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NURS 3524 Study Guide - Midterm Guide: Bulimia Nervosa, Anorexia Nervosa, Binge Eating


Department
Nursing
Course Code
NURS 3524
Professor
Mavoy Bertram
Study Guide
Midterm

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Adolescent behavioural/mental health
Week 3
Anorexia nervosa
The inability to maintain normal body weight with body image disturbances
Severe weight loss in absence of obvious physical causes
Cause: multifactorial
Age: onset is 13 years can be life threatening
Extra information
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
Manifestation
- Profound/severe weight loss
- Bradycardia d/t losing cardiac muscle
- Decreased blood pressure
- Hypothermia
- Cold intolerance
- Dry skin + brittle hair and nails
- Lanugp
- Amenorrhea
Primary amenorrhea: no period
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 deficits 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
Bulimia nervosa
Eating disorder characterized by binge eating
Diagnosis: one binge-eating episode per week for the preceding 3 months
Purging behaviour
o Laxative abuse
o Self induced vomiting
o Diuretic abuse
o Rigorous exercise regimes
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Extra information
BN patients may be of average or slightly above-average weight
purging provides relief from feelings of guilt resulting from the enormous amounts of food
consumed.
Interventions for anorexia and bulimia
- Electrolytes should be measured, along with calcium, magnesium, phosphorus, blood urea
nitrogen, and creatinine, if the patient appears to be dehydrated or if purging is suspected.
- Re-institution of normal nutrition or reversal of state of malnutrition
- Resolution of the disturbed patterns of family interaction
- Individual psychotherapy to correct deficits and distortions in psychological functions
- Supervise during mealtimes monitor intake and output
- Administer antidepressants if prescribed , phosphorus and potassium vitamins
- Give small meals
- Psychotherapy
- 15 minute walk once they weigh healthy enough
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