What are some important nursing considerations regarding the treatment of a client with eating disorders during impatient hospitalizations?


In the impatient treatment of a patient with an eating disorder, nurses are to create and foster a therapeutic alliance with the patient. To achieve this, nurses should adopt and demonstrate certain traits such as empathy, warmth, genuineness, being non-judgmental, acceptance as well as positive regard (Wolfe, Dunne & Kells, 2016). Additionally, nurses should ensure that their attitudes and beliefs do not affect the delivery of care to the patients and should act in a manner that promote the recovery of the patients. This is particularly important as their interactions with the patient might determine whether or not they will accept positive behavior change during and after hospitalization. They should find a better way of breaking down the myths regarding the eating disorders without offending the affected person.Symptoms of Anorexia Nervosa and Bulimia Nervosa Essay

Exploring Eating Disorders
It is nearly impossible to walk past the aisles in stores without seeing headlines promising secrets to weight loss. Our cell phones are full of advertisements and videos of exercise routines. In the United States being thin has become a national obsession and places unrealistic expectations on what makes a female beautiful. To keep up with these expectations, females become dissatisfied with their bodies. With body dissatisfaction being the single most powerful contributor to the development of eating disorders, it is not surprising that these disorders continue to rise (Comer, 2015). The common eating disorders recognized by the Diagnostic and Statistical Manual are anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) (APA, 2013). The focus of this paper is on the formally recognized eating disorders, anorexia and bulimia. Briefly, these disorders are characterized by disturbances in body image and abnormal eating patterns. While the cause is elusive, today’s theorists and researchers believe eating disorders arise from the interaction of multiple risk factors. The more of these factors that are present, the likelier they will develop an eating disorder. Among these factors include biological, psychological, and sociocultural (Rikani, 2013).Symptoms of Anorexia Nervosa and Bulimia Nervosa Essay

Etiology
Biological Factors
Studies have shown a genetic contribution to developing eating disorders (Fairburn & Harrison, 2003). Certain genes may leave some people more susceptible to the development of eating disorders and researchers suggest that these diseases are biologically based forms of severe mental illnesses. This has been further supported by twin and family studies. For each disorder the estimated heritability ranges between 50% and 83%, therefore there is a possibility of genetic contribution to eating disorders (Treasure et al, 2003).Symptoms of Anorexia Nervosa and Bulimia Nervosa Essay

Studies have also suggested role of serotonin levels since this specific neurotransmitter is important in the regulation of eating and mood (Fairburn & Harrison, 2003). Several studies have confirmed those suffering from anorexia nervosa measured lower serotonin levels and may be an indirect effect of eating disorders (Rikani, 2013).

Psychological factors
Around 73% of girls and females have a negative body image, compared with 56% of boys and men (Comer, 2013). Body dissatisfaction has been defined as “discontent with some aspect of one’s physical appearance” (Cash, 2012) and is a risk factor for developing an eating disorder (Stice, 2001). Furthermore, it “encompasses one’s body-related self-perceptions and self-attitudes, including thoughts, beliefs, feelings, and behaviors” (Cash, 2012). Symptoms of Anorexia Nervosa and Bulimia Nervosa EssayResearch has measured as far back to adolescent years and how the onset of puberty could set the stage for their body image perceptions (Rikani, 2013). According to Treasure, Claudina, and Zucker (2003), most eating disorders occur during adolescence. While females are more concerned about losing weight, their male counterparts are focused on the body image of needing to gain muscle. Additionally, female perceptions have been linked to negative body image and adolescent boys are likelier to have positive feelings about their bodies (Ata et al, 2007). Females ultimately feel discontent with the shape and size of their body at such an early age when they are forming their identities. Specifically, females are trying to fit into the image society has described as the ideal beauty of a woman, thus they become increasingly obsessed with disordered eating (Dittmar et al, 2009). In turn, they can suffer psychologically from low self-esteem, feelings of helplessness, and intense dissatisfaction with the way they look” (APA, 2013).

Body image and body dissatisfaction have been measured by examining cognitive components, such

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