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7 Eating Disorders: Anorexia & Bulimia

Nervosa Nursing Care Plans
By

Matt Vera, BSN, R.N.

Updated on December 7, 2018


Anorexia nervosa is an illness of starvation, brought on by severe disturbance of body
image and a morbid fear of obesity. People with anorexia nervosa attempt to maintain a
weight that’s far below normal for their age and height. To prevent weight gain or to
continue losing weight, people with anorexia nervosa may starve themselves
or exercise excessively.

Bulimia nervosa is an eating disorder (binge-purge syndrome) characterized by extreme

overeating followed by self-induced vomiting, trying to get rid of the extra calories in an
unhealthy way. It may include abuse of laxatives and diuretics.

Although these disorders primarily affect women, approximately 5%–10% of those afflicted
are men, and both disorders can be present in the same individual.

Nursing Care Plans

Nursing care planning for patients with eating disorders: anorexia nervosa , bulimia nervosa
includes establishing adequate nutritional intake, correcting fluid and electrolyte imbalance,
assist patient to develop a realistic body image and improving self-esteem. Other than the
mentioned above, it is also an important nursing priority to provide support in the treatment
program and coordinate program with order disciplines.

Included in this post are seven (7) nursing care plans for eating disorders: anorexia
nervosa and bulimia nervosa:

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1. Imbalanced Nutrition: Less Than Body Requirements

2. Risk for Deficient Fluid Volume
3. Disturbed Thought Process
 4. Disturbed Body Image, Chronic Low Self-Esteem
5. Impaired Parenting
6. Risk for Impaired Skin Integrity
7. Deficient Knowledge
8. Other Possible Nursing Diagnoses

BackNext

3. Disturbed Thought Process

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Disturbed Thought Process: A state in which individual experiences a disruption in

cognitive operations and activities.

Nursing Diagnosis

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 Thought Processes, disturbed

May be related to

 Severe malnutrition/electrolyte imbalance

 Psychological conflicts, e.g., sense of low self-worth, perceived lack of control

Possibly evidenced by

 Impaired ability to make decisions, problem-solve

 Non–reality-based verbalizations
 Ideas of reference
 Altered sleep patterns, e.g., may go to bed late (stay up to binge/purge) and get
up early
  Altered attention span/distractibility
 Perceptual disturbances with failure to recognize hunger; fatigue, anxiety, and
depression

Desired Outcomes

 Verbalize understanding of causative factors and awareness of impairment.

 Demonstrate behaviors to change/prevent malnutrition.
 Display improved ability to make decisions, problem-solve.

Nursing Interventions Rationale

Allows caregiver to have

Be mindful of more realistic expectations
patient’s distorted of patient and provide
thinking ability. appropriate information
and support.

It is difficult to responds
logically when thinking
ability is physiologically
impaired. Patient needs to
hear reality,
but challenging
Listen to or avoid patient leads to distrust
challenging irrational, and frustration. Even
illogical thinking. though patient may gain
Present reality weight, she or he may
concisely and briefly. continue to struggle with
attitudes or behaviors
typical of eating
disorders, major
depression, or alcohol
dependence for a number
of years.
 Nursing Interventions Rationale

Improved nutrition is
Adhere strictly to
essential to
nutritional regimen.
improved brain functioning.

Imbalances negatively
Review electrolyte affect cerebral functioning
and renal function and may require correction
tests. before therapeutic
interventions can begin.

BackNext

See Also

You may also like the following posts and care plans:

 Nursing Care Plan: The Ultimate Guide and Database – the ultimate database
of nursing care plans for different diseases and conditions! Get the complete list!
 Nursing Diagnosis: The Complete Guide and List – archive of different nursing
diagnoses with their definition, related factors, goals and nursing interventions
with rationale.

Endocrine and Metabolic Care Plans

Nursing care plans related to the endocrine system and metabolism:

 Acid-Base Balance
 - Respiratory Acidosis Nursing Care Plan
 - Respiratory Alkalosis Nursing Care Plan
  - Metabolic Acidosis Nursing Care Plan
 - Metabolic Alkalosis Nursing Care Plan
 Addison's Disease | 3 Care Plans
 Cushing’s Disease | 6 Care Plans
 Diabetes Mellitus Type 1 (Juvenile Diabetes) | 4 Care Plans
 Diabetes Mellitus Type 2 | 13+ Care Plans
 Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic
Syndrome (HHNS) | 4 Care Plans
 Eating Disorders: Anorexia & Bulimia Nervosa | 7 Care Plans
 Fluid and Electrolyte Imbalances | 10 Care Plans
 - Fluid Balance: Hypervolemia & Hypovolemia
 - Potassium (K) Imbalances: Hyperkalemia and Hypokalemia
 - Sodium (Na) Imbalances: Hypernatremia and Hyponatremia
 - Magnesium (Mg) Imbalances: Hypermagnesemia and Hypomagnesemia
 - Calcium (Ca) Imbalances: Hypercalcemia and Hypocalcemia
 Gestational Diabetes Mellitus | 4 Care Plans
 Hyperthyroidism | 7 Care Plans
 Hypothyroidism | 3 Care Plans
 Obesity | 4 Care Plans
 Thyroidectomy | 5 Care Plans

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 TAGS

 anorexia nervosa

 Bulimia Nervosa
 deficient fluid volume

 disturbed body image

 disturbed thought process

 eating disorders

 Imbalanced Nutrition Less Than Body Requirements

 imbalanced nutrition: more than body requirements

 Impaired Parenting

 impaired skin integrity

 Knowledge Deficit

Matt Vera, BSN, R.N.

https://nurseslabs.com

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently
working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how
 frustrating it is to cram on difficult nursing topics and finding help online is near to impossible. His
situation drove his passion for helping student nurses through the creation of content and lectures
that is easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in
number, he wants to educate and inspire students in nursing. As a nurse educator since 2010, his
goal in Nurseslabs is to simplify the learning process, breakdown complicated topics, help motivate
learners, and look for unique ways of assisting students in mastering core nursing concepts
effectively.

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