BulimiaGroup Number 13Concepts of Mental HealthNiagara College INTRODUCTIONBulimia Nervosa defined

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BulimiaGroup Number: 13Concepts of Mental HealthNiagara College INTRODUCTIONBulimia Nervosa defined by repeated episodes of binge eating followed by compensatory behaviour. People with bulimia nervosa often are concerned about their body shape or weight during self evaluation.• People use some of the behaviours • Vomiting• Misusing laxatives and diuretics• Fasting• Excessive exerciseThese behaviours become more compulsive and uncontrollable with time and lead to obsession with food, thoughts about eating, weight loss, dieting and body image.TYPES OF BULIMIAPurging type:-This is the most common form of bulimia. The client induced self vomiting and abuse of laxatives and diuretics.Non-purging:-In this type people do excessive exercise and fasting.Causes• Not known• Biological and environmental factors• History of abuse or trauma• Stressful transitions or life changes• Negative body image• Poor self esteem• Professions or activities that focus on appearance/performanceRisk factor• Change in mood or personality• Refusing to eat in front of people• Intense fear of weight gain • Distorted body image • Frequently weighing oneself• Food hiding and hoardingSigns and symptoms• Eating uncountable• Vomiting/frequent use of bathroom after meal• Excessive exercise• Dental problems• Depression or mood swings• Heart burn, indigestion, dehydration, bloating• Gastric reflex, inflammation of oesophagus• Irregular periods of over eating and fastingDiagnosis:• Physical examination• Ask about eating habits ,weight loss methods,• Blood and urine examination• ECG• Psychological evaluationTreatment: Treatment must be based on comprehensive evaluation of person and family. • Check the age and medical history.• Check the severity of symptoms.• Nutritional rehabilitation, Individual therapy and cognitive therapy, behavioural therapy• Family based therapy• Medications• Hospitalization• Outpatient, day care, indoor patient careHealth talk for individual• Food diary for daily food intake • Create a menu plan with health professional• Use distractions like pleasurable activities and hobbies• Eat with family member or friend to decrease anxiety at meal time• Do not label food as’ good or bad’• Plan meals before handFamily• Be patient and supportive• Do not expect overnight recovery• Seek professional help• Create a support group, counsellor, and involve other family members• Engage in routine functioning and get involved with known food related activities.• Help to build up self esteem Strategies• Develop a warm and positive interpersonal relationship with individual• Do not comment on body image or appearance• Counselling and provide resources• Supervise eating habits• Provide positive feed back• Support healthy eatingRole of Health care provider:• Spread awareness• Recognise the disorder and restoring physiological stability as soon as possible• Establish a trusting therapeutic relationship• Involve the family • Using interdisciplinary approach• Health promotion campaignReferrenceHasse,M., Ray,S., Pollard,C. (2018). Canadian Psychiatric Mental Health Nurse (2018)Gordon, J. The role of healthcare in education,treatment,and prevention of eating disorders. Retrived from: http://www.merraine.com/the-role-of-healthcare-in-education-treatment-and- prevention-of-eating-disorders/Pitman,K.,Santos,K.The renfrewcentre of northern new jersy.Retrived from: http://wwwnedc.com.au/eating-disorders/eating-disorders-explained/types/bluimia-nervosa/Retrived from: http://www.eatingdisorderhope.com/treatment-for-eating-disorders/family-rolehttp://www.ncbi.nlm.nih.gov/books/NBK401817/#_ch4_s1_ced.ca/eating -disorder-straWoodside,D.,Wolfson,L.National eating disorder information centre.Retrived from: http://nedic.ca/families-and-eating-disordersMayo clinicRetrived from: http://www.mayoclinic.org/diseases -conditions/bulimia/symptoms-causes/syc-20353615Holmes,L.(2018).Ontario teachers federation.Retrived from: http://www.teachspeced.ca/eating disorder-strategieshttps://www.teachs