Abstract
In the UK there is currently quite wide variation in the expertise available to a patient with severe AN admitted to a medical ward. We believe that this situation needs to be remedied as soon as possible, either by linking acute hospitals with specialist eating disorder units (SEDU) or by developing centres of expertise (pop-up specialist eating disorder services, Pop-up SEDS), possibly based in Liaison or Adult Community Psychiatry, where no SEDU exists locally. Clinicians working in adult eating disorders services must simultaneously address the biological, psychological and social aspects of the illness. We offer advice on how adult psychiatric services can help the medical unit in the management of the MARSIPAN patient, and we also provide teaching materials that can be used by tutors training front line staff, especially doctors, nurses and dietitians. Close collaboration between mental health and medical services is essential, and we suggest an approach to care planning on the medical unit. We believe that with improved training and support, the treatment of really sick patients with anorexia nervosa can improve.
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Dahabra, S., Robinson, P. (2015). How Can the Adult Psychiatric Team and Adult Medical Team Work Optimally to Help the MARSIPAN Patient?. In: Robinson, P., Nicholls, D. (eds) Critical Care for Anorexia Nervosa. Springer, Cham. https://doi.org/10.1007/978-3-319-08174-8_4
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DOI: https://doi.org/10.1007/978-3-319-08174-8_4
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