the act of ingestion.
eating disorder any in a group of disorders in which abnormal feeding habits are associated with psychological factors. Characteristics may include a distorted attitude toward eating, handling and hoarding food in unusual ways, loss of body weight, nutritional deficiencies, dental erosion, electrolyte imbalances, and denial of extreme thinness. More common conditions include
anorexia nervosa and
bulimia nervosa. Persons with eating disorders of this kind characteristically misperceive themselves as either overweight or of normal weight. Eating disorders have reached epidemic proportions throughout the world, especially among women under the age of 25. The condition is seen only in countries in which food is readily available; it is not found in parts of the world where famine and starvation threaten.
Patient Care. Treatment of eating disorders usually is on an outpatient basis unless severe malnutrition and electrolyte imbalances demand aggressive therapy, severe depression and suicidal tendencies endanger the patient, or there is evidence that the patient cannot cope with daily living without resorting to abnormal eating patterns and purging. Additionally, the family and home environment may be creating unbearable tension because of a power struggle over the patient's abnormal eating pattern.
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.