Table of Contents
How do you assess an anorexic patient?
These exams and tests generally include: Physical exam. This may include measuring your height and weight; checking your vital signs, such as heart rate, blood pressure and temperature; checking your skin and nails for problems; listening to your heart and lungs; and examining your abdomen.
What are 5 physical characteristics of anorexia?
- Extreme weight loss or not making expected developmental weight gains.
- Thin appearance.
- Abnormal blood counts.
- Fatigue.
- Insomnia.
- Dizziness or fainting.
- Bluish discoloration of the fingers.
- Hair that thins, breaks or falls out.
What interventions are effective for individuals with anorexia?
For anorexia nervosa, the family approach showed greater effectiveness. Other effective approaches were interpersonal psychotherapy, dialectic behavioral therapy, support therapy and self-help manuals.
What are the three essential diagnostic features of anorexia nervosa?
- Restriction of calorie consumption leading to weight loss or a failure to gain weight resulting in a significantly low body weight based on that person’s age, sex, height and stage of growth.
- Intense fear of gaining weight or becoming “fat.”
- Having a distorted view of themselves and their condition.
What is squat test for anorexia?
The SUSS (SITUP-SQUAT STAND) test is a test of muscle function in Anorexia Nervosa which has face validity and good test retest and inter-rater reliability. The HGS (Hand Grip Strength) also has good validity and reliability in Anorexia Nervosa with performance somewhat better than the SUSS.
What labs are especially important to assess for any client with anorexia nervosa?
Blood urea nitrogen (a measure of kidney function) Creatinine and creatinine clearance (a measure of kidney function) Liver enzymes (to measure liver function) Aspartate transaminase (AST)
What are 4 characteristics of anorexia nervosa?
Anorexia nervosa is characterized by emaciation, a relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight, a distortion of body image and intense fear of gaining weight, a lack of menstruation among girls and women, and extremely disturbed eating behavior.
What is the main difference between anorexia and anorexia nervosa?
“Anorexia” describes a simple inability or aversion to eating, whether caused by a medical problem or a mental health issue. “Anorexia nervosa,” however, is the name for the clinical eating disorder, the main symptom of which is self-starvation.
What are warning signs that a person may be suffering from anorexia?
Signs and symptoms include: missing meals, eating very little or avoid eating any foods you see as fattening. lying about what and when you’ve eaten, and how much you weigh. taking medicine to reduce your hunger (appetite suppressants), such as slimming or diet pills.
What is the most successful type of therapy for individuals with anorexia nervosa?
Family-based therapy is the most established treatment for youth with anorexia nervosa and may be efficacious for youth with bulimia nervosa; interpersonal psychotherapy for the prevention of excess weight gain may be efficacious for reducing loss of control eating and weight gain in overweight adolescents.
Which of the following is a goal for a person with anorexia nervosa?
Goals of eating disorder treatment include: Restoring patients to a healthy body weight. Stabilizing accompanying symptoms and medical conditions of the eating disorder. Reducing or eliminating negative behaviors including bingeing, purging, and compulsive exercise.
What best defines the Maudsley approach?
“The Maudsley approach can mostly be construed as an intensive outpatient treatment where parents play an active and positive role in order to: Help restore their child’s weight to normal levels expected given their adolescent’s age and height; hand the control over eating back to the adolescent, and; encourage normal …
What are three negative complications of anorexia?
- Death.
- Anemia.
- Heart problems, such as mitral valve prolapse, abnormal heart rhythms and heart failure.
- Bone loss, increasing risk of fractures later in life.
- In females, absence of a period.
- In males, decreased testosterone.
- Gastrointestinal problems, such as constipation, bloating or nausea.
What are two subtypes of anorexia nervosa?
There are two subtypes of anorexia nervosa known as the restricting type and the bing-eating/purging type. Most individuals associate anorexia with the restricting subtype, which is characterized by the severe limitation of food as the primary means to lose weight.
Which of the following characteristics is common to individuals with anorexia?
The typical characteristics of a person with anorexia nervosa include: Low body mass index (<17.5 kg/m2) Bodyweight less than 85 percent of ideal body weight. Body temperature less than 35-degree Celcius.
What is the MaRSiPAN assessment?
MaRSiPAN was created to support clinicians to identify and manage physical health risk when assessing people with eating disorders. Our guidance has been widely adopted and now has been incorporated into the NICE (National Institute for Clinical Excellence) Quality Standards.
What is the refeeding syndrome?
Refeeding syndrome can be defined as the potentially fatal shifts in fluids and electrolytes that may occur in malnourished patients receiving artificial refeeding (whether enterally or parenterally5). These shifts result from hormonal and metabolic changes and may cause serious clinical complications.
Why do anorexics need ECG?
Abstract. Background: Anorexia nervosa is an eating disorder in which cardiac arrhythmias and sudden death are frequent causes of mortality, which makes electrocardiographic monitoring indispensable in these patients.
How do doctors know if your anorexic?
Although there are no lab tests to specifically diagnose anorexia, the doctor might use various diagnostic tests, such as blood tests, to rule out physical illness as the cause of the weight loss, as well as to evaluate the effects of the weight loss on the body’s organs.
Can anorexia cause high iron levels?
Abstract. Purpose: A few recent studies have found elevated ferritin levels in patients with anorexia nervosa (AN), indicating ferritin as a potential biomarker of disease severity.
Which psychological problem is often associated with anorexia nervosa?
A person with anorexia is more likely to come from a family with a history of certain health problems. These include weight problems, physical illness, and mental health problems. Mental health problems may include depression and substance abuse.
What is the psychology behind anorexia nervosa?
The cause of anorexia nervosa is rarely about food or weight but rather about unresolved negative emotions and past traumas that result from the complex intertwining relationships between social, biological, and psychological factors, which can be rooted deep within the individual since early childhood.
What happens to the body in anorexia nervosa?
Having anorexia changes how much you weigh and how you look, but its effects go much deeper than that. From head to toe, hair to skin and heart to brain, nothing escapes without harm. Severe calorie restriction leaves the body without enough nutrients and energy. The whole body slows down its functions — and suffers.
Why do anorexics always cold?
The body also drops its core temperature which can make patients feel very cold, especially in their hands and toes; this is aggravated by the decrease in body fat and thus insulation that goes along with malnutrition.