CPG for Eating Disorders

Anorexia nervosaRecommendationsD 9.GM.1. In feeding guidelines for children and adolescents with anorexianervosa, carers should be included in any dietary information, educationand meal planning. (Adopted from recommendation 6.5.8.9 of the NICECPG).D 9.GM.2. Feeding against the will of the patient should be used as a last resort in themanagement of AN. (Adopted from recommendation 6.4.13.5 of the NICECPG).D 9.GM.3. Feeding against the will of the patient is an intervention that must beperformed by experts in the management of eating disorders and relatedclinical complications. (Adopted from recommendation 6.4.13.6 of theNICE CPG).D 9.GM.4. Legal requirements must be acknowledged and complied with whendeciding whether to feed a patient against his/her will. (Adopted fromrecommendation 6.4.13.7 of the NICE CPG).D 9.GM.5. Health care professionals must be careful with the healthy weightrestoration process in children and adolescents with AN, administering thenutrients and energy required by providing an adequate diet to promotenormal growth and development. (Adopted from recommendation 6.5.8.8of the NICE CPG).Bulimia nervosaRecommendationsD 9.GM.6. Patients with BN who frequently vomit and abuse laxatives can developabnormalities in electrolyte balance. (Adopted from recommendation7.5.3.1 of the NICE CPG).D 9.GM.7. When electrolyte imbalance is detected, in most cases elimination of thebehaviour that caused it is sufficient to correct the problem. In a smallnumber of cases, oral administration of electrolytes whose plasmatic levelsare insufficient is necessary to restore normal levels, except in casesinvolving gastrointestinal absorption. (Adopted from recommendation7.5.3.2 of the NICE CPG).D 9.GM.8. In the case of laxative misuse, patients with BN must be advised on how todecrease and stop abuse. This process must be carried out gradually.Patients must also be informed that the use of laxatives does not decreasenutrient absorption.CLINICAL PRACTICE GUIDELINE FOR EATING DISORDERS95