bulimia: phys s/s- what happens to lytes; why are knuckles abrased | low potassium, magnesium, sodium; from vomiting
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| AN and BN: predisposing factors genetically- AN is more common among whom in the family | sisters and moms,
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| 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;
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| what antidepressant meds help with bulimia | SSRIs and SNRIs
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| 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
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| 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
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| 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
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| 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
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| freud says this is due to a fixation in what stage | the oral stage
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| with what eating disorder does nurse encourage a food diary | obese- never anorexic
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| 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
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| 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;
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| obesity: what is metabolic syndrome; | insulin resistance, hypertension, dyslipidemia;
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| 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;
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| 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
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| 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
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| 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
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| 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
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| 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;
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