Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 7862515

Implementing an inpatient eating disorders program.

C Cahill
View original source ↗Export metadata ↓

Abstract

Inpatient treatment can be quite effective for clients with severe or persistent eating disorders. A successful treatment program, however, requires extensive nursing participation. The author addresses specific clinical problems and system issues related to this population of clients. She stresses the importance of clinical expertise among nursing staff and coordination with interdisciplinary staff members.

Explore related subjects

Feeding and Eating DisordersHumansInpatientsProgram DevelopmentPsychiatric NursingSystems AnalysisJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

C Cahill. Implementing an inpatient eating disorders program.. https://doi.org/10.1111/j.1744-6163.1994.tb00437.x

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Eating disorders in the 21st century: identification, management, and prevention in obstetrics and gynecology.

Eating disorders are extremely common and carry a high degree of medical and psychiatric morbidity. These disorders are challenging to treat because many patients deny their symptoms, have poor motivation to change, and can become frustrating to the clinician. Case identification based upon suggested screening questions and ongoing management of medical consequences are important roles for the obstetrician/gynecologist involved in the care of these patients. This chapter discusses the benefits and limitations of contemporary treatment, special populations at risk (e.g. athletes, diabetics), and screening guidelines for office practice. Signs, symptoms, laboratory abnormalities, and the perils of associated psychiatric illness are briefly reviewed. Patients do respond to a comprehensive, integrated treatment plan that includes nutritional stabilization, psychotherapy, and pharmacotherapy. Collaboration between all professionals involved in the patient's care is essential for state-of-the-art care. Those patients who become pregnant or wish to become pregnant pose certain additional treatment considerations. Ongoing and future research aimed at understanding how eating disorders develop - and may be prevented by early identification and education - will result in enhanced knowledge of these life-threatening and often chronic illnesses in the 21st century.

Feeding and Eating Disorders↗
PubMed2006

Gastrointestinal disturbances in eating disorders: clinical and neurobiological aspects.

Symptoms of the upper and lower gastrointestinal (gastrointestinal) tract have been described in anorexia nervosa and bulimia nervosa. Studies focusing on general outcome and medical comorbidity describe a worse outcome in the binge eating/purging subtype of anorexia nervosa compared to the restricting subtype. Both anorexia nervosa subtypes experience substantial delays in gastric emptying as well as constipation. These gastrointestinal disturbances may play a role in anorexia nervosa patients' difficulties with refeeding and weight restoration. Bulimia nervosa patients showed increased gastric emptying capacity, with delayed gastric emptying and diminished gastric relaxation. In addition, diminished release of cholecystokinin and abnormalities in enteric autonomic function were found in bulimia nervosa patients. These factors may play a role in the perpetuation of the disease. Gastrointestinal disturbances develop secondary to the disordered eating behaviour and the concomitant malnutrition and subside mostly with the resumption of normal food intake and body weight. Knowledge of these changes may be of critical importance in avoiding misdiagnosis and successful therapy.

Feeding and Eating Disorders↗