Term
| Define anorexia nervosamini |
|
Definition
self-starvation
weight loss below minimum normal weight
intense fear of being fat even when emaciated
Disorted body image
amenorrhea in females |
|
|
Term
|
Definition
recurrent episodes of binge eating
subjectively experienced as out of control
inappropriate compensatory to prevent weight gain
(self-induced vomiting, overuse of lax, diuretics, diet pills, fasting excessive exercise) |
|
|
Term
| What are risk factors that put a person at risk for eating disorders? |
|
Definition
Genetics
Neuroendocrine Abdormalities-impairment of dopamine
Psychodynamic influences-mother-infant
Family influences-anorexia (avoid spousal conflict)
-elements of power and control in family |
|
|
Term
| What are some assessment factors when working with clients with eating disorders? |
|
Definition
Assess clients feelings and attitude about being obese, their body image, their self-appraisal, their insight
Assess their weight
|
|
|
Term
Behaviors
Refusal to eat, abuse of laxatives, diuretics, and/or diet pills, loss of 15 percent of expected body weight, pale conjunctiva and mucous membranes, poor muscle tone, amenorrhea, poor skin turgor, electrolyte imbalances, hypothermia, brady cardia, hypotension, cardiac irregularities, edema |
|
Definition
| Imbalanced nutrition:less than body requirements |
|
|
Term
| decreased fluid intake, abnormal fluid loss caused by self-induced vomiting, excessive use of laxatives, enemas, or diuretics; eletrolyte imbalance; decreased urine output;increased uring concentration; elevated hematocrit;decreased blood pressure;increased pulse rate; dry skin;decreased skin turgor;weakness |
|
Definition
|
|
Term
| minimizes symptoms;unable to admit impact of disease on life pattern;does not perceive personal relevance of symptoms;does not perceive personal relevance of danger |
|
Definition
|
|
Term
| Compulsive eating;excessive intake in relation to metabolic needs; sedentary lifestyle;weight 20 percent over ideal for height and frame;body mass index of 30 or more |
|
Definition
| Imbalanced nutrition:more than body requirements |
|
|
Term
| Distorted body image;views self as fat,even in the presence of normal body weight or severe emaciation;denies that problem with low body weght exists;difficulty accepting positive reinforcement;self-destructive behavior (self-induced vomiting, abuse of laxatives or diuretics, refusal to eat),preoccupation with appearance and how others perceive it |
|
Definition
| Distrubed body image/low self-esteem |
|
|
Term
| Increased tension;increased helplessness;overexcited;apprehensive;fearful;restlessness;poor eye contact;increased difficulty taking oral nourishment;inability to learn |
|
Definition
| Anxiety (moderate to severe) |
|
|
Term
| How does an anorexic person view their body image? |
|
Definition
|
|
Term
| How does a bulimic person view their body weight? |
|
Definition
|
|
Term
| Does an anorexic person accept or not accept their own behavior, self-appraisal? |
|
Definition
| They accept their own behavior. |
|
|
Term
| Does a bulimic person accept or not accept their behavior? |
|
Definition
| They don't accept it, they hide what they do. |
|
|
Term
| How is the insight of an anorexic person? |
|
Definition
| Poor;denies hunger, rigid control over amount and type of food eaten, total lack of concern about symptoms |
|
|
Term
| How is the insight of a bulimic person? |
|
Definition
| aware that behavior is abnormal; feelings of loss of control followed by remorse |
|
|
Term
| What are TNI's for imbalanced nutrition: less than body requirements; deficiant fluid volume |
|
Definition
1. Dietitian will determine number of calories required to provide adequate nutrition. (gain 2-3 lbs/week)
2. Explain to client that privileges are restrictions will be based on compliance with treatment and direct weight gain. (don't focus on food and eating, focus on control)
3. Weigh client daily, exactly the same way, time, clothes
4. Assess skin turgor and integrity
5.Assess moistness and color of oral mucous membranes.
6.Stay with client during established time for meals (30 min and at least 1 hr after)
7. If weight loss occurs, use restrictions-tube feedings may be initiated.
8. Explore and identify the true feelings and fears that contribute to maladaptive eating behaviors. |
|
|
Term
TNI's for Ineffective Denial
r/t retarded ego develpment and fear of losing the only aspect of life over which client perceives some control (eating)
Evidenced by: inability to admit the impact of maladaptive eating behaviors on life pattern |
|
Definition
1. Develop a trusting relationship with client by being honest, accepting, and available, and by keeping all promises. Convey unconditional positive regard.
2. Avoid arguing or bargaining with the client who is resistant to treatment. State matter-of factly which behaviors are unacceptable and how privileges will be restricted for noncompliance.
3. Encourage client to verbalize feelings about independence. (when client feels control over major life issues, the need to gain control through maladaptive eating behaviors will diminish. |
|
|
Term
| What are topics to be taught to client/family r/t eating disorder as far as the nature of the illness? |
|
Definition
1. symptoms
2. what constitutes obesity
3. Causes of eating disorders
4. Effects of illness or condition on the body |
|
|
Term
| What topcis are included in the management of the illness? |
|
Definition
1. Principles of nutrition
2. ways client may feel in control of life
3. Importance of expressing fears and felings, rather than holding them inside
4. Alternative coping strategies
5. correct admin of meds
6. side effects
7. relaxation techniques
8. problem-solving skills |
|
|
