Eating Disorders in the Elderly Kelly Bigley. Agenda -Activity - Introduction -Definition - Prevention and Treatment.

Slides:



Advertisements
Similar presentations
Anorexia nervosa Denisenko Tatiana Class 10 a Gatchina school № 4.
Advertisements

My Life Monday Bulimia, Anorexia & Obesity Everyone eats. We need to eat in order to survive and nourish our body. However, human behavior vary. Some people.
Chapter Eight - Part Three Weight Control Food & Nutritional Health NUT SCI –242 Karen Lacey, MS, RD, CD © Spring 2005.
Describe symptoms and prevalence of two disorders (anxiety, affective, or eating disorders)
Anorexia Nervosa Presentation by: Froza Mercado. Anorexia in the U.S.  Up to 24 Million people of all ages and genders suffer from an eating disorder.
EATING DISORDERS. What is an eating disorder? An eating disorder is a compulsion to eat, or avoid eating, that negatively affects one's physical and mental.
Copyright © 2005 Pearson Education, Inc., publishing as Benjamin Cummings PowerPoint ® Lecture prepared by Jan Campbell T H E B A S I C S SIXTH EDITION.
Medical Nutrition Therapy Niki Hibben. Medical Nutrition Therapy… Medical Nutrition Therapy is the development and provision of a nutritional treatment.
Eating Disorders In Athletes Or do we mean Disordered Eating?
Anorexia Specifically Bulimia A Presentation by: Jordan Fairley.
By: Bianca Braun Anorexia Among Students Ages
Eating Disorders Life Education 1.
EATING DISORDERS.
Eating Disorders -An Eating Disorder is an abnormal eating pattern that endangers the physical and mental health. -Most common in teen and young adult.
Your Body Image. Body Image What is body image? -The way you view yourself -Can be positive or negative.
Barriers to Learning: Eating Disorders. eat-ing dis-or-der noun any of a range of psychological disorders characterized by abnormal or disturbed eating.
Eating Disorders. Anorexia Nervosa Self-starvation ▫Essential nutrients are denied (no or little food) so the body slows down all normal processes to.
Eating Disorders. What is an Eating Disorders?  Any of several psychological disorders characterized by serious disturbances of eating behavior.  Millions.
Maintaining a healthy body weight
Habits Disorders. What are eating Disorders? An eating disorder is marked by extremes. It is present when a person experiences severe disturbances in.
Eating Disorders Chapter 5. Definition An eating disorder is an abnormal eating behavior that risks physical and mental health. Can lead to organ damage,
Eating Disorders Conditions that involve an unhealthy degree of concern about body weight and shape-may lead to efforts to control weight by unhealthy.
Copyright © 2007 by The McGraw-Hill Companies, Inc. All rights reserved. Chapter 15 Eating Disorders.
Eating Disorders Chapter 6 Section 3. Eating Disorders  Extreme eating behaviors that can lead to serious health problems and even death  Unhealthy.
Eating Disorders. Definition Eating disorders are a group of serious conditions in which you're so preoccupied with food and weight that you can often.
Eating Disorders 1.Discuss the relationship between body image and eating disorders. 2.Describe the individual who is at most risk for eating disorders.
Jacob Walker, Colin Rasnick, and Dustin Lentz
INVESTIGATING ANOREXIA NERVOSA By: Jahzmin Zuniga Psychology Period 2.
 Two Main Types  Anorexia Nervosa  Bulimia Nervosa  Share Strong Drive to be Thin  Largely a Westernized, Female Problem  Largely an Upper SES Problem.
Disordered Eating Anorexia Nervosa. Anorexia Nervosa--Definition O Medical Definition O An eating disorder characterized by markedly reduced appetite.
Eating Disorders. Teenagers & Eating Disorders Girls 15 – 19 years old: ▫Account for 40% of new anorexia cases every year. ▫There has been a rise in anorexia.
Eating Disorders. Extreme eating behaviors that can lead to serious health problems and even death Unhealthy behavior related to food, eating, and weight.
 Definition of Eating Disorders  Causes of Eating Disorders  Symptoms  Treatments  Preventions  Conclusion.
E ATING D ISORDERS. W HAT ARE EATING DISORDERS ? An eating disorder is a change in one’s normal eating habits which can cause a drastic change in weight.
Dying to be thin..
Bulimia By: Laura Hernandez Sam Tadlock Carley Starnes.
ANOREXIA NERVOSA. WHAT IS ANOREXIA NERVOSA? Anorexia nervosa is a psychiatric illness that describes an eating disorder characterized by extremely low.
Nutrition. Nutritional Needs Calcium and iron are important ▫From toddlers to teenagers Special dietary needs for teenagers: ▫This is a time of growth.
Anorexia nervosa Self Imposed starvation Symptoms  Intense fear of gaining weight or becoming fat  Severely distorted body image  Refusal to maintain.
Lesson 1-7 Open Unit 1 Student Journal Page 27, Lesson 15 Journal Entry Write about the changes you’ve made in your eating and physical activity habits.
Eating Disorders Not just about food....
Nutrition.
Causes  It is important to understand that an eating disorder is merely a symptom of an underlying problem. Eating Disorders can have MANY causes, but.
Eating Disorder Treatments Family Therapy  Helps to resolve family conflicts and helps families understand the problem. Group Therapy  Helps to connect.
Eating Disorders Chapter 8 Section 3 Jessica Orkin, Erin Ringenberg, Morenike Lukula, Camryn Magsby, Ana Ramos, Molly Kroeger.
© McGraw-Hill Higher Education. All Rights Reserved. Weight Management Chapter Nine.
My SP. My ISP BY: Sophie My Question is: How does media affect the development of Anorexia among kids and teens today?
Body Types Endomorph- Large frame, increased amount of adipose tissue Mesomorph- Medium frame, muscular, athletic build Ectomorph- light, thin frame, struggle.
Eating Disorders. 24 Million people are suffering from some type of eating disorder Eating disorders have the highest mortality rate of any mental illness.
1 Module 10 Obesity and Malnutrition in the Older Adult Geriatric Aide Curriculum NC Division of Health Service Regulation.
7 TH GRADE HEALTH Disordered Eating. About Disordered Eating Source: National Association of Anorexia Nervosa and Associated Disorders (est. 1976) 50%
Eating disorders Supported by.
Mental Health Ms. Wismer.
Eating Disorders
Eating Disorders.
Weight Control & Eating Disorders
Anorexia Nervosa Bulimia Nervosa Compulsive Overeating
Eating Disorders Dr. Vidumini De Silva.
Anorexia Bulimia Binge Eating Exercise Bulimia
Eating Disorders 1. Anorexia 2. Bulimia 3. Binge-Eating
Journal #17 What are the SIX groups of Nutrients?
Factors That May Increase An Individuals Risk Of An Eating Disorder
Bulimia Nervosa SOWK-230 Sydney Gaver.
Maria Pierozzi Health Educator Barnstable Middle School at Hyannis
Presentation transcript:

