Transcript Chapter 016

Chapter 16
Eating Disorders
Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc.
Eating Disorders
• Anorexia nervosa
• Bulimia nervosa
• Eating disorder not otherwise
specified (NOS)
• Binge eating disorder
Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc.
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Etiology
• Biological Genetics
• Neurobiological
– Altered neurotransmitters
• Psychological factors
• Environmental factors
Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc.
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Anorexia Nervosa Nursing
Process
• Assessment
• Nursing Diagnosis
• Outcomes Identification
• Planning
– Refeeding syndrome
Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc.
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Anorexia Nervosa
Interventions
• Acute Care
– Establish trust
– Monitor eating patterns
– Psychosocial Interventions
– Pharmacological interventions
– Health teaching and health promotion
– Milieu management
Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc.
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Advanced Practice
Interventions
• Psychotherapy
– Individual therapy
– Group therapy
– Family therapy
Elsevier items and derived items © 2010, 2006 by Saunders, an imprint of Elsevier Inc.
6
Anorexia Nervosa
Evaluation
• Ongoing
• Short-term indicators revised as
necessary to achieve treatment
outcomes
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Bulimia Nervosa
Nursing Process
• Assessment
• Nursing Diagnosis
• Outcomes Identification
• Planning
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Bulimia Nervosa
Interventions
• Acute phase/basic level intervention
– Milieu therapy
– Pharmacological interventions
– Counseling
– Health teaching and health promotion
• Advanced practice interventions
– Psychotherapy
• Cognitive-behavioral therapy
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Bulimia Nervosa
Evaluation
• Ongoing
• Revised as necessary to reach desired
outcomes
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Binge Eating Disorder
• A variant of compulsive overeating
• No compensatory behaviors
• Frequently symptom of an affective
disorder
• Cognitive-behavioral therapy, behavior
therapy, dialectical behavior therapy,
and interpersonal therapy most
effective
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• An adolescent female is brought to the
school nurse after fainting during gym
class. She is grossly underweight,
wears baggy clothes, and has dry skin.
She complains of feeling cold despite
wearing two sweaters. To further
assess for an eating disorder, the
nurse should ask:
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a. “Do you ever experience lost time?”
b. “When was your last menstrual
period?”
c. “Do you often wear heavy clothing in
warm weather?”
d. “How long does it take for you to fall
asleep at night?”
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