Monday, August 12, 2019
Action Plan Development for Administration of Medicine Essay
Action Plan Development for Administration of Medicine - Essay Example The preparation of an action plan is quite vital in ensuring student and practicing nurses achieve their objectives. Thus, instead of worrying about the future, it pays to start planning for it through action plans. The main steps in the drafting of an action plan include the identification of objectives, the setting of achievable and measurable objectives, prioritisation of tasks and the identification of the necessary steps to achieving goals. The other steps include being able to effectively work under pressure and complete tasks in time. By writing down objectives, oneââ¬â¢s goals and dreams are turned into plans, provided the plan is thought out, acted on and reflected upon. Importantly, a timetable would ensure a nurseââ¬â¢s action plan is effective, has clear-set goals and defined steps. This action plan on administration of medicine explores the areas in which I have tangible and sufficient coverage, knowledge and skills and the areas that need improvement. Moreover, th e action plan covers the strategies, interventions and the timetable by which the improvements will be achieved. Achievements in Drug Administration At this level of my nursing course, I have covered quite a vast area as far as medication administration is concerned. Most important in the areas covered are the general implications and principles of medication administrations. Although a common practice among nurses, medicine administration is a rather crucial clinical procedure, which refers to the manner in which medicine is delivered and controlled. In fact, the manner in which medicine is administered determines the probability of a patient gaining any clinical benefits or suffering diverse effects of medication (Doerr-MacEwen & Haight, 2006). Among the major areas of medication administration so far covered include the factors affecting drug bioavailability, types/routes of drug administration, and NMCââ¬â¢s guide for administration of medicines among other areas. Drug bioava ilability refers to the proportion of an administered medication, which actually reaches a patientââ¬â¢s systemic circulation and is distributed to the intended action site using the different routes of administration result that result in different levels of bioavailability. This is an important knowledge on medicine administration given that nurses should understand the best route that would yield the most bioavailability for a drug. For instance, drugs delivered through direct IV injection supposedly have 100% bioavailability. In addition, certain types of drugs are absorbed best in certain organs or systems of the body. For example, if administered so that they are absorbed by the gastrointestinal mucosa, certain medicines could end up having bioavailability comparable to that of an IV injected drugs. Unfortunately, many drugs lack the level of bioavailability by the oral route, implying that they their oral dosage is usually higher than if given parenterally, which refers to the administration of a medication into the body via routes other than the gastro-intestinal tract (Miller &Miller, 2011). These routes could be infusion, injection or implantation. Routes of Administration Routes of administration are the other concepts of administration of medicine that I have covered well so far. There are numerous routes by which medicine may be delivered into the systemic circulation of a patient, each with its strengths and weaknesses. It is thus imperative that nurses understand these routesââ¬â¢ implications, effectiveness, weaknesses, strengths, and patient experience.
