Discussion:
Eating disorder question?
(too old to reply)
Emma Vinton
2003-07-26 00:02:49 UTC
Permalink
Hi

I'm a nurse on an eating disorder ward, and I have a student who is looking
for information on management of various issues, one of which is 'how would
a nurse manage a situation where an anorexic patient has hidden food in her
room?'. (bearing in mind that the unit does not allow this, and patients
sign a treatment agreement when they arrive). I am looking for
journal/nursing articles or advice from others who work in this field, also
any info on non-compliance with medication. Any info will be greatly
received. Thank you.

Regards,
Emma V (North East)
amyspilani
2003-07-29 13:44:29 UTC
Permalink
have her smoke some pot. eventually she'll get the munchies then lay a
bunch
of food out in her room.
marry jane for medicinal use
That is among the most stupid thing I have ever read on here.. and let me
tell you, I read some stupid things.
Post by Emma Vinton
Hi
I'm a nurse on an eating disorder ward, and I have a student who is
looking
Post by Emma Vinton
for information on management of various issues, one of which is 'how
would
Post by Emma Vinton
a nurse manage a situation where an anorexic patient has hidden food in
her
Post by Emma Vinton
room?'. (bearing in mind that the unit does not allow this, and patients
sign a treatment agreement when they arrive). I am looking for
journal/nursing articles or advice from others who work in this field,
also
Post by Emma Vinton
any info on non-compliance with medication. Any info will be greatly
received. Thank you.
Regards,
Emma V (North East)
Emma Vinton
2003-07-29 22:49:59 UTC
Permalink
Can we please focus on the question??????? I need advice!
Post by amyspilani
have her smoke some pot. eventually she'll get the munchies then lay a
bunch
of food out in her room.
marry jane for medicinal use
That is among the most stupid thing I have ever read on here.. and let me
tell you, I read some stupid things.
Post by Emma Vinton
Hi
I'm a nurse on an eating disorder ward, and I have a student who is
looking
Post by Emma Vinton
for information on management of various issues, one of which is 'how
would
Post by Emma Vinton
a nurse manage a situation where an anorexic patient has hidden food in
her
Post by Emma Vinton
room?'. (bearing in mind that the unit does not allow this, and
patients
Post by Emma Vinton
sign a treatment agreement when they arrive). I am looking for
journal/nursing articles or advice from others who work in this field,
also
Post by Emma Vinton
any info on non-compliance with medication. Any info will be greatly
received. Thank you.
Regards,
Emma V (North East)
Rain Maker
2003-07-30 01:29:25 UTC
Permalink
On Tue, 29 Jul 2003 22:49:59 +0000 (UTC), in alt.support.eating-disord
Post by Emma Vinton
Can we please focus on the question??????? I need advice!
I'm not sure what type of information you are seeking as the
consequence seems obvious. Generally, an agreement, once broken, has
consequences and if you willing to alienate the agreement for any
reason, then why have an agreement in the first place?

Dana sends
Post by Emma Vinton
Post by amyspilani
have her smoke some pot. eventually she'll get the munchies then lay a
bunch
of food out in her room.
marry jane for medicinal use
That is among the most stupid thing I have ever read on here.. and let me
tell you, I read some stupid things.
Post by Emma Vinton
Hi
I'm a nurse on an eating disorder ward, and I have a student who is
looking
Post by Emma Vinton
for information on management of various issues, one of which is 'how
would
Post by Emma Vinton
a nurse manage a situation where an anorexic patient has hidden food
in
Post by amyspilani
her
Post by Emma Vinton
room?'. (bearing in mind that the unit does not allow this, and
patients
Post by Emma Vinton
sign a treatment agreement when they arrive). I am looking for
journal/nursing articles or advice from others who work in this field,
also
Post by Emma Vinton
any info on non-compliance with medication. Any info will be greatly
received. Thank you.
Regards,
Emma V (North East)
Heather
2003-07-30 03:59:01 UTC
Permalink
even though my earlier post may have sounded a little out there.... the
point i'd like to make is that your patient has to want to get better, she
can sign agreements till her last breath but until she decides she needs
food to live and wants this, your banging your head against a wall..... ask
yourself one question what" punishment" could you impose on her that could
even touch the one she inflicted on herself ? i'd try the munchie thing she
might actually forget that she has a hang up and her animal instincts would
take over.
perhaps my sence of humor was inappropriate but i think the basic message
holds true.

