In the beginning, precipitating factors of BED include stress and diet. The patient can be put under stress due to different reason. For example, the patient might have low self-esteem and poor body image comparing him or her with the norms of beauty in the society. The patient …show more content…
It is distinguished with other eating disorders, such as bulimia nervosa, by the lack of immediate attempt to counter the binge through purging, exercise, or other methods. The process of BED includes four stages (textbook). Unsettled feelings are built up the tension and a relief is demanded. The bingeing provides distractions from the problem. The tension is released and anxiety is reduced. However, the patient then enters the “binge hangover” stage. Psychological symptoms include guilt, embarrassment, disgust, while biological symptoms include fatigue, lethargy, headaches, and nausea. As the result, the patient tries to establish a new beginning by vowing not to eat anything on the next day or deciding to go on a strict diet to compensate. As the result, it creates an infinite cycle of bingeing and dieting.
Having the knowledge and understanding will enable the nurses to observe for potential eating disorder. If the eating disorder has been identified and diagnosed, the nurses must remain nonjudgmental and provide unconditional acceptance toward the patient. This can be achieved with therapeutic communication and nurse-client relationship in order to encourage the patient to talk openly about any concerns and have the courage to seek for help from different professionals. If the patients are experiencing depression as underlying condition, observation of potential suicide …show more content…
It can be very threatening and anxious to completely erase the bingeing as the coping mechanism. The nurse can start with improve the patient’s awareness and acceptance the uncomfortable emotions or feelings that he or she is currently experiencing. The nurses should educate the patient about their eating disorder in order to increase the sense of control. The nurse then will establish the goal and outcome of the therapeutic relationship in which the patient will regain a healthy eating pattern instead of dieting or weight loss. The patient should be able to realize a more positive image of him or her in order to sustain the recovery. The patient needs to be able to acknowledge and deal with the situation rather than avoiding