Eating Disorders

Question 1

3 Types of Eating Disorders

Answer 1

• anorexia nervosa
• bulimia nervosa
• binge eating disorder

Question 2

2 types of anorexia nervosa

Answer 2

• restricting type

- binge-eating.purging type

Question 3

2 types of Bulimia Nervosa

Answer 3

• purging type

- non-purging type

Question 4

What is anorexia nervosa

Answer 4

• morbid fear of becoming fat/relentless drive for thinness
  10: 1 ratio for women to men
• bimodal occurrance of onset ~ early and late adolescence
• increased diagnosis of women in twenties/thirties

Question 5

Components of Anorexia Nervosa

Answer 5

• weight loss ~ rapid or gradual, may continue on from a “diet”
• food restriction ~ excessive exercise, purging may facilitate
• ritualistic behaviors

Question 6

Ritals for Anorexia

Answer 6

• long period of time to prepare foods
• consumed in an unusual fashion
• not wanting to eat in front of other people
• hiding food
• giving food away ~ preparing food for others

Question 7

What is Bulimia

Answer 7

• symbolic meaning of food intake (outlet for sadness, frustration, disappointment, anger or boredom
• often at or above the normal weight
• addictive purging (releases anxiety)
• aware of eating patters
• related to strict and prolonged dieting (50% has hx of anorexia)

Question 8

Medical Complications

Answer 8

• GI
• Cardiovascular
• renal/electrolyte
• metabolic
• endocrine
• CNS
• dental
• hematologic
• musculo-skeletal

Question 9

Purpose of Nutrition Care

Answer 9

• physical, psychological, spiritual and social components
• nutrition guidance - normal function and PA
• peaceful and satisfying relationship between food and eating

Question 10

Nutrition Assessment regarding Binge eating and Purging

Answer 10

Binge eating/purging patterns

• onset and relation to other symptoms
• frequency
• rituals

If Binge eating …

• time, duration, foods
• trigger

If purging
- behaviors: abuse of medications, laxatives, diuretics, vomiting, exercise

Question 10

Goals of Nutrition Assessment

Answer 10

• determine level of malnutrition and muscle wasting
• weight, exercise and diet hx of client
• acertain level of eating disturbances based on food beliefs, present eating patterns, and purging
• ID patients goals
• extend knowledge of nutrition
• fluid intake (used to suppress hunger) and calories “allowed”

Question 11

Phycological treatment

Answer 11

• behaviors and history of disease are addressed

- understanding and coping mechanisms

Question 12

Pharmacological treatment

Answer 12

• reduce destructive behavior through medication
• anxiety, depression
• as a result of neurochemical imbalances

Question 13

Addiction Model of Treatment

Answer 13

• eliminate trigger foods
• ongoing support
• belief that recovery is lifelong