mary jane
Post by Rain Maker
On Tue, 29 Jul 2003 22:49:59 +0000 (UTC), in alt.support.eating-disord
Post by Emma Vinton
Can we please focus on the question??????? I need advice!
I'm not sure what type of information you are seeking as the
consequence seems obvious. Generally, an agreement, once broken, has
consequences and if you willing to alienate the agreement for any
reason, then why have an agreement in the first place?
Dana sends
Post by Emma Vinton
Post by amyspilani
have her smoke some pot. eventually she'll get the munchies then lay a
bunch
of food out in her room.
marry jane for medicinal use
That is among the most stupid thing I have ever read on here.. and let me
tell you, I read some stupid things.
Post by Emma Vinton
Hi
I'm a nurse on an eating disorder ward, and I have a student who is
looking
Post by Emma Vinton
for information on management of various issues, one of which is 'how
would
Post by Emma Vinton
a nurse manage a situation where an anorexic patient has hidden food
in
Post by amyspilani
her
Post by Emma Vinton
room?'. (bearing in mind that the unit does not allow this, and
patients
Post by Emma Vinton
sign a treatment agreement when they arrive). I am looking for
journal/nursing articles or advice from others who work in this field,
also
Post by Emma Vinton
any info on non-compliance with medication. Any info will be greatly
received. Thank you.
Regards,
Emma V (North East)
Rain Maker
2003-07-30 11:06:06 UTC
Permalink
On 30 Jul 2003 01:22:50 GMT, in alt.support.eating-disord
Post by amyspilani
That is among the most stupid thing I have ever read on here.. and let me
tell you, I read some stupid things.
Agreed. Appetite "stimulants" dont work on anorexics
and any attempt to prescribe one is misinformed and cruel.
It would only add to the anorexics stress.
Several of the SSRIs have the effect of "stimulating" the appetite.
Also, it is not uncommon for anorectic AIDS patients to be prescribed
medical marijuana with very favorable results.

Dana sends
amyspilani
2003-07-30 20:51:24 UTC
Permalink
Post by Rain Maker
Post by amyspilani
That is among the most stupid thing I have ever read on here.. and let me
tell you, I read some stupid things.
Several of the SSRIs have the effect of "stimulating" the appetite.
Also, it is not uncommon for anorectic AIDS patients to be prescribed
medical marijuana with very favorable results.
Dana sends
Yes but Dana..

Anorexia in part is about fighting the hunger, taming the tiger. Using all
the energy to bend the hunger to the will of the illness. Staying up all
night and having thoughts, wishes, urges about eating, then feeling amazing
for not doing so. Being proud the evil apple did not take then to the place
they hate, fullness. And we are talking about Anorexics who choose the
disorder to cope with whatever wound gets them on the path in the first
place.. not people with AIDS.. yes?

I work with women every day who are Anorexic and the one thing that they
have all heard, and that pisses them off more then anything, is when people
tell them to smoke a joint.. it will make them hungry. And the angry
response is "But that is all I ever am.. hungry!"

Respectfully...

A.
amyspilani
2003-07-31 07:35:45 UTC
Permalink
Ah, the seemingly unavoidable "but"...
SNIP...

We agree.. I am.. shocked.. :)
Emma Vinton
2003-07-30 21:10:36 UTC
Permalink
Hi all, cheers for posting.

Just to clarify, we supported the patient through her distress and explored
strategies that would help her to not sneak food in to her room again
(better ways of coping etc). The question was purely for debate, as I have
a student who wants to explore this topic for an assignment. I was curious
to know whether anyone else had dealt with similar situations, or had any
advice to give. Cheers for relpying. I'll check CINAHL again. thanks!

Regards,
Emma V (North East)
Heather
2003-07-31 02:26:03 UTC
Permalink
in your post you wrote "strategies that would help her to not sneak food
into her room again"
why would a person with anorexia sneak food into her room? i've heard of
them hiding food that they didn't eat so the nurses would think they did
eat. but never sneaking food into their room? could you explain?

mary jane
Post by Emma Vinton
Hi all, cheers for posting.
Just to clarify, we supported the patient through her distress and explored
strategies that would help her to not sneak food in to her room again
(better ways of coping etc). The question was purely for debate, as I have
a student who wants to explore this topic for an assignment. I was curious
to know whether anyone else had dealt with similar situations, or had any
advice to give. Cheers for relpying. I'll check CINAHL again. thanks!
Regards,
Emma V (North East)
Argh Girl
2003-07-31 14:07:02 UTC
Permalink
Hmm...I don't know the reasons but I do know that I did this when I
was anorexic. I would (and still do) get *extremely* panicky if there
is not lots of food around me...just in case I want to eat because I
am so hungry...and also I suppose to keep proving to myself over and
over that I am strong and don't need to eat it. I am not sure if these
are even the reasons...just know that I felt and still feel extremely
distressed if I do not have food around me (even if I am not at all
planning to eat it).

ag
Post by Heather
in your post you wrote "strategies that would help her to not sneak food
into her room again"
why would a person with anorexia sneak food into her room? i've heard of
them hiding food that they didn't eat so the nurses would think they did
eat. but never sneaking food into their room? could you explain?
mary jane
Post by Emma Vinton
Hi all, cheers for posting.
Just to clarify, we supported the patient through her distress and
explored
Post by Emma Vinton
strategies that would help her to not sneak food in to her room again
(better ways of coping etc). The question was purely for debate, as I
have
Post by Emma Vinton
a student who wants to explore this topic for an assignment. I was
curious
Post by Emma Vinton
to know whether anyone else had dealt with similar situations, or had any
advice to give. Cheers for relpying. I'll check CINAHL again. thanks!
Regards,
Emma V (North East)
Emma Vinton
2003-08-02 18:42:04 UTC
Permalink
Hi all,

