In: Nursing
ANOREXIA NERVOSA symptoms
body weight less than normal
fear of gaining weight
purging behaviour (self-induced vomiting and use of laxatives )
tendency to do fasting or excessive exercise
Q 2
START A DIET PLAN OF 20 kcal/KG/DAY for weight gain
THEN IT CAN INCREASE TO 30-40 kcal/kg/day
the continuous restrictive eating and malnutrition can end upin many diseases such as cardiovascular and gastro intestinal
if client like vegetarianism try to include more caloie dense foods
egg whites, casein , whey,flushy fish and poultry can be encouraged
the client should repulsed by eating ,that is, the eating relieves tension but does not produce pleasure
monitor clients elimination pattern
monitor and restore fluid and electrolyte balance
encourage patient to ventilate feelings and clear all conerns
give a counseling with help of specialist to relieve excessive negative feeling and use medications according to prescription for treating depression and anxiety
positive support from loved ones can be essential for an individual sucess
Some QUESTIONNAIRE
Have you ever felt the need to gain weight?
have ever been annoyed at criticism of your body weight?
have you ever felt guilt about something you have done to reduce your body weight?
EXERCISE
educate the patient that excessive exercise can exacerbate physical damage done by anorexia
encourage patient to plan light exercise with help of nutritionalist as well as physician
ensure that patient is medically fit before planning exercise regimen.
examples of light physical activity include- walking slowly, washing dishes