Sunday, August 11, 2019
Current State of Credit Card Industry in America Essay
Current State of Credit Card Industry in America - Essay Example This essay offers a thorough analysis of the state of the credit card market in the United states. Since the early eighties, the credit card industry in America have been controlled by the banking and financial associations, namely VISA and Master Card International. Over the years, several merchants have entered the credit markets and have strategically focused on expanding their market share which led to the flooding of credit cards in the US market. Looking at the rapid expansion of the credit card market; there are ominous signs for default in card payments which is the next most likely risk in the US economy after the mortgage crisis. This is due to the fact that the customers repayment capability of the credit card customers have declined after the economic crisis due to loss of jobs, fall of income, foreclosure of their homes, etc. The credit card risk in USA has serious consequences for the credit companies, financial sector and the economy of US. The payment default of the customers would result in the loss of return on investments for the banks and credit card companies. The personal finance schemes would prove to be a failure and the credit card companies would loose huge amounts lent in the US market. This loss would affect the liquidity of the companies and the investors would loose confidence on the companyââ¬â¢s performance. The market information on the declining performance of the companies would result in erosion of shareholderââ¬â¢s wealth and the share prices in the market would fall. The overall decline in performance of the credit card industry would affect the market performance and the market index would plunge once more after the global financial crisis (Jickling 88). Proposed Solution The solutions to overcome the next most likely risk in the credit card markets of US have been proposed as follows. The increase in the credit card market risk is due to the intention of the market players to squeeze the borrowers to the fullest and restore their profit margins after receiving a setback from the losses of the mortgage market. The proposed solution includes intervention of the government to cut back the rising interest rates and the deceptive tactics employed by the credit card issues in charging the customers with more amount of repayment. Already the income level of the customers has lowered and a further rise in interest of the credit card companies would extract the entire liquidity from the economy and would raise the subsequent risk of credit card default . Thus government regulations on stabilization of the interest rates and reduction of the hidden costs would help to maintain a position of equilibrium in the credit card market. Secondly, the tightening of the eligibility criteria for credit cards is another solution proposed to avoid the future consequences. The credit cards in the US markets should be issued to worthy borrowers by estimating their income level and repayment capability. Customers like the students who have limitations in repaying the borrowed amounts should not be flooded with credit cards. These policies of the credit card companies are likely to resolve the situation of a likely future crisis in the credit card industry. Consequences of what happens if change is not made The future consequences are grave if changes in the credit card policies and the interest rates are implemented by the market players. The customers who have been facing a constraint in liquidity level would use the credit cards as their last re sort. If the ever rising interests rates initially from 10% to 15% and then to 20% in the subsequent stages are not cut back, this will increase the
Saturday, August 10, 2019
The 3 A's of Awesome Essay Example | Topics and Well Written Essays - 500 words
The 3 A's of Awesome - Essay Example An awesome life is considered to be one that contains three key aspects, that each person must seek to have if at all life is to be as enjoyable as the speaker, Neil Pasricha, terms it to be. An enjoyable life is one that focuses on attitude, awareness and authenticity as the central to come up with an awesome life. Attitude, being the first point on which the speaker supports his thesis states that with the right attitude, one can do anything. The key part is that ââ¬Å"we are all gonna get lumps, and we are all gonna get bumpsâ⬠, and from this, the outlook that one has on life depends on the attitude that he or she applies to the situation (Pasricha). This is because the future is highly unpredictable with only one predictable aspect, which is largely the fact that the future rarely goes as per our plans if at all it does. This is all factual and life is largely unpredictable meaning that whatever one decides to do, the perception to life and the situation as a whole is suppo sed to dictate how life proceeds or rather recedes in quality.
Friday, August 9, 2019
Food in the Mediterranean Essay Example | Topics and Well Written Essays - 2000 words
