NCM105 Nutrition and Diet Therapy

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NCM105

Nutrition and Diet Therapy

Serrano, Alyssa Marie C.

SN: 19-1527

Activity 3- Finals

EATING DISORDERS
EATING DISORDERS

1. ANOREXIA NERVOSA

Nursing Intervention

>Supervise the patient during mealtimes and for a specified period after meals (usually one hour).
> Increase the fluid intake and/or liquid-form food that are more acceptable to the patient’s appetite.
> Monitor the patient’s weight; Expect weight gain of about 1 lb. (0.5 kg) per week.
> Provide smaller meals and supplemental snacks, as appropriate.
> Provide diet and snacks with substitutions of preferred foods when available.
>If edema or bloating occurs after the patient has returned to normal eating behavior, reassure her that this
phenomenon is temporary.

2. BULIMIA NERVOSA

Nursing Intervention
> Supervise the patient during mealtimes and for a specified period after meals (usually one hour).
> Identify the patient’s elimination patterns.
> Assess her suicide potential.
> Outline the risks of laxative, emetic, and diuretic abuse for the patient
> Encourage the patient to eat nutritious food, and explain the importance of nutrients in the body.
> Provide smaller meals and supplemental snacks, as appropriate.
> Provide one-to-one supervision and have a patient with bulimia remain in the day room area with no
bathroom privileges for a specified period (2 hr) following eating, if contracting is unsuccessful.
3. BINGE EATING DISORDER

Nursing Intervention
> Explain to the client the importance of having a healthy balance diet that can help to cope her condition.
> Provide a meal plan that is appropriate to the client. Frequent, but small meals.
> Provide some example of other activities or physical activities to the client.
> Have a one-on-one conversation that will make the client comfortable to open up about her condition.
> Give psychological and emotional support to the client. Include the family or friends in the course of
therapy.
> For collaborative intervention, introduce the client to some groups or organization that specializes
psychological support.

4. PICA

Nursing Intervention
> Explain to the client the health risk that the pica disorder may cause to the nutritional requirements of
the body.
> Provide a list of proper meal plan with corresponding nutritional value.
> Provide client and family teaching regarding the health risk of this disorder.
> Encourage the family of the client to remove or hide the client’s pica cravings and provide food that have
nutrients.
> If the client is a child, encourage the parents to pay attention to what their children are eating. This is to
avoid the risk of having pica disorder. If their child is already having pica disorder, they should watch their
children’s eating habit and avoid unnecessary items in the surroundings.
> Refer the client/family to a nutritionist for diet therapy and to psychologist for psychological therapy.
5. RUMINATION DISORDER

Nursing Intervention
> Supervised the client when eating the meal, to make sure that they did not spit out the food they intake.
> Have meal options that are more palatable and nutritious for nutrients requirement of the body.
> Encourage the client to increase food and fluid intake.
> Provide soft diet meal to avoid the chewing of food during therapy.
> Provide fresh fruits and vegetables in smoothie or juice form to avoid spitting.
> Refer the client to psychologist for psychological and emotional therapy.
> Include the family within the course of therapy for support and understanding.
> If medication are to be administered, be present during the administration especially if it is taken orally.

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