NURSING DIAGNOSIS: Nutrition: imbalanced, less than body requirements May be related to Inadequate food intake; self-induced vomiting Chronic/excessive laxative use Possibly evidenced by Body weight 15% (or more) below expected, or may be within normal range (bulimia) Pale conjunctiva and mucous membranes; poor skin turgor/muscle tone; edema Excessive loss of hair; increased growth of hair on body (lanugo) Amenorrhea Hypothermia [...]

NURSING DIAGNOSIS: 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 [...]

NURSING DIAGNOSIS: Body image, disturbed/Self-Esteem, chronic low May be related to Morbid fear of obesity; perceived loss of control in some aspect of life Personal vulnerability; unmet dependency needs Dysfunctional family system Continual negative evaluation of self Possibly evidenced by Distorted body image (views self as fat even in the presence of normal body weight or severe emaciation) Expresses little [...]

NURSING DIAGNOSIS: Parenting, impaired May be related to Issues of control in family Situational/maturational crises History of inadequate coping methods Possibly evidenced by Dissonance among family members Family developmental tasks not being met Focus on “Identified Patient” (IP) Family needs not being met Family member(s) acting as enablers for IP Ill-defined family rules, function, and roles Desired Outcomes Demonstrate individual [...]

NURSING DIAGNOSIS: Skin Integrity, risk for impaired Risk factors may include Altered nutritional/metabolic state; edema Dehydration/cachectic changes (skeletal prominence) Possibly evidenced by [Not applicable; presence of signs and symptoms establishes and actual diagnosis.] Desired Outcomes Verbalize understanding of causative factors and absence of itching. Identify and demonstrate behaviors to maintain soft, supple, intact skin. Nursing Interventions & Rationale Nursing Interventions Rationale  Observe [...]

NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care and discharge needs May be related to Lack of exposure to/unfamiliarity with information about condition Learned maladaptive coping skills Possibly evidenced by Verbalization of misconception of relationship of current situation and behaviors Preoccupation with extreme fear of obesity and distortion of own body image Refusal to eat; binging and [...]

NURSING DIAGNOSIS: Fluid Volume actual or risk for deficient May be related to Inadequate intake of food and liquids Consistent self-induced vomiting Chronic/excessive laxative/diuretic use Possibly evidenced by (actual) Dry skin and mucous membranes, decreased skin turgor Increased pulse rate, body temperature, decreased BP Output greater than input (diuretic use); concentrated urine/decreased urine output (dehydration) Weakness Change in mental state [...]

Anorexia nervosa is an illness of starvation, brought on by severe disturbance of body image and a morbid fear of obesity. Bulimia nervosa is an eating disorder (binge-purge syndrome) characterized by extreme overeating followed by self-induced vomiting. It may include abuse of laxatives and diuretics.

Below are 7 nursing care plans for eating disorders: anorexia nerovsa & bulimia nervosa.