Food in the Mediterranean - Essay Example The Mediterranean cuisine is particularly suited for workers who are looking for an alternative to the cafeteria or vending machines at work. Discussion Mediterranean food is considered, by Martha Rose Shulman, to be the ââ¬Å"Worldââ¬â¢s healthiest cuisine,â⬠which is why her book, Mediterranean Light is subtitled ââ¬Å"Delicious Recipes from the Worldââ¬â¢s Healthiest Cuisineâ⬠(Shulman, 1989). Shulman states that part of the reason why the regionââ¬â¢s food is so healthy is because the food is prepared with fresh ingredients. This is due to the fact that many of the countries in the Mediterranean region are poor countries, so the cuisine reflects the fact that the citizens in those countries take advantage of what nature has to offer, as opposed to eating processed foods. Thus, they are more apt to ââ¬Å"live off the land,â⬠and their recipes reflect this ethos. Moreover, Shulman states that part of the reason why the food is so healthy is because of the ingredients ââ¬â for instance, olive oil is a staple in many of the dishes in Italy and Spain, and olive oil is thought to reduce bad cholesterol in the people who consume this kind of oil on a regular basis. Vegetables also form a focus in this kind of food, including tomatoes, eggplant, peppers, potatoes, zucchini, cucumbers, artichokes, sweet peas and beans. These are all known to be very healthful ingredients as well. The fruits which are a part of the cuisine are also healthy, and they include figs, melons, peaches and apricots. These dishes are also centered around lean protein, such as rabbit, chicken and fish. Shulman also praises the Mediterranean cuisine because of the flavor that it receives from the fresh, wholesome ingredients and herbs. Because the herbs are so pungent ââ¬â common herbs include parsley, basil, rosemary, thyme, sage, coriander and mint, along with a lot of garlic ââ¬â the cuisine is flavorful without adding a lot of sodium and fat. Other in gredients which are used in the Mediterranean, including Parmesan Cheese, are so flavorful that a little goes a long way. Even the desserts in Shulmanââ¬â¢s book, such as fruit enhanced with honey and lemon, are healthy and low-sugar (Shulman, 1989). Shulmanââ¬â¢s book consists of food from throughout the Mediterranean, so she has recipes from Morocco, Egypt, Tunisia, Libya, Algeria, Greece, Italy, Spain, France, and the Middle East. The website ââ¬Å"AroundSicily.comâ⬠zeroes in on Italian food, and the benefits of this kind of cuisine. This website states that Italian food, true Italian food, centers on fresh ingredients, such as fruits, vegetables, whole grains, olive oil, dairy products, fish, poultry, eggs and moderate amounts of wine. This website states that a typical Italian breakfast consists of yogurt, milk or coffee; snacks are fruits and juices; lunch is a pasta and salad; and dinner consists of fish, meat or chicken with a vegetable side dish. Pizza, the Ita lian dish that many non-Italians consider to be a staple, is only consumed sparingly in Italy, with most Italians eating this once a week (AroundSicily.com). Nestle (1995) is particularly concerned with Mediterranean food, and its current status of being somewhat of a lost art. She states that the Mediterranean people show the rate of chronic diseases to be the lowest in the world, with some of the highest life expectancies in the world. For instance, Nestle notes that the Cretes subsist on a diet of olives, cereal grains, wild
Thursday, August 8, 2019
Culturological Assessment of Domestic Violence Against Hispanic Women Essay
Culturological Assessment of Domestic Violence Against Hispanic Women - Essay Example (Powell 1) The purpose of this paper is to evaluate three aspects of domestic violence as it relates to Latinas. A review of the broad societal issues inherent within this ethnic community, an idea of some of the specific reasons why Hispanic women will stay in an abusive relationship, and a look at a few of the cultural values that make this segment of the population particularly vulnerable will yield insight into the problem and its intricate components. To gain a more complete understanding of the domestic violence plague faced by women in the Hispanic community, it is important to understand the broad contributory issues specific to the Latin community at large. Without over-simplifying the factors that contribute to domestic violence perpetrated against Hispanic women, there are three general segments of social integration which are understood to pre-condition these women to a higher risk of incidence of abuse; acculturation, citizenship status, and economic condition. Acculturation is the process of acquiring the different traits and social patterns reflected in the new society. It is the natural human adaptation to a different environment. We know that the "process of acculturation to American values and norms is an important factor influencing help-seeking behavior." (Yoshioka 172) Other studies suggest that this progression of acclimating to a foreign atmosphere "has been found to affect the risk of partner violence." (Frias 554) The course of adjusting to a new society is particularly fraught with hazard for Hispanic women. Whether it is the challenge of learning a new language or developing a sense of belonging, the degree to which an individual has been assimilated into her surroundings impacts her ability to respond to a crisis, particularly one of violence in her home. The calculus is fairly straightforward; the more comfortable a woman is within her new world, the better equipped she is to deal with the adverse circumstances into which d omestic abuse thrusts her. Surprisingly, the citizenship status of individuals has a direct bearing upon the frequency and severity of domestic violence. Generally, it is clear to the casual observer that non-citizens "have taken enormous risks and...continue to be threatened daily with a fear of deportation and the ever-looming presence of the INS." (Community Partnership 1) The stress associated with large-scale disruption of life and home can easily contribute to an environment of hostility between domestic partners. Specifically, studies show that "immigrant women who arrived before the age of 15 are at a higher risk of partner violence." (Frias 561) While the minutiae of various causes of this phenomenon may be debated, citizenship status appears to impact the resolve of these women to end the domestic abuse cycle. It could be posited that once citizenship is established, there is an emotional ownership of the new country that reduces a woman's willingness to tolerate abuse in the home. The economic situation of Hispanic women also has a role to play in domestic violence.
