Anorexia & Bulimia Nervousa
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Transcript of Anorexia & Bulimia Nervousa
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Anorexia nervosa a conditionof self-generated weight
loss, usually seen inadolescent girls and young
women, but also in middle-
age women or men.
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Bulimia Nervosais a less seriousand entirely separate illness.
Clients tend to maintain arelatively normal weight, but go
through periods of eating
excessively (bingeing) andvomiting (purging) gastric
contents to prevent weight gain.
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Anorexia Nervosa affects
approximately 0.2% to 0.5%of
young women.Bulimia Nervosa affects 2% to 3%
of the same group.
women are 10 times morelikely to be affected by an
eating disorder than men.
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Sociocultural and Environmental factorsmedia and peer influences
Family factors
Parental discord
Biological factors
Genetics,
neurotransmitter regulation
Hormonal functioning have been implicated
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Bulimia nervosa Anorexia nervosa
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Bulimia nervosa Anorexia nervosa
Salivary glandenlargement
Enamel erosion
Esophagitis
Dysrhythmias
Callus Diarrhea
Edema
Biochemical changes Increase K
Decrease CO2 Increase amylase
Dizziness, confusion Dry, brittle hair
Hypothermia
Lanugo-type hair
low blood pressure, pulse
Stool retention
Acrocyanosis
Loss of menses
Muscle wasting
Osteoporosis Edema
Biochemical changes
Decrease WBC
Decrease glucose
Increase cholesterol
Increase carotene
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Lack of calorie
intake
Prolonged starvatio
Alteration in themetabolism ofinsulin, thyroidhormone, and
catecholamines
Hypothalamusrespond to lack of
nutrients
Anorexia
Pathophysiology
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Psychological or psychotherapy
Focus on the underlying problems
causing the disordered eating
behavior.
Nutritional components
introduced slowly in severely
malnourished clients to avoid
complications of refeeding
syndrome.
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Improved body image
Improved nutritional in take
Anorexia nervosa the goal is to induce safe
weight gain of no more than 1 to 2 pounds perweek.
Bulimia nervosa the goal is safe weight loss of 1
to 2 pounds per week until ideal body weight is
achieved and maintain ideal body weight
thereafter
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Imbalance nutrition less than body
requirement related to lack of nutrient
intake
Intervention
Select foods from the food guide pyramid
Be supportive during meal times
Educate the members of the family
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Imbalance nutrition: more than body
requirement related to increase food intake
InterventionEncourage the client to eat slowly
Regular exercise