Eating disorders management

Birmingham CL, Beumont PJV, Crawford R, et al. Medical Management of Eating Disorders A Practical Handbook for Healthcare Professionals. Cambridge, UK Cambridge University Press, 2004. 

Health, N. C. C. f. M. (2003). Eating Disorders Core Interventions in the Treatment and Management of Anorexia Nervosa, Bulimia Nervosa and Related Eating Disorders. London, UK, British Psychological Society. 

The Management of Eating Disorders and Obesity, edited by David J. 

Chapter 79 Eating disorders Preparation Assessment Management What if... ... 

People with eating disorders usually present to GPs/CMHTs, but you ll occasionally see them in ED due to physical complications or family crises. There s often professional anxiety that they ll end up in the wrong place - on a medical ward wiiich can t handle the psychological complexities and feeding, or a psychiatric ward ill-equipped to manage physical complications. Liaise closely with the medics to meet Emma s needs first medical, then psychiatric. 

The Management of Really Sick Patients with Anorexia Nervosa (MARSIPAN, 2014) report advises that extremely unwell patients should be managed on a Specialist Eating Disorder Unit (SEDU) unless they need interventions only available in a medical hospital, e.g. IV fluids, cardiac monitoring. 

Prioritise physical management and feeding, seeking early advice from eating disorder specialists. 

Methylphenidate Stimulants, such as methylphenidate and amphetamine, are widely used in the management of attention deficit hyperactivity disorder (ADHD). Such drugs have long been known to reduce hunger, but have not been generally recommended for treatment of BN. A few patients who have symptoms of bulimia nervosa plus some co-morbid features of ADHD have noted that the addition of methylphenidate or amphetamine markedly reduced the frequency of binge eating (Drimmer 2003). 

Lorena is 32 and has schizoaffective disorder. Relatives found her immobile in bed last week, and she was admitted under Section 3. She didn t eat or drink over the weekend, and your consultant has asked you to assess Lorena and present a management plan. 

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