Wednesday, August 7, 2019
Sony Play Station Essay Example | Topics and Well Written Essays - 1500 words
Sony Play Station - Essay Example (Suarez, 2004) Initially, Sony and Nintendo intended to work together and develop the Super Disc however the two companies parted ways and the Playstation was born and it was a modified version of the Super Disc. The second milestone is marked by the unveiling of the first working prototype. In the case of the Playstation this was in Japan in the year 1994 December 03 before the product was launched into the market in 1995. (Suarez, 2004) As previously stated, the Playstation was released into the world and this is the third milestone. In most cases, such new products retail at very high prices however in the case of the Playstation, it retailed almost $100 cheaper than the Nintendo. The last milestone is in achieving market dominance. Since its introduction, Sony has sold millions of Playstation consoles and it has become the most sought after video game. (Suarez, 2004) Public Policies What is public policy? Public policy is a purposive and consistent course of action produced as a response to a perceived problem of a constituency, formulated by a specific political process, and adopted, implemented, and enforced by a public agency. The evolution of the computer industry began in the 1940s with the early experimentation with computers in a few companies, universities and public research laboratories, culminating in computer designs suf?ciently attractive to induce the production of the ?rst computers and their purchase by large ?rms with massive computation tasks, as well as by scienti?c laboratories. (Malerba, Nelson, Orsenigo, Winter, 2008) This opened the era of mainframe computers. The methodology of ââ¬Å"history-friendlyâ⬠involves both establishing some runs that match the qualitative... The paper describes the dominance process and public policy as a purposive and consistent course of action produced as a response to a perceived problem of a constituency, formulated by a specific political process, and adopted, implemented, and enforced by a public agency. Than it speaks about the methodology of ââ¬Å"history-friendlyâ⬠involves both establishing some runs that match the qualitative features of the historical patterns that the analysis is about and some runs that do not match these historical patterns.This model can be used for different purposes. The history-friendly model has contributed to the growth of computer technology in different regions. One, the semiconduct has allowed major improvements in mainframes and contributed to create new computer types. In conclusion we can say that public policies on the supply side have different effects on the various policy targets. We have shown that support for basic research increases industry technological performance while policies that favour the diffusion of knowledge reduce the gap between the best and the average practice in the industry as well as the growth of the best design in the industry. Policies that favour the entry of new producers have the effect of decreasing concentr ation only if they take place on a continuous base At the end of the report on the issue of self-sustainability, the college can include in its terms and condition before joining the college that upon completion of ones studies there, those hand-picked by the administration should teach the students for a period of one year at low pay. This ensures that the collegeââ¬â¢s alumni do not loose touch with the school upon completion and it also acts as a source of motivation for the students.
