1 Access ’Health Disparities
2 traditions, beliefs, symbols
3 rituals, practices
4 media, family, peer influences
5 Development Continuum, Physiological Needs
6 Physiological, celiac disease, pernicious anemia, iron deficiency
anemia, dia- betes, heart disease, pts on anti-psychotics at risk for
weight gain, alcoholism, hypothyroidism, corticosteroids
7 many, varied Abuse/Violence impacts on EDS
-natural disasters, food deserts (tenderloin: liquor stores, super
processed foods, instant, canned goods)
-lead levels in water e.g. Flint Michigan, sweage spills into bays
What rich type of foods would an alcoholic need to prevent peripheral
neuropa- thy? What vitamin are they missing?
what meds can cause weight
loss? Topimirate, topamax
DOES WHAT?
Lithium does what in terms of weight? What about diet for lithium?
Antidepres- sants?: 1 Economic
2 Cultural
3 Religious
4 Societal
5 Age
6 Chronic illness
7 Environmental Issues
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, -Fortified cereals and breads
-Thiamine Rich Foods- Vitamin B1
-Stimulants= catteine, meth
-ADHD meds=
-Makes you LOSE WEIGHT by supressing appetite
-Lithium, gain weight; not too much salt in diet
-Antidepressants: can make you gain weight
2. Eat food especially with the
dirty dozen what is the dirty dozen?
examples?
clean 15, don't have to buy...., ex?: -Organic
-dirty dozen= most contaminated by pesticides, should buy organic
e.g. blueberries, rasberries, apples
clean 15= don't have to buy organic, avocado (whole skin they don't have to be eating)
3. Eatind disorder is a in psychiatry
If the main problem is an eating disorder, they are referred to a
specific
, not a primary care physician or general psychiatirst.
Four DSM V Eating Disorder Types?
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,Which one is not an official DSM-V d/o but important?: -subspecialty
-soecialist
-Anorexia Nervosa (AN)
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, -Bulimia Nervosa (BN)
-Eating Disorder NOS (ED-Unspecified)
-Binge-Eating Disorder (BED)
*Female Athletic Triad (FAT)
4. T/F Proper documentation of anorexia nervossa in a chart can be
labeled as "Anorexia"
% of patients who develop anorexia become within the
1st year T/F rare "pure" EDS dx
BMI's... for anoreixcs?
bulimics?: F.. proper documentation involves the nervosa part, anorexia
50%, bulimic, w.in 1st yr,
lots of overlap
-True.
BMI's Under 17.5, underweight=
anorexia Near or normal to overwt=
bulimia
5. All ED'S=
incidence is rising for all EDs, which gender is at
more risk? Which is more common bulimia or
anorexia?
Age more at risk?
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