Binge Eating Disorder

Binge eating disorder:

these individuals engage in episodes of increased intake that occur beyond the point of satiety and cause distress afterwards

What’s the most common eating disorder?

binge eating disorder

Assessment for binge eating disorder:

GI issues associated w episodes, nurse helps pts reduce binge eating and helping manage the GI symptoms

General assessment for binge eating disorder:

it can be difficult to distinguish if obesity is caused by the disorder

Self-assessment for binge eating disorder:

it’s common for these individuals to think obesity is a personal flaw → failing to control eating habits and exercise habits

Outcome identification for binge eating disorder:

in order to evaluate tx outcome, criteria must be established to measure tx results → pts should be included

Planning - binge eating disorder:

focuses on rebuilding daily intake, balancing frequency and volume; inclusion of healthy movement and physical activity at a slow pace; encourage focus on the emotional components of the disorder

Symptoms that can be caused by binge eating disorder:

GI problems associated w periodic dilation of the stomach; heartburn, dysphagia, bloating, abd pain, diarrhea, urgency, constipation, feeling of anal blockage

Implementation - binge eating disorder:

usually out-pt tx unless the pt is in an in-pt tx for a comorbid disorder; nurses should avoid judgmental terms; the disorder isn’t about food but rather coping w emotions

When is a pt w binge eating disorder ready to practice coping mechanisms?

once they’re consciously aware of events/triggers

Evaluation of binge eating disorder:

evaluation of tx effectiveness is ongoing, outcomes revised w the pts input is necessary

Pharmacotherapy tx modalities for binge eating disorder:

SSRIs, SNRIs, tricyclic antidepressants and antiepileptic agents, lisdexamfetamin dimesylate (vyvanse)

SSRIs for binge eating disorder:

near the end of the high-end of dosage, short-term; after stopping the pt may gain significant weight

SNRIs for binge eating disorder:

duloxetine (cymbouta), venlafaxine (effexor XR)

Lisdexamfetamin dimesylate (vyvanse):

stimulant used for ADHD and used for binge eating; used for mod-severe binge eating, lower risk for relapse

Side effects of Vyvanse:

dry mouth, insomnia, decreased appetite, increased HR, constipation, feeling jittery, anxiety; BLACK BOX - “abuse and dependence”

Surgical interventions for binge eating disorder:

bariatric surgery → controversial bc of potential complications

Potential complications for bariatric surgery:

impaired fasting glucose, high triglycerides, urinary incontinence

Psychological therapies for binge eating disorder:

CBT, DBT, IPT