Eating Disorders Research paper Essay Example for Free
Eating Disorders Research paper Essay Eating disorders are considered critical attitudes, emotions, and eating behaviors. Minimized food intake, overeating, and the perceptions of body image, weight, and shape are some examples. There can be contributing factors and influences that develop the idea of an eating disorder. There are three types of eating disorders, binge eating disorder, anorexia nervosa, and bulimia nervosa. The two most common forms are anorexia nervosa and bulimia nervosa. According to the National Eating Disorder Association, ââ¬Å"25% of girls 12-18 years old were reported to be engaged in problematic food and weight behaviorâ⬠And in men and boys, according to the website nimh. nih.gov, ââ¬Å"one in four preadolescent cases of Anorexia occurs in boys, and binge-eating disorder affects females and males about equallyâ⬠. While the causes arenââ¬â¢t concise, some contributions can be cultural, personal characteristics, stress events or life changes, family, peers, and media. Individuals of low self-esteem or feeling useless can be a big contribution. For most adolescents they tend to compare themselves to others and they can develop an eating disorder because of this aspect. For example if their friends have an eating disorder they may develop one because they want to fit it. Some adolescents can develop an eating disorder from a stressful event such as; teasing, transition from middle school to high school, or a more traumatic event like rape. Families can even contribute to a teen developing an eating disorder. If parents are fighting a lot or may be considering divorce, this can be stressful and some adolescents handle it by not eating or induce vomiting as a means to obtain control over their parents in the household or gain back the attention. If the adolescent seems to feel like their life is spiraling out of control, they may feel like an eating disorder is a way to gain that control back. Also family studies show that anorexia nervosa, bulimia nervosa, and binge eating disorders do run in families. The heritability of anorexia nervosa is around 60%, and of bulimia nervosa can be 28 and 80%. For binge eating disorder currently it is 41%. According to some studies conducted acrossà countries eating disorders can be influenced by genetic factors. Another large contribution to eating disorders is our societal views. According to the National Eating Disorder Association, we develop these ideas, beliefs, and attitudes about what is acceptable according to our culture. To put this into perspective if our culture says your beautiful when you skinny, then some people believe that if theyââ¬â¢re not skinny, they arenââ¬â¢t beautiful. Essentially since girls are generally valued for their appearance, they are likely the ones to internalize this idea into their thought process. The media also plays a role in the cultural and societal acceptance. A couple of examples that are very common are models and movie stars. Most often models are in every magazine, on every billboard, and in most commercials. Even T.V. shows like Americaââ¬â¢s Next Top Model gives children at a young age what the idea of ââ¬Å"beautifulâ⬠is. Most movie stars arenââ¬â¢t overweight, which generally can contribute to both males and females being self-conscious about what the ideal appearance should be. There are three kinds of aspects that deal with the development of an eating disorder; behavioral, mental, and physical. The National Eating Disorder Association explains the more we focus on thoughts and feelings of our weight and how we look the more we may be missing out on life overall. When we focus on weight and body image, it can become an obsession, which can contribute to emotional and physical issues. The mental aspect of an eating disorder focuses on the opinion of yourself or your self- esteem. Self-esteem and body image both go hand in hand when it comes to oneââ¬â¢s body. Eating disorders not only deal with the mental and behavioral aspects, but those of physical as well can contribute. Anorexia and Bulimia can lead to serious health problems such as kidney failure, heart problems, dehydration, and in excessive cases malnutrition, which can lead to death. A study by the National Association of Anorexia Nervosa and Associated Disorders reported that, ââ¬Å"The mortal ity rate associated with Anorexia nervosa is twelve times higher than the death rate associated with all causes of death for females 15-24 years old.