Please enable JavaScript.
Coggle requires JavaScript to display documents.
Darby Ch. 57: Eating Disorder (Eating Disorder Client (Family Component,…
Darby Ch. 57: Eating Disorder
Two Focuses of this chapter: Anorexia Nervosa and Bulimia Nervosa
Dental Hygienist may be the first health professional to identify the oral and physical manifestations characteristic of eating disorders
Anorexia Nervosa
a mental illness
anorexia means "loss of appetite"
patient with anorexia nervosa suppresses and denies the sensation of hunger
Bulimia Nervosa
a mental health illness
often able to maintain a body weight within a normal range for their body type, however, they are unduly focused on body shape and weight and express a general dissatisfaction with their body image
bulimia means "ox hunger", which refers to the abnormal craving for food characteristic of the illness
Bulimia nervosa is more common than anorexia nervosa
Other specified feeding or eating disorders
binge-eating disorder
avoidant/restrictive food intake disorder
other disorders
Eating Disorder Client
Family Component
Social Component
Recreational Component
Dietary Component
Oral health Component
Medical Component
Psychological component
Three Diagnostic criteria for Anorexia Nervosa
two specified types: Restrictive type and Purging type
Restricting Type: achieve weight loss through dieting, fasting, or excessive exercise
Binge-eating and Purging Type: may engage in purging behaviors such as self-induced vomiting or the misuse of laxatives, diuretics, or enemas in addition to binge eating
Restriction of eating relative to required nutritional needs, resulting in a significantly low body weight
irrational fear of being fat or gaining weight
lack of recognition of health challenges related to the restrictions and thought processes alongside a distorted view of the shape of one's body
Bulimia Nervosa characterized by repeated binge eating
two specific types: Purging Type and Nonpurging Type, each with four diagnostic criteria
eating significantly more food than what would be considered normal amounts at a certain point in time and doing so without control over eating
purging behaviors to offset the binge, such as self-induced vomiting, the use of laxatives or diuretics, excessive excercising, fasting, and enemas
binging and purging behaviors occur approximately once a week for minimum of 3 months
individual's sense of worth is dependent on their body weight and shape
Purging Type
individual engages in self-induced vomiting or the misuse of laxatives, diuretics, or enemas
NonPurging Type
They use another type of inappropriate compensatory behavior to prevent weight gain but does not regularly vomit or misuse laxatives
Repeated binge-and-purge cycle in the patient with bulimia nervosa and the purge subtype of anorexia nervosa may result in dangerous complications
if left untreated, can become life threatening
Two common Physical findings for a person with Anorexia nervosa during the more developed stages of the disorder:
Lanugo and 'feeling cold'
Lanugo
fine downy hair that is usually found on the lower half of the face and upper body
'feeling cold'
may be evident by the patient wearing inappropriately warm clothes when temperatures are moderate
Partoid Enlargement
partoid enlargement has been observed with both anorexia nervosa and bulimia nervosa (extraorally)
Diminished Taste Acuity
taste acuity: alteration in taste sensation is thought to be a result of malnutrition or hormonal abnormalities
Perimylolysis/perimylosis
enamel erosion
most common dental finding in patient who orally purges
may eventually result in dentinal exposure and associated tooth sensitivity
Evaluate, Assess, Treat
based on motivational interviewing
has been proposed as a means for engaging in the active secondary prevention measures for eating disorders