eating disorder quick

eating disorder quick

HideShow resource information
  • Created by: Abigail
  • Created on: 30-06-10 19:12
Preview of eating disorder quick

First 46 words of the document:

Issue date: January 2004
Quick reference guide
Eating disorders
Core interventions in the treatment
and management of anorexia
nervosa, bulimia nervosa and
related eating disorders
Clinical Guideline 9
Developed by the National Collaborating
Centre for Mental Health

Other pages in this set

Page 2

Preview of page 2

Here's a taster:

Ordering information
Copies of this quick reference guide can be obtained from the
NICE website at or from
the NHS Response Line by telephoning 0870 1555 455 and
quoting reference number N0406. Information for the public
is also available from the NICE website or from the NHS
Response Line (quote reference number N0407 for an English
version, and N0408 for a version in English and Welsh).…read more

Page 3

Preview of page 3

Here's a taster:

Grading of the recommendations 2
Key priorities for implementation 3
Guidance 4
Care across all conditions 5
1. Assessment and coordination of care 5
2. Providing good information and support 5
3. Getting help early 6
4. Management of physical aspects 6
5. Additional considerations for children and adolescents 6
6. Identification and screening of eating disorders in 7
primary care and non-mental health settings
Anorexia nervosa 8
1. Assessment and management of anorexia nervosa 8
in primary care
2.…read more

Page 4

Preview of page 4

Here's a taster:

Grading of the recommendations
Grading of the recommendations
This guidance is evidence based, and the recommendations are
graded as follows:
AA At least one randomised controlled trial as part of a
body of literature of overall good quality and consistency
addressing the specific recommendation (evidence level I)
without extrapolation
BB Well-conducted clinical studies but no randomised clinical
trials on the topic of recommendation (evidence levels II or
III); or extrapolated from level I evidence
CC Expert committee reports or opinions and/or clinical
experiences of respected…read more

Page 5

Preview of page 5

Here's a taster:

Key priorities for implementation
Key priorities for implementation
The following recommendations have been identified as key priorities
for implementation.
Anorexia nervosa
· Most people with anorexia nervosa should be managed on an
outpatient basis with psychological treatment provided by a service
that is competent in giving that treatment and assessing the physical
risk of people with eating disorders.…read more

Page 6

Preview of page 6

Here's a taster:

The following guidance is evidence based. The grading scheme
used is shown on page 2. Further information on the grading of
the recommendations and on the evidence used to develop the
guideline is presented in the full guideline (see back cover for
details). This guideline applies to adults, adolescents and children
aged 8 years and older.…read more

Page 7

Preview of page 7

Here's a taster:

Care across all conditions
Care across all conditions
Care across all conditions
1 Assessment and coordination of care
· Assessment of people with eating disorders should be
comprehensive and include physical, psychological and
social needs, and a comprehensive assessment of risk to self. C
· The level of risk to the patient's mental and physical health
should be monitored as treatment progresses because it may
increase ­ for example, following weight gain or at times of
transition between services in cases of anorexia nervosa.…read more

Page 8

Preview of page 8

Here's a taster:

Care across all conditions
3 Getting help early
Care across all conditions
· People with eating disorders seeking help should be assessed
and receive treatment at the earliest opportunity.
· Early treatment is particularly important for those with or at
risk of severe emaciation and such patients should be prioritised
for treatment. C
4 Management of physical aspects
· Where laxative abuse is present, patients should be advised to
gradually reduce laxative use and informed that laxative use
does not significantly reduce calorie absorption.…read more

Page 9

Preview of page 9

Here's a taster:

Care across all conditions
· In children and adolescents with eating disorders, growth and
Care across all conditions
development should be closely monitored. Where development
is delayed or growth is stunted despite adequate nutrition,
paediatric advice should be sought.
· Healthcare professionals assessing children and adolescents
with eating disorders should be alert to indicators of abuse
(emotional, physical and sexual) and should remain so
throughout treatment. C
· The right to confidentiality of children and adolescents with
eating disorders should be respected.…read more

Page 10

Preview of page 10

Here's a taster:

Anorexia nervosa
Anorexia nervosa
Assessment and management of anorexia nervosa in
primary care
· In anorexia nervosa, although weight and BMI are important indicators
they should not be considered the sole indicators of physical risk (as
they are unreliable in adults and especially in children).
· In assessing whether a person has anorexia nervosa, attention
should be paid to the overall clinical assessment (repeated over
time), including rate of weight loss, growth rates in children,
objective physical signs and appropriate laboratory tests.…read more


No comments have yet been made

Similar Psychology resources:

See all Psychology resources »See all resources »