â⬠Anorexia nervosa is an eating disorder in which results in thinness through starvation. It has the highest mortality rate of any psychological disorder, although we know little about the causes of this disorder. Generally the standard cause of death includes bothà effects of starvation and suicide. This is disorder is also known as a visible eating disorder, because most are noticeably thin, although some hide their thinness with big clothes or wearing layers. During this time this individual is not maintaining a normal or healthy weight for their age, height, or gender. Anorexia nervosa tends to have two forms first being starvation or restricting. These individuals reduce their caloric intake and increase physical activity to maintain an abnormally low weight. When your body goes into starvation mode, it can alter your body. The second form is either binge eating, purging, or can be both. When anorexia nervosa is in its early stage these behaviors were seen in over half of the individuals. During anorexia nervosa a person can come to weigh less than 85% of the ideal body weight. Anorexia tends to occur during early adolescence or 10-12 years old. People who suffer from anorexia suffer from not only physical illness, but psychiatric too. Some include cognitive impairment, body-checking, low self-esteem, self-absorption, ritualistic behaviors, extreme perfectionism, and self-consciousness. The two most common psychiatric illnesses with anorexia are depression and anxiety. Some physical symptoms that may occur or develop over time are electrolyte imbalances (sodium and potassium levels), osteoporosis (decreased bone density), lanugo hair, dry brittle hair, low body temperature, low blood pressure, slowed heart rate, growth retardation, bloating, constipation, fidgeting, and loss of tooth enamel and dentin, and dehydration. However, the official diagnosis of anorexia nervosa in females requires the absence of menstruation (amenorrhea), for at least three consecutive months. The deficiency of menstruation is a normal response to starvation and weight loss and the body will then shut down the reproductive functions. Treatment plans of Anorexia nervosa often depend on the individualââ¬â¢s needs which may include medical care and supervision, nutritional counseling and therapy. If they have had severe weight loss, hospitalization is essential to get them back to an appropriate weight. This individual will need assistance in developing new patterns of thought process in their eating patterns. The earlier detected the less treatment necessary. Depending on the individual and the amount of time they have had the eating disorder; treatment can take a short or long period of time. Each person varies in the recovering process of the disorder. According to the Nationalà Association of Anorexia Nervosa and Associated Disorders, ââ¬Å"Only 1 in 10 men and women with eating disorders receive treatment. Only 35% of people that receive that treatment for eating disorders get treatment at a specialized facility for eating disorders.â⬠Bulimia nervosa is an eating disorder that is characterized by a binge and purge pattern. Unlike Anorexia, people who have Bulimia can be at a normal weight range, but still have that fear of weight gain and they are generally very unhappy with their body image, shape, and size. It is also an invisible eating disorder, because individuals are usually of normal weight or over-weight. It can be difficult to place a caloric intake on a binge, but most agree around 1,000 calories is the minimum; however it can be up to 20,000 calories. Bulimia, unlike Anorexia, usually occurs during late adolescence or early adulthood, about 18-22 years old. These individuals persistently follow the pattern of binging in combination with some form of compensatory behavior, which is intended to reverse the effects of the binge or prevent weight gain. Compensatory behaviors include actions such as; self-induced vomiting, misuse of laxatives, diuretics, or other agents, fasting, and excessive exercise. The behavior of Bulimia may not be obvious because they do it in secrecy, because they feel a sense of shame and sickness of what they did. This pattern of binging and purging most likely occurs several times a week. Some data addresses a theory that individuals born after 1960 are at greater risk for the disorder, because it is more of a ââ¬Å"modern occurrenceâ⬠than anorexia. Usually more common in urban areas which suggests that environmental exposure and social learning play a role in the development of this disorder. This disorder is 9 times more common in females than males. Coincidentally, people with Bulimia also have psychiatric and physical aspects. It is estimated that 80% of individuals with bulimia have another psychiatric disorder. The psychiatric features are depression, anxiety, low self-esteem, extreme perfectionism, self-consciousness, irritability, impulsive spending, shoplifting, and may or may not have substance abuse problems, although the most common are anxiety disorders, major depression, substance use, and personality disorders. The two most common personality features those similar to those who have anorexia nervosa, perfectionism and low self-esteem. People with bulimia are likely to be more impulsive and have higher stimulus or sensation-seeking behavior. They also have aà tendency to exhibit more erratic and