EATING It includes three separate features:

DISORDERS  a self-induced starvation to a significant

PABILONA, MARTY T. degree;
BSN 2D  a relentless drive for thinness,
 a morbid fear of fatness,
DEFINITION  or both; and medical signs and symptoms
Eating disorders in young children consist of resulting from starvation.
pica, rumination, feeding disorders, and eating Specific characteristics include:
disorders include anorexia nervosa and bulimia.  Body mass index (BMI) less than 17.5 or
less than 85% of expected weight
PICA  Intense fear of gaining weight or
Children who persistently eat nonfood becoming fat even though underweight
substances such as dirt, clay, paint chips,  Severely distorted body image
crayons, yarn, or paper are said to have pica
 Refusal to acknowledge seriousness of
Latin word for magpie (a bird that is an
weight loss
indiscriminate eater)
 Amenorrhea (in girls)
 binge eating or purging
COMPLICATIONS
 self-induced vomiting or the use of the
Primary danger - possibility of accidental
ff:
poisoning.
o laxatives,
Other complications include
o enemas, or
constipation,
o diuretics
gastrointestinal malabsorption,
o
fecal impaction, and
TWO TYPES OF ANOREXIA NERVOSA
intestinal obstruction.
 Restricting type
Ages of 2 and 6 years
 Binge-eating-purging
NOTE: 10 X WOMEN than in men
RUMINATION DISORDER OF INFANCY
Rumination : Latin word for “chewing the cud”
RISK OF HAVING:
(as cattle do).
Heart failure
act of regurgitating and reswallowing previously
Kidney failure
ingested food.
Digestive problems
rare disorder - of 3 and 12 months.
Electrolyte imbalance
ASSESSMENT
Food Refusal or Aversion
Excessive weight loss,
Failure to eat adequately because of food
acidosis,
dislikes
dependent edema,
Results in significant failure to gain weight or
hypotension,
actual weight loss.
hypothermia,
infancy and is usually seen in children younger
bradycardia,and
than 6 years of age.
Feeling cold;
Loss of appetite;
Anorexia Nervosa
Loss of menstruation;
Is a disorder characterized by refusal to
Fatigue and dizziness;
maintain a minimally normal body weight
Loss of libido (sexual appetite);
because of a disturbance in perception of the
lanugo (fine, neonatal-like hair)
size or appearance of the body
 MANAGEMENT TREATMENT
Other therapeutic interventions include: Ways to reduce the risk of bulimia nervosa
Medications such as antidepressants Cultivation of a positive self-image of the body
Identification of emotional triggers Maintenance of good mental health
Self-monitoring (awareness training) Counseling as needed to identify and resolve
Education about normal nutritional needs areas of conflict and stress
Balancing school, work, social life, rest, and
MANAGEMENT exercise
Establishing trust and effective communication RELATED FACTORS:
Total Parenteral Nutrition. • Psychological factors
Gradual weight gain • Low self-esteem
• Feelings of inadequacy or failure
BULIMIA NERVOSA • Feeling out of control
 recurrent and episodic binge eating and • Response to change (puberty)
purging. • Response to stress (sports, dance)
 awareness that the eating pattern is • Personal illness
abnormal but not being able to stop
 Adolescence or early adult life PERFECT BODY OR IMAGE
 Predominantly in girls. • Barbie and Bodies
 Last for months or years. – Seven feet tall
 High caloric content. – 38 inch chest
 It may be eaten secretly. – 21 inch waist
COMPLICATIONS – 36 inch hips
 Headaches; – Virtually unattainable for an
 Weakness; adult woman
• G. I. Joe
 Anemia;
– 1970-GI Joe was 5 ft. 10 inches,
 No periods;
32 inch waist and 12 inch upper
 Limited thinking and social life.
arms
 Starvation;
– 2000-29 inch waist and 16 ½
 Dehydration; inch arms
 Muscle and cartlidge deterioration;
 Osteoporosis; THANK YOU
 Irregular or abnormally slow heart rate;
 Heart failure.
 severe erosion of their teeth
 Esophageal tears

TREATMENT – no known cause

Ways to reduce the risk of bulimia nervosa
Education about and awareness of the disorder
and associated risk factors
Early intervention if risk factors are identified
Knowledge and maintenance of healthy eating
habits