Page 80 nursing.elitecme.com Complete Your CE Test Online - Click Here Activity director June D. Thompson, DrPH, MSN, RN, FAEN, Lead Nurse Planner Disclosure Resolution of Conflict of Interest In accordance with the ANCC Standards for Commercial Support for continuing education, Elite implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity. Sponsorship/Commercial Support and Non-Endorsement It is the policy of Elite not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners. Sponsorship/commercial support and non-endorsement It is the policy of Elite not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners. Disclaimer The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. ©2018: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Elite Professional Education, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Elite Professional Education, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Elite Professional Education, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing, but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers. INTRODUCTION: DEFINITIONS OF TERMS Constance is 14 years old and a freshman in high school. She is anxious to be popular and is a bit overweight. Anxious to lose weight so that she can wear “cool” clothes, Constance goes on a diet and loses about 10 pounds. Delighted with her weight loss Constance is determined to “be as thin as a super model.” She is preoccupied with food and eats as little as possible. No matter how much weight she loses, Constance is convinced that she is “fat” and must continue to diet. She is becoming dangerously thin. Marjorie is 32 years old. She is married and has two children ages 4 and 2. Marjorie’s husband is a prominent physician and she volunteers for a wide variety of charitable causes. She and her husband are often featured in the local society pages and Marjorie is conscious of “needing to look my best.” Marjorie has always been concerned about her physical appearance and, even as a young girl, would go on fad diets. Marjorie has discovered a way to eat what she wants and not gain weight. She often secretly eats a large amount of food in a short period of time and then forces herself to vomit (purge). Marjorie also exercises obsessively. She convinces herself that what she is doing is “OK” since she is within the normal weight range for her age and height. Mark is a shy 17 year-old. He is not good at sports, which disappoints his father, who was an outstanding high school and college athlete. Mark has a few close friends who are his major support system. Despite the encouragement of his friends, Mark is unhappy and finds compensation in food. He eats excessive amounts of food but does not try to compensate for his large calorie intake with exercise or purging. Mark is becoming obese. What are eating disorders? Eating disorders are defined as serious conditions characterized by a preoccupation with food that not only interferes with activities of daily living, but can have serious, even fatal, health consequences[1,2,3] . The preceding scenarios are examples of three of the most common eating disorders: Anorexia nervosa, bulimia nervosa, and binge-eating disorder. ● ● Anorexia nervosa, commonly referred to as anorexia, is an eating disorder defined as “self-induced weight loss that is greater than 15% of minimally normal weight for age and height, and is associated with psychological and endocrine abnormalities .” Persons affected by anorexia may alternate periods of starvation with binging and purging . ● ● Bulimia nervosa, commonly referred to as bulimia, is characterized by episodes of binge eating (eating huge amounts of food) and then purging (using inappropriate methods to prevent weight gain). Examples of purging include self-induced vomiting, extreme use of laxatives, or exercising excessively[2,4] . ● ● Binge-eating disorder is characterized by behaviors that involve eating excessive amounts of food (binging) and by the absence of behaviors that attempt to compensate for this large intake of calories. In other words, the person eats excessively but does not attempt to purge. Persons with binge-eating disorder are often overweight or obese . Any of the preceding eating disorders can lead to serious health complications and even death. They can interfere with activities of daily living, interpersonal relationships, and ability to function at home, at work, and/or in school. Nursing consideration: Members of the general public and even some healthcare professionals may believe that eating disorders are a matter of lifestyle choices . Nurses must help to educate clients, families, and colleagues about the seriousness of these often fatal illnesses.