MHChapter19

MHChapter19 - Eating Disorders Carol Griffin ARNP Anorexia...

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1 Eating Disorders Carol Griffin, ARNP Anorexia Nervosa Seen in industrialized countries Increase over past 30 years “attractive = thin” Prevalence – 1 in 200 females – 1 in 2000 males Onset between 12 – 30 Mortality ~10% What is Anorexia? (p. 428) Intense fear of weight gain Refusal to maintain normal weight 15% weight loss Image disturbance Amenorrhea Types: – Restricting – Binge-Eating/Purging
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Causes of Anorexia Precise cause unknown… Desire to suppress physical and emotional aspects of sexual development? Passive father, domineering mother? High value on perfectionism in family? Parental criticism = child’s obsessive and perfectionist behavior? Assessment of Anorexia History Weight Physical: – Hypothermia, dehydration – Hypotension, bradycardia – Edema, lanugo, thinning hair – Osteoporosis – Amenorrhea – Flat affect, psychomotor retardation Diagnostic findings EKG and Echo = arrthymias and
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This note was uploaded on 10/18/2011 for the course NUR 2211 taught by Professor Judithclark during the Fall '11 term at Valencia.

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MHChapter19 - Eating Disorders Carol Griffin ARNP Anorexia...

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