Term
|
Definition
-refusal to maintain body weight over a minimally normal weight
-intense fear of gaining wt or being fat when pt is underweight
-body distortion
-amenorrhra for 3 months in a row |
|
|
Term
|
Definition
binge: larger than normal portion in fast period of time
--loss of control
recurrent inappropriate compensatory behavior to prevent wt gain
"cycle"- occurs more than twice a week for 3 months |
|
|
Term
Eating Disorder Not Otherwise Specified
EDNOS
(def) |
|
Definition
| disordered eating that does not quite meet criteria for av or bulimia |
|
|
Term
Binge Eating Disorder (BED)
(def) |
|
Definition
periods of uncontrolled impulsive or continuous eating beyond point of feeling comfortably full
-twice a week for 6 months
-no purging but sporadic fasts and diets
-anxiety, depression and loneliness
-wt normal to obese |
|
|
Term
| who is the heaviest user of diet pills? |
|
Definition
|
|
Term
true or false
eating disorders are all about food |
|
Definition
false
-nutrition, body chem (genetic), behavior (habits), emotions, physiology, problems solving/coping, attitudes, relationships and communication |
|
|
Term
etiology of eating disorders
predisposing factors |
|
Definition
GENETIC-perfectionism, OCD traits and anxiety
pressure to be thin
gender |
|
|
Term
etiology of eating disorders
precipitating factors |
|
Definition
puberty
life stressors
peer pressure
media messages |
|
|
Term
etiology of eating disorders
perpetuating factors |
|
Definition
starvation effects
cognitive distortions
cultural effects |
|
|
Term
|
Definition
an individual's experience of his/her own body
-mental picture one carries of one's own body and the associated thoughts, feelings and judgements |
|
|
Term
| unique environmental contributing factors for eating disorders |
|
Definition
-trauma (avoidence-sexual or obese related) suppression
-identify (growing up, identification with mother ED, narcissism-beauty queen, fear, entertainment industry)
-family issues (power weapon, sick role, preventing divorce, reinforcement of diet)
-intrapsychic issues (inability to self parent, emotional dysregulation, social phobia/isolation, temperament- perfectionism and boredom |
|
|
Term
| shared environmental contributing factor for eating disorders |
|
Definition
-race/ethnicity (NA, white and hispanic- more assimilated)
-religion (shame, judgement, conformity and self-denial)
-socioeconomic status |
|
|
Term
| average duration of eating disorder |
|
Definition
|
|
Term
complications of eating disorders
CNS impairments |
|
Definition
-attention and concentration
-visual associative learning
-visuospatial abilities
-problem solving
-motor function, slowed
-poor planning
-lack of insight
-depression |
|
|
Term
complications of eating disorders
nervous system |
|
Definition
reduction in noradrenergic activity in CNS
peripheral nervous system starvation
-hypotension
-bradycardia
-hypothermia
-depression
-seizure |
|
|
Term
complications of eating disorders
renal |
|
Definition
fluid, electrolytes, fluids
-from vomiting, laxatives and diuretics
-re-feeding edema
-renin-aldosterone-fluid retention
-hyponatremia (Sz risk)
-hypokalemia (arrythmias, ilus, nephropathy)
-hypomagnesemia (inc QT, arrythmias)
-hypophosphatemia (refeeding syndrome) |
|
|
Term
complications of eating disorders
cardiovascular |
|
Definition
-loss of cardiac muscle
-congestive heart failure
-silent pericardial effusions
-conduction abnormalities
---long QT and bradycardia
-chest pain -angina |
|
|
Term
complications of eating disorders
pulmonary |
|
Definition
rare
-dyspnea in longstanding malnourished states, respiratory muscle weakness
-pneumomediastinum and aspiration from forced vomiting |
|
|
Term
complications of eating disorders
gastrointestinal |
|
Definition
-slow GI
-hemorrhoids and rectal prolapse
-delayed gastric emptying
-enlarged salivary glands, tooth decay, esophagitis |
|
|
Term
complications of eating disorders
genitourinary |
|
Definition
AN: involution of uterus and testicles
--will return with wt gain |
|
|
Term
| when does menstrual cycle return |
|
Definition
1-6 months after reaching 90% ideal body weight
need 17% body fat for menarche and 22% body fat for maintining menses |
|
|
Term
| do you have to have weight loss to have ammenhorhea? |
|
Definition
| no. 50% of BN will have it |
|
|
Term
complications of eating disorders
musculosketetal |
|
Definition
loss of muscle mass and function
--very responsive to re-feeding
osteoprosis (50%), not very reversible with weight gain |
|
|
Term
| factors that influence bone loss |
|
Definition
- >12 months since onset
-> 6 months of amenorrhea
- BMI < 15
- Ca intake <600 mg/day
-< 3 hrs activity per week |
|
|
Term
|
Definition
-medical stability
-nutrition
-behavior control
-emotional experiencing
-problems with living
-relapse prevention |
|
|
Term
true or false
-nutritional goals include that the patient should feel they can eat whatever they want whenever upon discharge? |
|
Definition
YES true.
they should do so with out guilt |
|
|
Term
| my pyramid.gov suggestions |
|
Definition
50-60% carbs
15-20% ptn
25-30% fat |
|
|
Term
|
Definition
800-1000 to start or 30-40 cal/kg/day
-inc by 200-300 cal increase q2-3 days
possible nocturnal tube feed |
|
|
Term
weight gain parameters
out and in patient |
|
Definition
out patient: .5-1 lbs/week
inpatient: 2-3 lbs/week
weight loss after ED control for obese patients |
|
|
Term
| drugs for eating disorders |
|
Definition
prozac only FDA approved rx--- BN
-dec craving for calories therefore dec binge
other RX for comorbidities ie intrapsyc |
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Term
|
Definition
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