PsycHe Finer PoinTs

-Binge eating and purging, normal weight, irregular menstruation, dental carries, diarrhea, knows the problem but ashamed and embarrassed.
Priority:
• fluid volume balance
• weight gain – monitor weight, eating pattern, stay 1 hour after eating, accompany in toilet

Complications:
1. Chronic inflammation of the lining of the esophagus
2. Rupture of the esophagus
3. Dilatation of the esophagus
4. Rupture of the stomach
5. Electrolyte imbalance or abnormalities, leading to arrhythmias of the heart and metabolic alkalosis
6. Heart problems, irreversible Cong. Heart failure
7. Chronic enlargement of the parotid gland
8. Dehydration
9. Irritable bowel syndrome or abnormal dilatation of the colon
10. Rectal prolapsed or abscess
11. Rupture of the diaphragm
12. Dental erosion
13. Chronic edema
14. Fungal infections of the vagina or rectum

Nursing interventions:
8. Establish nutrition pattern
9. Setting limits
10. State that three meals a day is necessary to maintain a healthy body
11. Allow some control in decision making
12. Teach stress management, journal keeping
13. Monitor eating pattern and weight
14. Anti-depressant