The Characteristics of Patients with Bulimia Nervosa You Should Know

The Characteristics of Patients with Bulimia Nervosa You Should Know

Bulimia Nervosa is a disorder of eating, which is visible from the habit of overeating that occurs continuously. Bulimia is an eating disorder that often occurs in women. The disorder usually is a form of self-torture. The most frequently performed by more than 75% of people with bulimia nervosa is making herself vomit, sometimes called cleaning; fasting, and use of laxatives, enemas, diuretics, and excessive exercise are also a common feature.

Bulimia is a disease caused by the psychology of the patient, resulting in eating disorders. Bulimia is a condition where a patient overeating repeatedly and then back out. Issued food eaten can be through vomiting usually induced by laxatives, but it is also by removing it through urination by using diuretics.

Moreover, in addition to overeating, bulimia sufferers also tend to be very strict diet and excessive exercise. Characteristics of bulimia disease is certainly a habit of issuing food eaten very quickly, so it is very strange to ordinary people when back regurgitate after eating food.

Cleaning or vomit estimated as action to reduce hatred or guilt because they binge. Patients obsessed to rid themselves of the food, so food intake did not get absorbed by the body.

Cleaning action usually takes place immediately, but in some people with bulimia do cleaning at some period thereafter.

As with anorexia, bulimia is always associated with a control diet or weight loss. People with bulimia are usually paid much attention to weight, always feel less confident with the weight that tend to excessive dieting. The difference with patients with anorexia, people with bulimia have more stable body weight so that the disease is rarely known by the general public.

To detect the symptoms of bulimia in everyday life is hard. Process sometimes overeating is a common thing in society. Eating is a fun activity, can relieve stress or depression. In addition, each person also has a different appetite, so eat with the number of lots that sometimes is normal.

In addition, people with bulimia are not always thin. Could have had a normal weight or even overweight. But there are some signs that can be considered as a symptom of bulimia, namely:

• Always to the bathroom after meals to throw up (of course done many times).
• Excessive exercise.
• There is a change such as swollen cheeks or jaw, broken blood vessels in the eye, damage to the tooth enamel so that it is obvious.
• Too shackled with heavy affairs or body shape.

Ineffective Individual Coping related to Bulimia Nervosa

Ineffective Individual Coping related to Bulimia Nervosa

Nursing Care Plan for Bulimia Nervosa

Bulimia nervosa is a disorder in eating habits. Eating disorders are a psychiatric syndrome that is characterized by eating patterns associated with aberrant psychological characteristics associated with eating, body shape and weight. eating disorders occur due to several reasons in eating behavior, such as consumption of less healthy foods or eating too much.

Bulimia nervosa is a feast of food, followed by washing stomach or vomiting. Eating disorders usually occur together with other diseases such as depression, being part of a violent, and anxiety disorders. In this case, people who suffer from eating disorders can experience physical health complications further, including the problem of the working conditions of liver and kidney failure, which can lead to death. Many people with bulimia have a normal weight and seem to be no significant problems in life. Their regular people who look healthy, successful in his field, and tend ferfeksionis. However, behind it, have low self-esteem and often depressed.


Nursing Diagnosis : Ineffective individual coping

Goal: ineffectiveness of individual coping can be met.

Expected outcomes:

• Identify methods that are not associated with less food in the face of stress or crisis.
• Expressed feelings of guilt, anxiety, anger, or excessive need for control.
• Shows a more satisfying interpersonal relationships.
• Revealed more realistic body image.
• Addressing an alternative method of dealing with stress or crisis.
• Revealed an increase in self-esteem and confidence.

Interventions :

• Assess client's eating habits.
• Encourage clients to eat with other clients or their families, if tolerated.
• Encourage clients to express their feelings (anxiety and guilt about eating).
• Encourage clients to keep a diary to write down the type and amount of food eaten, identify feelings experienced before and after eating, especially about excessive eating behavior and depletion.
• Discuss the client's preferred food and reduce anxiety.
• Help clients explore ways to overcome the emotions (anger, anxiety, and frustration).
• Give positive feedback to the client.
• Teach client about the use of problem-solving process.
• Exploration with the client about personal power.
• Discuss with the client about the idea of receiving underweight "ideal".
• Encourage clients to express their feelings, about the family members and those closest, role and relationship with them.

Rationale :

• Preventing overeating behavior that includes eating secretly and swallow food, helps clients quickly and return to normal diet (three times daily).
• Prevent secrecy about eating, though at first anxiety, the client may be too high to join the meal together.
• Helps reduce feelings verbally can reduce anxiety and reducing the depletion of food behaviors.
• Helping clients examine food intake and feelings they experienced.
• Helping clients looking at using food to cope with feelings or make it comfortable.
• Helping clients to separate emotional issues of food and eating behavior.
• Increase efforts to clients in the face of anxiety, anger, and other emotions honestly and openly.
• Helps clients improve self-esteem and confidence of clients.
• Helping clients find strength.
• Change the client's perception of ideal body weight may be unrealistic and unhealthy.
• Helping clients identify, accept, and cope with their feelings in a proper way.