NURS-FPX 4010-Nursing Nutrition In Health And Disease Essay

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Anorexia is an eating disorder characterized by an abnormally low body weight, an intense fear of gaining weight and a distorted perception of weight. People with anorexia place a high value on controlling their weight and shape, using extreme efforts that tend to significantly interfere with their lives (Anorexia Nervosa Mayo Clinic, 2018). As a nurse some signs and symptoms to look out for this disorder include excessively skinny or malnourished patient appearance. Also apprehension to food or eating could also be a sign to look out for. These patients many times have a fear for obesity, they feel fat even when they are sickly thin. These patients can also experience amenorrhea. However, restoring a person to normal weight or temporarily ending the binge-purge cycle does not address the underlying emotional problems that cause or are made worse by the abnormal eating behavior. Psychotherapy helps individuals with eating disorders to understand the thoughts, emotions and behaviors that trigger these disorders. In addition, some medications have also proven to be effective in the treatment process. Due to the serious physical problems caused by these illnesses, it is important that any treatment plan for a person with anorexia nervosa, bulimia nervosa or binge eating disorder include general medical care, nutritional management and nutritional counseling. These measures begin to rebuild physical well-being and healthy eating practices (Parekh, 2017). In many medical conditions it is important to always treat the underlying cause. This illness has a lot to do with mental health. If the patients mental health is not addressed the patient can revert back to this illness. Once the patients mental health has been addressed then it would be important to begin to assess and treat nutitional status of the patient but also always keeping in mind the patients mental state and making sure that the patient is referred to the proper physicians and specialties for follow up. Resources are important for these types of patients.

References:

Anorexia nervosa. (2018, February 20). Retrieved December 02, 2020, from https://www.mayoclinic.org/diseases-conditions/anorexia-nervosa/symptoms-causes/syc-20353591?utm_source=Google

(n.d.). Retrieved December 02, 2020, from https://www.psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders Nursing Nutrition In Health And Disease Essay

Yenis Comas

RE: Discussion Prompt 1

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Pica is an eating disorder where a person eats items that are not thought of as food and have no nutritional value. The most common items are dirt, clay, and flaking paint. Less common items are glue, hair, cigarette ashes, and feces (familydoctor.org). This disorder is more common in children between ages 1 and 6 and affects 10-30% in children of this age group (familydoctor.org). However, it can also happen in children and adults with intellectual and developmental disabilities. Because there are no lab tests to diagnose Pica, this disorder is diagnosed made from a clinical history of the patient. But because the ingestion of non-food items can be harmful to the body, testing for anemia, potential intestinal blockages, and toxic side effects of substances should accompany the diagnose of Pica.

Signs and symptoms the nurse should expect to see are upset stomach, stomach pain, blood in the stool, and bowel problems. Warning signs and symptoms include persistent eating of substances that are not food over a period of at least one month and some risk factors are mental health disorders associated with impaired functioning and iron-deficiency and malnutrition are two of the most common because it is a sign the body is trying to correct a nutrition deficiency. Treatment for Pica includes testing for nutrient deficiencies and correcting them. It will also address several areas affected from having eaten non-food items such as diarrhea, ulcers, intestinal tear, infection, or any combination of illnesses. In many cases these eating behaviors disappear once the deficiencies are corrected.

However, if they continue after nutritional treatment, behavioral interventions are available. Home environment, parent education, and referral to a behavioral and/or mental specialist is also part of treatment.

Pica. (2018). Retrieved December 02, 2020, from https://www.nationaleatingdisorders.org/learn/by-eating-disorder/other/pica

What is Pica? (2020). Retrieved December 02, 2020, from https://familydoctor.org/condition/pica/#:~:text=Pica%20is%20a%20compulsive%20eating,children%20ages%201%20to%206.

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Madeline Maury

RE: Discussion Prompt 2

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According to the American College of Gastroenterology enteral nutrition is the form of feeding that uses the gastrointestinal tract to transport some or all of a person’s caloric requirements (American College of Gastroenterology, 2020). “Enteral nutrition can be given by mouth or through a tube, this form of nutrition is used when patients are not able to eat enough food either because they have a lack of energy or an illness, for example, strokes, neurological conditions, blockages of the gut or stomach, and after radiotherapy to the throat or gullet ” (Bapen, 2020).

Some nursing interventions that need to be monitored are blood glucose and oral intake of nutrients. Some complications that can occur with enteral nutrition are “aspiration, tube malpositioning or dislodgement, and fluid imbalance” ( My American Nurse, 2020). Nursing Nutrition In Health And Disease Essay

According to the American College of Gastroenterology “Parental nutrition refers to the delivery of calories and nutrients into a vein” ( American College of Gastroenterology, 2020). This method is used if the patient’s gut is not able to absorb nutrients. Reasons a patient may need parental nutrition is ” blockage of the gut, perforations of the gut, removal of the gut, and when parts of the bowel are diseased” (Bapen, 2020). Some nursing interventions that need to be monitored are daily weight and I & Os. Some complications with parenteral nutrition are ” dehydration and electrolyte imbalances, thrombosis, hyperglycemia, hypoglycemia, infection, liver failure, and micronutrient deficiencies” ( My American Nurse, 2020).