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ANOREXIA - Coggle Diagram
ANOREXIA
NURSING INTERVENTION
Supervise the patient during mealtimes and for a specified period after meals (usually one hour).
Identify the patient’s elimination patterns.
Assess her suicide potential.
Outline the risks of laxative, emetic, and diuretic abuse for the patient
Establish a minimum weight goal and daily nutritional requirements.
Provide smaller meals and supplemental snacks, as appropriate.
monitor exercise program and set limits on physical activities. Chart activity and level of work (pacing and so on).
PATHOPHYSIOLOGY
Genetic Risk Factors
Psychological Risk Factors
Dieting
· Psychiatric co-morbidity
· Perinatal factors
· Diabetes mellitus type
· Birth in March-June
· Athletes
(societal RISK FACTORS)
BEHAVIORAL INTERVENTION
Cognitive Behavioral Therapy
Cognitive behavioral and educational approach
Interpersonal focus treatment
Addressing weight and weight gain
IMPORTANT ASSESSMENT
Appearance of the patient
Extreme weight loss
Stunted growth
Body mass index less than 17.5 in adults, or 85% of expected weight in children
Vital Signs
Temperature
Hypothermia
Pulse
Rate
Bradycardia
Blood Pressure
Hypotension
kin
Growth of lanugo hair over the body
Dry skin
Possibly with pallid complexion
Eyes
Sunken eyes
MEDICATION
SRIs
Eases symptoms of depressed mood and anxiety.
Antipsychotic
Reduces or improves the symptoms of certain psychiatric conditions.
PATIENT EDUCATION
Eat 5-6 small meals a day rather than 3 large meals that may fill you up too quickly.
Track the times during day when you feel most hungry.
Snack whenever you are hungry. Choose snacks that are high in calories and protein, such as dried fruits, yogurt, nuts and nut butters, cheeses, eggs, protein, granola bars, and pudding.
Eat in pleasant surroundings that make you feel comfortable.
Eat soft foods, like mashed potatoes or smoothies, if your loss of appetite is due to pain.
Keep your favorite snacks on hand so you can eat on the go.
Add spices or sauces to make food more appealing and higher in calories.
Drink liquids between meals so that they don’t fill you up while you are eating.
Meet with a dietitian to create a meal plan that works for you.