Anorexia & Bulimia Nervousa

7/29/2019 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

Documents

Anorexia & Bulimia Nervousa