Question

Compare and Contrast Anorexia Nervosa and Bulimia Nervosa. Identify at least 2 nursing implications related to the disorders.

Answer 1

ANSWER.

* Anorexia nervosa.

          It is an eating disorder in which patient refuse to eat food due

          to fear about gaining weight.

Signs and symptoms.

        * Fatigue.

        * Anxiety.

        * Vomiting.

        * Water and electrolyte imbalances.

        * Extreme weight loss.

        * Headache.

        * Dizziness.

Nursing implications.

      * Educate the patient about importance of a balanced diet

        and nurse should supervise the patient for eating during

        the treatment period.

      * Assess the body weight,electrolyte levels,skin integrity and

      intake and output chart of patient regularly.

* Bulimia nervosa.

      It is an eating disorder in which patient eat large quantities of food

     followed by vomiting to avoid weight gain.

Signs and symptoms.

         * Binge eating.

         * Constipation.

         * Changes in body weight.

     * Fluid electrolyte imbalances.

         * Tooth staining.

       *Anxiety.

Nursing implications.

       * Preparing a diet plan for the patient which is based on specific

         time limit for each meal.

       * Assess the patient elimination pattern and give assertiveness training