(needed a reply)Both anorexia nervosa and bulimia nervosa are eating disorders that alter the bodys appearance. Patients are ever concerned with their appearance and bodyweight because they feel they arent good enough. They suffer from dehydration that may manifest through cracked lips and involve themselves in excessive physical activities in an attempt to lose extra calories. Most of them suffer from social withdrawal as they attempt to avoid situations that make them eat before others. It results from the low self-esteem they pose mostly because of perceived appearance and body weight and will primarily hide by wearing baggy clothes. Emotionally, these patients experience intense anxiety and are easily depressed by simple things. They rapidly get agitated and experience fluctuating moods from irritability to paranoia. Anorexia nervosa patients suffer from severe weight loss due to unhealthy behaviors they adopt, while bulimia nervosa patients body weight is fluctuating by reducing and increasing significantly within short periods. While anorexia patients skip meals to maintain low body weight, bulimia patients consume food until they experience stomach discomfort. What role does media/or society play in the development of these disorders? Many people tend to go for them through the advertisements of various delicious foods and junk on the media. Some personalities on the media influence many youths to want to be like them, thus being involved in unhealthy eating behaviors. Societys attitudes towards ones body weight may send them to skipping meals and excessive exercises to keep fit. What are some important nursing considerations regarding the treatment of a client with eating disorders during inpatient hospitalization? Eating disorders cause other severe illnesses that must be treated concurrently to prevent complications. Eating disorder patients should be given adequate nutritional teaching to improve their eating behaviors and health on their own. Psychological therapy is critical to change the patients perception and attitudes towards self-image and appearance. Nurses should closely monitor such patients to ensure they take drugs as prescribed as many will not adhere to prescribed doses. (Discussion) Attention Deficit Hyperactivity Disorder Scott is 8 years old. At 7 AM, his mother looks into Scotts bedroom and sees Scott playing. Scott, you know the rules: no playing before you are ready for school. Get dressed and come eat breakfast. Although these rules for a school day have been set for the past 7 months, Scott always tests them. In about 10 minutes, he is still not in the kitchen. His mother checks his room and finds Scott on the floor, still in his pajamas, playing with miniature cars. Ten minutes later, Scott bounds into the kitchen, still without socks and shoes, and hair tousled. You forgot your socks, and your hair isnt combed, his mother reminds him. Oh yeah. Whats for breakfast? he says. Scott, finish dressing first. Well, where are my shoes? By the back door where you left them. This is the specially designated place where Scott is supposed to leave his shoes so he doesnt forget. Scott starts toward his shoes but spots his younger sister playing with blocks on the floor. He hurries to her. Wow, Amy, watch thisI can make these blocks into a huge tower, all the way to the ceiling. He grabs the blocks and begins to stack them higher and higher. Scott makes a better tower than Amy, he chants. Amy shrieks at this intrusion, but she is used to Scott grabbing things from her. The shriek brings their mother into the room. She notices Scotts feet still do not have socks and shoes. Scott, get your socks and shoes on now and leave Amy alone! Where are my socks? he asks. Go to your room and get a clean pair of socks and brush your teeth and hair. Then come eat your breakfast or youll miss the bus. What sort of problems would you expect Scott to have at school? What are some teachings you might provide for this parent? What interventions would give Scott the best chance of having positive outcomes?
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