impulsive traits. Some physical symptoms of bulimia include; dehydration, electrolyte imbalance, kidney problems, inflamed sore throat from purging, acid reflux, swollen parotid glands, gastrointestinal complications, irregular menstruation, constipation, bloating, sensitive and decaying teeth and tooth enamel from stomach acids. Like Anorexia the treatment for Bulimia is essential for the individualââ¬â¢s health. For Bulimia there are a few more options such as; reducing or ending the binging or purging pattern, nutritional counseling, and cognitive behavioral therapy, prescribing medication, and accessing reasons for the illness. About 70% of people who have the disorder of Bulimia recover from it. According to the DSM the criteria is specific for anorexia nervosa and bulimia nervosa. However, most people who have eating disorders do not meet the criteria. There is a different way of diagnosing these particular individuals which is by the Eating Disorder Not Otherwise Specified (EDNOS). According to the textbook, Abnormal Psychology the ââ¬Å"DSM-IV lists six examples of how the symptoms of EDNOS differ from those of the other disorders. Patients may have: 1. all features of anorexia nervosa except amenorrhea. 2. all features of anorexia nervosa except drastic weight loss. 3. all criteria for bulimia nervosa except frequency of binge eating or purging or duration of 3 months. 4. regular, inappropriate compensatory behavior after eating small amounts of food. 5. chewing and spitting out food (purging disorder). 6. binge eating disorder (binging without compensatory behavior.â⬠Binge eating disorder is characterized by regular binge eating behaviors, but without the compensatory behaviors. Binge eating disorder or BED is a recent addition to the DSM, and is not yet an official psychiatric disorder. Since it was a recent addition little is known about its morbidity and mortality. Some research indicates that a person can be ill with BED for approximately 14.4 years which may suggest that BED is not just a temporary stage. The two most common forms of psychiatric disorders are depression and anxiety like most other eating disorders. Of females 3.5% meet the criteria of BED and of males 2%. BED is also found in approximately 5 to 8% of obese individuals. Eating disorders in females and males as discussed are not generally similar. In anorexia nervosa women and girls are more common to have this disorder than men and boys, essentially the ratio being 9 to 1. Many different theoriesà have been presented as to why it affects women more than men. The most effici ent theory is believed to be the increased pressure on females to have the ideal appearance or the ââ¬Å"perfectionâ⬠of the female body. Even though bulimia nervosa is also approximately 9 to 1, women to men can be somewhat sex-biased. Men tend to rely on nonpurging forms of compensatory behavior after binge eating, rather use excessive exercise. It is male athletes that feel pressured to remain thin and fit and focus on their weight and body shape excessively. For binge eating disorder the sex ratio is equally balanced. The developmental factors of eating disorders can assist in determining the causes as well. In anorexia nervosa it generally uncommon during childhood, although it is occurring increasingly. Bulimia nervosa is usually seldom conveyed before puberty. In anorexia nervosa the disorder itself and the associated symptoms can lead to isolation from peers and family. It can also have negative effects on the family emotionally and financially. The parents especially undergo extreme anxiety and struggle to understand why their children are doing this to themselves and their body. All this stress and financial difficulties with the expense of treatment can weaken or ruin a familyââ¬â¢s functioning. For bu limia girls who develop mature figures earlier than their peers may develop disappointment, which can lead to earlier experimentation to design controlled eating and weight, which could very well increase the risk of an eating disorder. Binge eating generally begins in late adolescence or early adulthood. There are many treatments for eating disorders, the treatment goals for individuals with anorexia nervosa, bulimia nervosa, and binge eating disorder differ somewhat, although there are some aspects in common. The treatment goal of anorexia nervosa are increased caloric intake and weight gain so later treatments for psychological aspects of this disorder can be dealt with more effectively. For bulimia nervosa the focus is on the normalization of eating, elimination of binge eating and purging, and improvement of the psychological aspects of the disorder as well. For binge eating disorder individuals who are overweight the goal is to elimination of binge eating and normalization of eating. Also either weight stabilization or weight loss can be effective. In anorexia nervosa inpatient treatment can be accomplished by having a disciplined team