3. A 20-year-old female presents to your clinic with her mother who is concerned about her daughter’s eating habits. Patient’s BMI is 17 and she has amenorrhea for the last 6 months. The patient explains that she feels overweight and she needs to lose few more pounds. She is fearful from gaining weight that she sometimes stops eating for 48 hours. The most likely diagnoses is: A. Bulimia Nervosa B. Restrictive-Type Anorexia Nervosa C. Binge-Eating/Purging Anorexia Nervosa D. Depression E. Anxiety Answer: B Explanation: Answer A is incorrect as patient does not have a problem with eating excessive amount of food in a short period of time then induced vomiting, and her BMI is < 18. Answer B is correct as patient meets the DSM criteria for
Anorexia Nervosa (AN) given the restrictive energy intake, intense fear of weight gain and disturbance in the way she views her body. Answer C is incorrect as patient did not have the recurrent episodes of binge eating and purging. Answer D and E are incorrect as there is not enough history to suggest these conditions in this patient and AN is the most likely diagnoses in this case. Eating disorders are life threatening conditions and in addition to the role of the environmental triggers and the societal expectations, there is research that suggests genetic contribution. Family-based treatment is helpful for adolescents with anorexia nervosa and there are benefits from the antidepressant medications as well. Source: American Academy of Family Medicine http://www.aafp.org/afp/2015/0101/p46.html Categories: Psychogenic, Eating Disorder
A Mini Nutritional Assessment (MNA) was completed on Anne. The MNA is a tool used to provide a rapid assessment of elderly patients’ nutritional status. The MNA is made up of simple measurements and a few brief questions that can be completed by the patient in no more than ten minutes. The nutritional status of a patient is evaluated using a two-step process to accurately determine a patient’s nutritional status (McGee
The authors explain that a “fear of fatness” and desire to be thin in order to appear normal in our society can cause anorexia nervosa, where a person purposely starves themselves, losing considerable weight. This is known as visual and behavioral deviation. Bulimic people binge eat and then force themselves to vomit. They usually don’t lose an alarming amount of
Introduction Therapy and inpatient psychiatric units can be extremely helpful for patients who need professional help. There are multiple types of inpatient facilities and many to choose from for a specific condition. Types of inpatient psychiatric facilities may include: drug addiction, alcohol addiction, sexual addiction, trauma, mental health disorders, eating disorders, or other conditions. Laureate Eating Disorders Program is an eating recovery center located in Tulsa, Oklahoma. Laureate Eating Disorders Program
The first component of the MUST involves measuring the patient’s height and weight to establish their Body Mass Index (BMI). BMI is the’ relationship b...
Her doctors suspected that her family’s dynamic and her upbringing may have contributed to the eating
Anorexia Nervosa may be described directly as an eating disease classified by a deficit in weight, not being able to maintain weight appropriate for one’s height. Anorexia means loss of appetite while Anorexia Nervosa means a lack of appetite from nervous causes. Before the 1970s, most people never heard of Anorexia Nervosa. It was identified and named in the 1870s, before then people lived with this mental illness, not knowing what it was, or that they were even sick. It is a mental disorder, which distorts an individual’s perception of how they look. Looking in the mirror, they may see someone overweight
The lecture discussed a single case study of sixteen-year-old girl who was dealing with anorexia. The speaker, Fisher, stated that he spoke to her parents only twice over the span of four and a half years that he worked with the girl. The initial meeting was to get some background information before the sessions started and the other was further into the sessions. During the only face to face meeting with the parents, he found that there were no outstanding issues in the family that could have caused the eating disorder, anorexia. In the first sixteen years of her life, she was a good daughter who seemed to be almost too good. She was obedient and kind and never got in trouble. She was an honor roll student who was in clubs that were considered
Eating disorders can be viewed as multi-determined disorders because there are many different factors that can play into a person developing an eating disorder. Each case is different and to get a clear picture of the disorder it must be looked at from numerous angles because often times it is a combination of different issues that contribute to someone developing an eating disorder.
The DSM-IV outlines four criteria for anorexia nervosa (APA, 1994). One, a refusal to maintain body weight over a minimal normal weight for age and height (i.e., weight loss leading to maintenance of body weight less than 85% of that expected). Two, an intense fear of gaining weight or becoming fat, even though underweight. Three, a disturbance in the way in which one’s body weight, size, or shape is experienced (i.e., denial of the seriousness of current low body weight, or undue influence of body shape and weight on self-evaluation). Four, in post-menarcheal, amenorrhea (the absence of at least three consecutive menstrual cycles). Two types of anorexia nervosa are defined. The binge eating/purging subtype means that the individual engages in recurrent ep...
When an individual refuses to eat enough food to maintain a healthy body weight, he or she is dealing with a serious illness known as anorexia nervosa. People with this illness maintain strict control over food intake. About ninety percent of anorexia nervosa cases are women, particularly teenagers. (Alters & Schiff, 2003, p.37). For every one in one hundred that develops this illness, it most commonly evolves in their high school years. The symptoms of anorexia nervosa are:
Anorexia nervosa is characterized by refusal to maintain body weight over a minimum level considered normal for age and height, along with distorted body image, fear of fat and weight gain, and amenorrhea (absence of menstruation). Bulimia nervosa is characterized by binge eating followed by purging. These behaviors should occur at least twice a week for three months. Binge eating disorder typically occurs in patients who binge but do not purge. One must have bulimic episodes at least two days a week for six months but must not fit the criteria for bulimia nervosa. Eating disorders not otherwise specified (EDNOS) includes a wide array of eating disturbances that do not fall into the anorexia, bulimia, or binge eating diagnosis. Anorexia athletics features an intense fear of becoming fat even though one is at least 5 percent below the expected normal weight range. Also, excessive exercising, restrictive energy intake, use of laxatives or diuretics, as well as planned binge eating (even around training schedules) all classify anorexia athletics. (Sundgot-Borgen, 1994)
An eating disorder is characterized when eating, exercise and body image become an obsession that preoccupies someone’s life. There are a variety of eating disorders that can affect a person and are associated with different characteristics and causes. Most cases can be linked to low self esteem and an attempt to, “deal with underlying psychological issues through an unhealthy relationship with food” (“Eating Disorders and Adolescence,” 2013). Eating disorders typically develop during adolescence or early adulthood, with females being most vulner...
An eating disorder is a serious health condition involving extremely unhealthy dietary habits. There are a number of accepted eating disorder treatments that depend on the symptoms and severity of the illness. The most effective treatments involve both psychological as well as physical issues with the ultimate goal being a healthy dietary lifestyle. The team approach to treatment involves professionals with experience in eating disorders that usually includes a medical provider, mental health workers, registered dieticians and case managers. These individuals work together in hopes of avoiding a life threatening situation.
...l, D. M., & Willard, S. G. (2003). When dieting becomes dangerous: A guide to understanding and treating anorexia and bulimia [Ebrary version]. Retrieved from http://libproxy.utdallas.edu/login?url=http://site.ebrary.com/lib/utdallas/Doc?id=10170079&ppg=4
The patient may no longer be able to orally take in food, and the artificial means of feeding may worsen the patient’s quality of life. The concept of food cessation is often difficult for the patient’s friends and family to understand and accept, especially because food is essential to life, and eating is a sociocultural experience. Family must be reminded that to feed the patient may do more harm than good. However, until the time that oral intake stops, nurses must be providing other ways to increase the patient’s nutrient intake. The performance of symptom assessments and the development of plans of care should begin at the time of diagnosis and continue throughout the remainder of the patient’s life. These assessments and plans of care are both critical to preventing the onset of early malnutrition and to maintaining the patient’s quality of