CPG for Eating Disorders

For hospital admission:• Weight does not increase as is established in the weight restoration programme.• Does not comply with rules established in the day hospital in terms of meals, physicalactivity restriction and general functioning.• Presence of significant psychopathology.• The patient’s biological state entails a risk of serious complications (heart rate less than45, potassium less than 3.5 mEq/l, hemametesis and rectal bleeding).• At any moment during the patient’s stay at the day hospital, referral to the InternalMedicine Service may be indicated.8.4.3. Criteria for discharge from the outpatient treatmentprogrammeDischarge criteria will depend on the ITP.• Maintenance of non-altered eating behaviour (diets, over-eating and purging) throughouta period of one year.• Maintenance of stable weight that is within normal values throughout a period of one year.• Absence of menstrual irregularities secondary to eating disorders.• Decreased recurrence risk.• Absence of other psychopathological disturbances that require treatment.8.4.4. Discharge criteria for eating disordersThe process will end when clinical improvement is evident and enables the patient to resumenormal daily life, verifying that during a period of time greater than two years the followingcriteria are being fulfilled:• Maintenance of weight and absence of nutritional imbalances.• Absence of eating peculiarities that are harmful to health.• Adequate relational life.CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS84