Westmead eating disorders day program

The primary focus of initial management is the treatment of the medical complications of anorexia nervosa and the commencement of the most appropriate form of refeeding to attain medical stabilisation and initiate nutritional recovery. Generally patients are medically compromised on admission and require cardiac monitoring and continuous supplemental feeding through a nasogastric tube for the first 48 hours.

Once the patient is more medically stable, overnight supplemental nasogastric feeds are commenced and the patient is encouraged to eat a prescribed diet during the day. These supplemental feeds are slowly weaned to enable the patient to relearn healthy and safe eating prior to discharge home. Patients are weighed on Monday, Wednesday and Friday mornings to monitor their progress. The treating team also meet on these days to discuss progress and prescribe changes in management.

The patient attends these meetings and is consulted about their care and progress. Families attend a meeting with the multidisciplinary team on Fridays. Once the patient is medically stable and no longer requiring continuous cardiac monitoring, meals are eaten at a dinning table and supervised by nursing staff who encourage safe and healthy eating and normalization of eating behaviours with therapeutic meal support.

The school is staffed by specially trained high school teachers and aims to help keep young people up to date with their school studies whilst they are ill in hospital. Activity based group interventions are held on the ward after lunch from Monday to Thursday. Group therapy for the young people targets skills to manage distress, improve flexible thinking, explore adolescent issues and improve communication skills.

These interventions aim to improve coping and help the family support to be more effective. This presentation will outline the current IFAED Day Program structure and content, theoretical underpinnings and some preliminary outcome data. National Center for Biotechnology Information , U. Journal List J Eat Disord v. J Eat Disord. Published online Nov Group therapy for the young people targets skills to manage distress, improve flexible thinking, explore adolescent issues and improve communication skills.

These interventions aim to improve coping and help the family support to be more effective. This presentation will outline the current IFAED Day Program structure and content, theoretical underpinnings and some preliminary outcome data. You can also search for this author in PubMed Google Scholar. Correspondence to Julian Baudinet. This article is published under license to BioMed Central Ltd. Reprints and Permissions. Baudinet, J. J Eat Disord 3, O8 Download citation.