eating disorder(redirected from Causes and mechanisms leading to eating disorders)
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Although there are various modes of therapy for eating disorders, the goals of care are to help the patient (1) normalize eating behaviors, (2) develop a more realistic perception of his or her body and its need for food, (3) learn more healthful and effective adaptive coping mechanisms, (4) learn more about the issues and conflicts underlying the eating disorder, (5) utilize support systems more effectively, and (6) improve his or her sense of self-worth and self-esteem.
Nursing diagnostic categories that are commonly associated with eating disorders include alteration in nutrition, alteration in bowel elimination (constipation), ineffective family coping, self-care deficit (feeding), disturbance in self-concept, sexual dysfunction, spiritual distress, and role disturbance.
A holistic approach to correction of abnormal eating patterns requires an interdisciplinary approach and the cooperative and coordinated efforts of physicians, nurses, social workers, physical therapists, dietitians, and mental health workers.
eating disorderPsychiatry Any of a group of conditions–eg, anorexia nervosa–AN, bulimia nervosa–BN, binge-eating disorder–BED and variants–characterized by a serious disturbance in eating–eg, a marked ↓ in intake or bingeing and distress or excessive concern about body shape or weight, which may have an adverse effect on health due to physiologic sequelae of altered nutrition or purging Epidemiology More common in industrialized societies, where 3% of young ♀ have ED; 5-15% of AN and 40% of BED occur in ♂; 50% of EDs are unrecognized Clinical Extremely low weight, hypotension, bradycardia, hypothermia, dry skin, hypercarotenemia, lanugo, acrocyanosis, breast atrophy, amenorrhea, delayed puberty, swollen salivary glands, abnormal dentition, perimolysis, abrasions on the dorsum of the hand, prolonged QT interval, reduced left ventricular mass Lab Normal in absence of emesis; ↓ K+ with ↑ bicarbonate is linked to frequent vomiting or diuretic use; non-anion gap acidosis is linked to laxative abuse; ↓ Na+ occurs in AN, reflecting ↑ water intake or SIADH; also hypoglycemia, leukopenia, neutropenia, anemia, thrombocytopenia and ↓ TSH; ↑ cortisol Management Medical treatment for complications of abnormal weight and purging, TPN for severe malnutrition; psychiatric treatment–individual, group or family therapy; psychodynamic psychotherapy; psychopharmacology is ± effective for most EDs except AN Prognosis 80% recovery partially or completely. See Anorexia nervosa, Bulimia nervosa, Binge-eating disorder.
Patient discussion about eating disorder
Q. I have been struggling with an eating disorder. Can I reverse this? Hi everybody! Here is Tom of 25 yrs old male. I have been struggling with an eating disorder. Now I have low bone density into the osteoporosis level. My level is -2.6. I'm still young, is there hope for me? Can I reverse this? Are there any herbs or other supplements that may help me?
Q. what should i eat and not eat
Q. Can eating carbs help you lose weight?