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Chapter 4 - Risk Assessment and Management

Published online by Cambridge University Press:  12 June 2020

Jane Morris  and
Caz Nahman
Jane Morris
Affiliation:
Royal Cornhill Hospital
Caz Nahman
Affiliation:
Nottinghamshire Healthcare NHS Trust
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Summary

This chapter looks at ethical and medico-legal aspects of eating disorder treatment. Legal frameworks for involuntary treatment of this illness may be needed when risks are high and capacity is lacking. The reader is also introduced briefly to some of the different legal frameworks present in England, Northern Ireland, and Scotland. We mention eating disorder legislation in the United States. Ethical aspects of care are also discussed and should provoke thoughtfulness no matter what part of the world the clinician is working in.

Keywords

risk assessmentphysical riskspsychosocial risksbehavioural risksrisk managementmedical care
Type
Chapter
Information
New to Eating Disorders , pp. 20 - 26
Publisher: Cambridge University Press
Print publication year: 2020

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References

References and Further Reading

Bermudez, O., Devlin, M. et al. (2016) Eating Disorders: A Guide to Medical Care. Academy for Eating Disorders (AED) Report, Reston, VA. https://www.aedweb.org/resources/publications/medical-care-standardsGoogle Scholar
Birmingham, L. C., & Treasure, J. (2010) Medical Management of Eating Disorders. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
O’Connor, G., & Nicholls, D. (2013) Refeeding hypophosphatemia in adolescents with anorexia nervosa: A systemic review. Nutrition in Clinical Practice, 28(3): 358–64.Google Scholar
Robinson, P. (2012) Avoiding deaths in hospital from anorexia nervosa: The MARSIPAN project. The Psychiatrist, 36(3): 109–113.Google Scholar
Robinson, P. & Nicholls, D. (Eds.) (2015) Critical Care for Anorexia Nervosa: The MARSIPAN Guidelines in Practice. Cham: Switzerland.Google Scholar
Royal College of Psychiatrists. (2012) Junior MARSIPAN: Management of Really Sick Patients under 18 with Anorexia Nervosa. College Report No. CR168, Royal College of Psychiatrists, London. www.rcpsych.ac.uk/usefulresources/publications/collegereports/cr/cr168.aspxGoogle Scholar
Royal College of Psychiatrists. (2014) MARSIPAN: Management of Really Sick Patients with Anorexia Nervosa. College Report No. CR189, Royal College of Psychiatrists, London. www.rcpsych.ac.uk>docs>college-reports>college-report-cr189docs>college-reports>college-report-cr189>Google Scholar
Vignaud, M., Constantin, J. M., Ruivard, M. et al. (2010) Refeeding syndrome influences outcome of anorexia nervosa patients in intensive care unit: An observational study. Critical Care, 14(5): R172. http://ccforum.com/content/14/5/R172CrossRefGoogle ScholarPubMed

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