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.