NURS 3524 Study Guide - Midterm Guide: Bulimia Nervosa, Anorexia Nervosa, Binge Eating
7 Jan 2019
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The inability to maintain normal body weight with body image disturbances. Severe weight loss in absence of obvious physical causes. Age: onset is 13 years can be life threatening. Adolescents with an often eat small amounts of food / play with food on plate. Preoccupation with food preparing meals for others, talking about food, hoarding food. Withdraw from peer relationships and engage in self-imposed social isolation. Dry skin + brittle hair and nails. Secondary amenorrhea: absence of period for 3 consecutive cycles. Therapeutic management (1) reinstitution of normal nutrition or reversal of the severe state of malnutrition, (2) resolution of disturbed patterns of family interaction, (3) individual psychotherapy to correct de cits and distortions in psychologic functioning. The least intrusive method for weight restoration should be used, only resorting to nasogastric or intravenous feeds when other strategies have failed. Diagnosis: one binge-eating episode per week for the preceding 3 months.
