Answer to Question 1
a . Recurrent episodes of binge eating (rapid consumption of a large amount of food in a discrete period of time).
b. A feeling of lack of control over eating behavior during the eating binges.
c. Regular practice of either self-induced vomiting, use of laxatives or diuretics, strict dieting or fasting, or vigorous exercise in order to prevent weight gain.
d. A minimum average of two binge eating episodes a week for at least three months.
e. Persistent excessive concern with body shape and weight.
a . Obesityfrom excess calories
b. Gastric rupturingstomach bursts from too much food
c. Heartburnfrom reflux of stomach acid into esophagus
d. Esophageal rupture
e. Tooth decayacid from stomach destroys teeth enamel
f. Metabolic alkalosis
g. Heart arrhythmias
h. Dehydration
i. Constipation
j. Mineral imbalancesexcess loss of potassium in feces
k. Cathartic coloncolon needs a laxative to promote peristalsis.
Answer to Question 2
Set small goals for SP to reach in a very reasonable amount of time. Do not put emphasis on weight gain but on the improvement of diet and the increase of kcals. Encourage SP to quit counting kcals and to just eat a balanced diet. Encourage SP to eat with a close friend or relative who understands her condition and will encourage her. There are many other areas that could be explored. The length and extent of this answer would be up to the instructor.
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