Upon Completion of This Lesson, the Student Will Be Able To

EATING DISORDERS

LESSON OBJECTIVES: Upon completion of this lesson, the student will be able to: 1. Distinguish the signs and symptoms of anorexia nervosa from those of bulimia nervosa 2. Describe two etiologic theories of both anorexia nervosa and bulimia nervosa. 3. Explain the importance of body image, body dissatisfaction and gender identity in developmental theories that explain etiology of eating disorders. 4. Describe the neurobiology and neurochemistry in both anorexia nervosa and bulimia nervosa 5. Explain the impact of sociocultural norms on the development of eating disorders. 6. Describe both risk and protective factors associated with the development of eating disorders. 7. Formulate the nursing diagnoses for individuals with eating disorders. 8. Describe the nursing interventions for individuals with anorexia nervosa and bulimia nervosa. 9. Differentiate binge eating disorder from bulimia nervosa. 10. Analyze special concerns within the nurse-patient relationship for the nursing management of individuals with eating disorders. 11. Identify strategies for prevention and early detection of eating disorders.

CONTENT OUTLINE: 1. Anorexia Nervosa 1.1. Clinical Course of Disorder 1.2. Diagnostic Criteria 1.3. Epidemiology 1.3.1. Age of Onset 1.3.2. Gender Differences 1.3.3. Ethnic and Cultural Differences 1.3.4. Familial Predisposition 1.4. Comorbidity 1.5. Etiology 1.6. Biologic Theories 1.6.1. Neuropathologic 1.6.2. Genetic 1.6.3. Biochemical 1.7. Psychological Theories 1.8. Social Theories 1.8.1. Family Responses 1.9. Risk Factors 1.9.1. Biologic 1.9.2. Psychological 1.9.3. Sociocultural 1.9.4. Family 1.10. Concurrent Disorders 1.10.1. Sexual Abuse 1.11. Interdisciplinary Treatment 1.12. Pharmacologic Interventions 1.13. Priority Care Issues 1.14. Nursing Management: Human Response to Disorder 1.14.1. Therapeutic Nurse-Patient Relationship 1.14.2. Biologic Domain 1.14.3. Psychological Domain 1.14.3.1. Patient Education 1.14.4. Social Domain 1.14.5. Evaluation and Treatment Outcomes 1.15. Continuum of Care 1.15.1. Hospitalization 1.15.2. Emergency Care 1.16. Family Assessment and Intervention 1.17. Outpatient Treatment 1.18. Prevention 2. Bulimia Nervosa 2.1. Definition and Clinical Course 2.2. Diagnostic Criteria 2.3. Bulimia Nervosa in Special Populations 2.4. Epidemiology 2.4.1. Age of Onset 2.4.2. Gender Differences 2.4.3. Ethnic and Cultural Differences 2.4.4. Familial Differences 2.4.5. Comorbidity 2.5. Etiology 2.5.1. Biologic Theories 2.5.2. Neuropathologic 2.5.3. Genetic 2.5.4. Biochemical 2.5.5. Psychological and Social Theories 2.6. Cognitive Therapy 2.7. Family 2.8. Risk Factors 2.9. Interdisciplinary Treatment 2.10. Priority Care Issues 2.11. Nursing Management: Human Response to Disorder 2.11.1. Therapeutic Nurse-Patient Relationship 2.11.2. Biologic Domain 2.11.2.1. Pharmacologic Interventions 2.11.3. Psychosocial Domain 2.12. Treatment Therapies 2.13. Behavioral Intervention 2.14. Psychoeducation 2.15. Evaluation and Treatment Outcomes 3. Continuum of Care 4. Prevention

LEARNING ACTIVITIES: 1. Study Guide: Chapter 24: Pages 109-111 2. Participation in Classroom Critical Thinking Activities. CTE #1, 3. Study Guide Page 111. 3. Quiz

CRITICAL THINKING FOCUS: Nursing is predominately a female profession and eating disorders are much more likely to occur in women than men. What can nurses do to help themselves? How can nurses intervene to help individuals and their families with an identified eating disorder?

REQUIRED READING: Boyd, M. A. (2005). Psychiatric Nursing: Contemporary Practice.(3rd. Ed., pp. 152-157; 492-523). Philadelphia: Lippincott. WEB LINKS: http://www.anred.com Anorexia Nervosa and Related Eating Disorders (ANRED), P.O. Box 5102, Eugene, OR 97405. The ANRED site has professional and lay information on eating disorders. http://www.mirror-mirror.org/eatdis.htm Eating Disorders Shared Awareness. This site gives information on how to get help with an eating disorder

Nur411Chase/Troyan 8/04