Eating Disorders in the Elderly Kelly Bigley

Agenda -Activity - Introduction -Definition - Prevention and Treatment

About Me - Nutrition Student at Cal State Los Angeles - Geriatric nutrition is my goal - Caregiver for the elderly with Alzheimers and Dementia - 50 in-service hours in Acute Care for the Elderly and Assisted Living

Activity What do you think of when you hear the words “Eating Disorder?”

Definition: Psychological Eating disorders are a group of serious conditions in which you're so preoccupied with food and weight that you can often focus on little else. The main types of eating disorders are anorexia nervosa, bulimia nervosa and binge-eating disorder. - Mayo Clinic

Definition: Physical ● Refusal to eat and denial of hunger ● An intense fear of gaining weight ● A negative or distorted self-image ● Excessive exercise ● Irritability ● Fear of eating in public ● Preoccupation with food ● Social withdrawal ● Thin appearance ● Soft, downy hair present on the body (lanugo) ● Menstrual irregularities ● Constipation ● Dry skin ● Frequently being cold ● Irregular heart rhythms

EDs and the Elderly Increasing prevalence Italian study found the following: % women and 27.2% men in long term care had eating disorders % women and 26.7% men in rehab/acute care facilities had eating disorders - 3.3% of women and 11.3% men living at home or in their community had eating disorders

Why Care? - Muscle wasting is not a normal part of aging, nor is a 5-10% loss of body weight in 1-12 months - 5% loss of body weight in one month increases likelihood of death in one year 4x

Causes - Depression is primary cause - ED’s can go into remission for decades - Poorly fitting dentures/loss of teeth - Chewing and swallowing difficulties - Ulcers and nonmalignant gastrointestinal disorders - Polypharmacy

Causes Unique to Elderly - Alzheimer’s and Dementia - Affects rewards center of brain - May believe they have already eaten - May not be aware food has arrived - Some foods may be frightening - Control - Loss of independence, “no” is last form of control - Protest against caregiver - Silent Suicide - Loss of loved one - Suicide in the elderly approaches a 100% success rate.

What can we do? With screening tools upon move-in, clearer communication and awareness, we can help to narrow a resident’s chances of getting an eating disorder.

Upon Move in - Obtain all anthropometric data we can, and keep them updated. - lab panels mean little when we don’t know what their norm is. - Obtain Medical history - screening for depression, eating disorders, compulsive habits - Obtain food preferences and habits. - May help us feed them later on.

While with us - Communication - Make staff aware if a resident has had depressed appetite for more than a day. - Feed them food that they want - Stick as closely to food preferences and restrictions as possible - Limiting distractions - Televisions and other loud noises can distract our residents from eating - Make them aware that their food has arrived - When possible, have family feed them. - Family will be aware of anything suspicious - Interaction - Caregivers/ CNAs who enjoy their job - Positive interaction - Asking “How are you doing?” and meaning it.

If an ED is Suspected - Order labs and weight - if already taken, evaluate - Screen for depression - Use Geriatric Depression Scale Observe for chewing and swallowing difficulties - may need a special diet - Evaluate medications - look for medications that may be causing upset stomach - Lift some dietary restrictions - in cases of controlled Diabetes and Hypertension - Get them exercising - Exercise can stimulate appetite - Don’t go straight for supplements - More likely to eat less calories, as opposed to consuming extra

Case Study Mrs. X is a resident who has been with your facility for 6 months. She has lost 10 pounds in that amount of time. Brainstorm and write out/list concerns, what you want to know and how you will utilize facility resources to assess and treat this patient.

What we did not cover - Prevention of muscle wasting - Healing from injury, infection, open wounds - increased protein needs