to succeed. The first and most important step is weight restoration. Weight is generally not the onlyà factor to consider some other crucial factors such as medical complications, suicide attempts or plans, failure to improve with outpatient treatment, interference with school, work, or family, and pregnancy. Inpatient treatment is very difficult for the patient and the family as the patient is feared of giving up the symptoms, essentially the patient could have developed a phobia of food. It is important for the doctor to create a safe environment to make the patient feel safe and to also obtain the patients trust to make the hospitalization a success. Biological treatments include medications to assist in the cure of the disorder or assist in decreased symptoms of the disorder. Medications prescribed for anorexia nervosa have shown to be ineffective currently. In bulimia nervosa fluoxetine (Prozac) has been known to decrease the core symptoms of binge eating and purging and associated psycho logical features such as depression and anxiety. The FDA approved the treatment of fluoxetine for the treatment of bulimia nervosa, but for no other eating disorders. Although fluoxetine reduces the symptoms it is still not found to reduce or have permanent remission on long-lasting effects. A treatment that is necessary but not a sufficient intervention for all eating disorders is nutritional counseling. An additional treatment that helps individuals change their thinking patterns that contribute to their problem is cognitive-behavioral therapy or (CBT). Recovery rates with CBT wavy from 35-75% at five or more years of follow-up. For anorexia nervosa some evidence suggests that CBT may reduce relapse in adults after weight has been restored. However itââ¬â¢s unclear how effective CBT is with individuals who are extremely underweight. For bulimia nervosa the basis of CBT is self-monitoring. The individuals keep track of what they eat, the situation they were in, and their thoughts and feelings. CBT focuses extensively on relapse prevention for all eating disorders. It is also an effective treatment for a binge eating disorder. Binge eating disorders may first be offered a help-book or an online cognitive-behavioral program online to use at their own pace. For the family theories of anorexia nervosa a family-based intervention is directed to change the dysfunction of the family. This therapy can assist the family in being around healthier and a place to have open communication. Some modern approaches to family therapy for anorexia nervosa include conjoint family therapy, separated family therapy, parent training, and the Maudsley method,à which focuses on parental control of the initial stages of renutrion. The seven values include working with experts who know how to help you, working together as a family, to not blame your child or yourself for the problems you are having, focusing on the problem before you, not debating with your child about eating or weight-related concerns, knowing when to begin backing off, and taking care of yourself because you are the childââ¬â¢s best hope. In conclusion I have discussed and explained the three types of eating disorders; anorexia nervosa, bulimia nervosa, and binge eating disorder. I explained what factors can contribute to the development of an eating disorder. I deliberated three aspects of eating disorders such as the mental, behavioral, and physical. The analyzed the three eating disorders and gave a definition for each. I gave various personalities and other psychological dysfunctions that can come along with eating disorders. I expressed the sex ratios and developmental factors of eating disorders and explained the contributing factors for each. Also in discussing the symptoms of eating disorders lastly I identified some treatments that can assist in reducing symptoms and essentially preventing relapse. Some treatments that were acknowledged are inpatient treatment, biological treatments, nutritional counseling, cognitive-behavioral therapy, and family-based interventions. Works Cited About eating disorders. (n.d.). Retrieved from National Association of Anorexia Nervosa and Associated Disorders website: http://www.anad.org/ââ¬Å'get-information/ââ¬Å'about-eating-disorders/ââ¬Å'bulimia-nervosa/ Body Image: Loving Yourself Inside and Out. (n.d.). Retrieved from The National Womenââ¬â¢s Health Information Center website: http://www.womenshealth.gov/ââ¬Å'bodyimage/ââ¬Å'eatingdisorders/ Eating Disorders. (2008). Retrieved from National Eating Disorder Information Centre website: http://www.nedic.ca/ Eating Disorders: anorexia nervosa, binge eating, and bulimia nervosa. (n.d.). Retrieved from U.S. Library of Medicine, U.S. Department of Health and Human Services, National Institutes of Health website: www.nlm.nih.gov/ââ¬Å'medlineplus/ââ¬Å'eatingdisorders.html Eating disorder statistics. (n.d.). Retrieved from
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