Anorexia nervosa a condition of self-generated weight loss, usually seen in adolescent girls and young women, but also

in middleage women or men.

Bulimia Nervosa is a less serious and entirely separate illness. Clients tend to maintain a relatively normal weight, but go through periods of eating excessively (bingeing) and vomiting (purging) gastric contents to prevent weight gain.

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 more likely to be affected by an eating disorder than men.

Sociocultural and Environmental factors

media

and peer influences discord

Family factors
Parental

Biological factors
Genetics,
neurotransmitter

regulation Hormonal functioning have been implicated

Bulimia nervosa

Anorexia nervosa

Bulimia nervosa

Anorexia nervosa

Salivary gland enlargement 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

Pathophysiology

Lack of calorie intake

Prolonged starvatio

Hypothalamus respond to lack of nutrients

Alteration in the metabolism of insulin, thyroid hormone, and catecholamines

Anorexia

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.

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 per week. 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

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

Imbalance nutrition: more than body requirement related to increase food intake
Intervention
Encourage

the client to eat slowly Regular exercise