Nutrition Discussion replies

Hello! I have copied and pasted two discussion posts from my fellow peers. Please write a separate reply for both discussions. When posting your peer responses, posts that are “Good job” or “Good post, I learned so much” type of response postings will not be accepted as substantial postings. To receive full credit you need to have a substantial response post. You need to either add additional information to another’s post, clarify information or provide examples which will prove the point. Do not ask another student a question as a response post. If you have a question, look up the information and share it with the class. Remember any information you post as a fact must be supported by evidence. When thinking about what information needs to be referenced, unless you did the actual research to discover the information, you must cite it. You may do 125 words for each discussion reply; please do cite when including additional information.

1. Rumination disorder is a rare eating disorder characterized by the repeated regurgitation of food that has been swallowed, followed by either re-chewing, re-swallowing, or spitting out the food. This condition is typically seen in infants and young children but can also occur in adults. Repeated regurgitation is the most common and defining feature of rumination disorder. The person will bring food back into the mouth, sometimes immediately after swallowing, without apparent effort or discomfort. The person may chew the regurgitated food again before swallowing it or simply re-swallow the food without chewing. Sometimes, the person may spit out the regurgitated food instead of re-chewing or re-swallowing it. The person with rumination disorder may not be aware that they are regurgitating their food or have any control over the process. Individuals with rumination disorder may experience weight loss, malnutrition, bad breath, dental erosion, and other physical symptoms resulting from the disorder. Individuals with rumination disorder may also experience psychological distress related to their eating habits, such as anxiety, shame, or guilt. Rumination disorder can also have social implications, as the person may avoid eating with others or in public due to embarrassment. Nurses who are caring for patients with rumination disorder should expect symptoms of repeated regurgitation of food, chewing or re-swallowing of regurgitated food, spitting out of food, bad breath, dental erosion, weight loss or malnutrition, psychological distress, such as anxiety, shame, or guilt and social isolation or avoidance of eating in public. Total Parenteral Nutrition (TPN) and Enteral Nutrition are two types of nutritional support that may be used in caring for patients with Rumination Disorder. TPN is a form of nutrition given intravenously (IV) through a central or PICC line. It provides all the necessary nutrients the body needs to function, including protein, fat, carbohydrates, vitamins, and minerals. TPN may be used in patients with severe malnutrition or when enteral nutrition is impossible due to gastrointestinal dysfunction. TPN may be used in patients with Rumination Disorder if they cannot take in enough nutrition orally due to frequent regurgitation and vomiting. Enteral nutrition is a form of nutrition that is given directly into the digestive system through a feeding tube. It can be passed through the nose (nasogastric or nasoenteric tube) or a surgically placed tube (gastrostomy or jejunostomy tube). Enteral nutrition provides the necessary nutrients the body needs, just like TPN. However, it is more natural and can help maintain normal digestion and bowel function. In patients with Rumination Disorder, enteral nutrition may provide a constant source of nutrition and prevent regurgitation and vomiting. When deciding between TPN and enteral nutrition for patients with Rumination Disorder, several factors must be considered, such as the severity of malnutrition, the degree of gastrointestinal dysfunction, the patient’s age and overall health status, and the patient’s preferences. The treatment plan may include a combination of medical, nutritional, and behavioral interventions to help the patient improve their eating habits, manage their symptoms, and achieve optimal health outcomes.

2. Hi everyone, I chose to write my discussion about Bulimia nervosa.
Characteristics of Bulimia include Individuals often experiencing an intense urge to eat large amounts of food within a short period of time. They may engage in purging behaviors such as self-induced vomiting, laxative or diuretic abuse, or excessive exercise to try to compensate for the excess calories consumed. People with bulimia nervosa may have a distorted body image and be excessively preoccupied with their weight and shape. They may feel intense shame or guilt about their eating habits. They may also struggle with self-esteem and feel shame or guilt around food. Nurses are expected to look for signs and symptoms of a patient with Bulimia, such as refusing to eat with a variety of excuses, binge eating, excessive exercise, vomiting, tooth decay from stomach acid, mood disturbances such as anxiety and depression, irregular menstrual cycles, gastrointestinal issues, and electrolyte imbalance. According to Walden Eating Disorders, if too much water is purged from the body, it can result in serious medical complications including hypovolemic shock, seizures, and kidney or heart failure (Walden, 2022). It is important for nurses to catch on to mental health-related issues as often as physical health-related issues, for they are both equally as important. After watching the video on Total Parenteral nutrition, I learned that it is a form of IV nutritional support for those who are unable to use their gastrointestinal system for an extended period of time. TPN is an IV mixture of dextrose, amino acids, lipids, electrolytes, vitamins, elements, and water which is highly beneficial for those who are malnourished. For example, if a chronic bulimic patient received esophageal rupture surgery due to constant vomiting, they would obtain a TPN treatment until they are slowly able to eat liquids and solid food again. They will also need a TPN due to dehydration and severe malnutrition.

Resources
5 medical risks of bulimia: Walden. Walden Eating Disorders. (2022, March 14). Retrieved February 21, 2023, from https://www.waldeneatingdisorders.com/blog/5-medical-risks-of-bulimia-nervosa/#:~:text=Those%20with%20bulimia%20are%20at,and%20kidney%20or%20heart%20failure.Hi everyone, I chose to write my discussion about Bulimia nervosa.

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