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EATING DISORDERS

Anorexia Nervosa and


Bulimia
EATING DISORDERS
- Are severe disturbances
in eating behavior
accompanied
by distortion in body
image and self- perception
ANOREXIA NERVOSA
Is a self- starvation syndrome
in which the person relentlessly
pursues thinness, sometimes to
the point of fatal emaciation as
the person becomes preoccupied
with food and body.
TWO MAIN FORMS OF
ANOREXIA NERVOSA:
1. RESTRICTING TYPE- food intake is limited
2. BINGE- EATING OR PURGING TYPE- engages in
regular binge- eating or purging behavior
Causes of Anorexia Nervosa
1. Genetic
2. Behavior and Environmental
3. Psychological
Genetic

Female most often


affected
Siblings- 10 to 20
fold higher risk of
developing the DO
BEHAVIORAL AND ENVIRONMENTAL
• Societal standards
• Stress
PSYCHOLOGICAL FACTORS
Memory Jogger
• H U N G E R- guidepost to major features of
anorexia nervosa
• H- has an obsession with food and weight
• U- underweight or emaciated
• N- needs go unmet because of family conflict
• G- gross distortion of body image
• E- exercise, vomits, or uses laxative and
diuretics to lose weight
• R- refuses to eat
BULIMIA NERVOSA
• Marked by episodes of binge eating (up to
several times a day) followed by feelings of
guilt, humiliation, depression, and self-
condemnation.

• Sufferers use measures to prevent weight


gain.
Causes of
Bulimia Nervosa
• Genetic and biological factors
- More common in relatives of people with
bulimia nervosa
- Altered serotonin levels
- Other factors:
- Family disturbance or conflict
- Sexual abuse
- Maladaptive learned behavior
- Struggle for control or self- identity
MEMORY JOGGER
• R I D S B O D Y- guidepost to major features of BULIMIA
• R- Recurrent binge- eating episodes
• I- intense exercise
• D- diuretic, laxative, and enema use
• S- self- induced vomiting
• B- body image distortion
• O- ordinary eating alternating with episodes of
bingeing and purging
• D- depression and anxiety DO may ba present
• Y- yo-yo effect of bingeing, guilt and depression,
purging
Nursing Interventions for Eating Disorders:

1. Weigh client daily.


2. Encourage verbalization of feelings.
3. Increase self-esteem.
4. Go observe for signs of purging and
depression.
5. Help clients reestablish proper eating
behavior.
6. Monitor caloric intake.
7. Electrolyte monitoring regularly.

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