The patient hid the food in order to binge with it later.
Post by Heather
in your post you wrote "strategies that would help her to not sneak food
into her room again"
why would a person with anorexia sneak food into her room? i've heard of
them hiding food that they didn't eat so the nurses would think they did
eat. but never sneaking food into their room? could you explain?
mary jane
Post by Emma Vinton
Hi all, cheers for posting.
Just to clarify, we supported the patient through her distress and
explored
Post by Emma Vinton
strategies that would help her to not sneak food in to her room again
(better ways of coping etc). The question was purely for debate, as I
have
Post by Emma Vinton
a student who wants to explore this topic for an assignment. I was
curious
Post by Emma Vinton
to know whether anyone else had dealt with similar situations, or had any
advice to give. Cheers for relpying. I'll check CINAHL again. thanks!
Regards,
Emma V (North East)
Cam
2003-08-04 19:48:22 UTC
Permalink
Post by Emma Vinton
Hi
I'm a nurse on an eating disorder ward, and I have a student who is looking
for information on management of various issues, one of which is 'how would
a nurse manage a situation where an anorexic patient has hidden food in her
room?'. (bearing in mind that the unit does not allow this, and patients
sign a treatment agreement when they arrive). I am looking for
journal/nursing articles or advice from others who work in this field, also
any info on non-compliance with medication. Any info will be greatly
received. Thank you.
If an agreement was signed, this means there were rules that the patient read
before signing themselves in, and there were consequences spelled out if the
rules were broken. Here are some ideas.

For first violation, give the person a warning. Also explain what will happen
for a 2nd and third violation.

FOr a 2nd violation, they lose something, like TV for a day. 3rd violation
loses TV for 2 days, 4th violation loses TV for 4 days, doubling each time.

Or violations earn extra chores, like washing pots and pans in the kitchen. Or
no free time for a day.
--
Support whirled peas.
Carol J
2003-09-24 06:03:12 UTC
Permalink
I work in LTC here in Albuq. NM.........and often patients will be
non-compliant with recommendations from the doctor with their diets, meds,
etc. What we do is conduct a special care conference with the patient,
family, doctor and charge nurse. All cards are laid on the table and the
patient is asked whether or not they wish to remain in the services of the
doctor. If they say yes, then they sign a behavior contract that they
understand what the doctor is asking them to do and if they break the
contract, the doctor will then cease to provide them with medical assistance
and they are given a 30 day notice to leave the facility. I know this
sounds harsh but in the sue happy world we live in, we find we have to do
this to protect our other residents/staff and everyone else involved. And
it makes the patient be accountable for their choice. It's really kind of
the same thing, isn't it? The doctor tells the patient not to hide the food
in her room but she chose to do it anyways. She has the right, according to
the law, to be non-compliant with the doctor's orders. But that doesn't mean
that the doctor and the nursing staff should be subjected to possible
lawsuits for not being able to "help" her when it's obvious she's not ready
to be helped.

Carol J

"Emma Vinton" <***@btopenworld.com> wrote in message news:bfsgf9$6qp$***@hercules.btinternet.com...
Hi

I'm a nurse on an eating disorder ward, and I have a student who is looking
for information on management of various issues, one of which is 'how would
a nurse manage a situation where an anorexic patient has hidden food in her
room?'. (bearing in mind that the unit does not allow this, and patients
sign a treatment agreement when they arrive). I am looking for
journal/nursing articles or advice from others who work in this field, also
any info on non-compliance with medication. Any info will be greatly
received. Thank you.

Regards,
Emma V (North East)
unknown
2003-09-24 12:19:50 UTC
Permalink
Post by Emma Vinton
Hi
I'm a nurse on an eating disorder ward, and I have a student who is looking
for information on management of various issues, one of which is 'how would
a nurse manage a situation where an anorexic patient has hidden food in her
room?'. (bearing in mind that the unit does not allow this, and patients
sign a treatment agreement when they arrive). I am looking for
journal/nursing articles or advice from others who work in this field, also
any info on non-compliance with medication. Any info will be greatly
received. Thank you.
Regards,
Emma V (North East)
I find it odd, that an anorexic patient would hide food in their
room as I (From what I have read) thought that a patient would be
trying their damndest to NOT eat.

Or does this disease, go both ways?
Bobbi
2003-09-25 21:11:36 UTC
Permalink
Post by unknown
I find it odd, that an anorexic patient would hide food in their
room as I (From what I have read) thought that a patient would be
trying their damndest to NOT eat.
she's hiding the food because she claims to have already eaten it, perhaps?

--
Bobbi
unknown
2003-09-25 22:31:19 UTC
Permalink
On Thu, 25 Sep 2003 22:11:36 +0100, "Bobbi"
Post by Bobbi
Post by unknown
I find it odd, that an anorexic patient would hide food in their
room as I (From what I have read) thought that a patient would be
trying their damndest to NOT eat.
she's hiding the food because she claims to have already eaten it, perhaps?
I don't know, that's why I asked...
Sarah E. Thompson
2003-09-28 03:12:47 UTC
Permalink
I don't know about this girl specifically, but I know that when I was
actively restricting, I would sometimes hoard food. I did it because that
way I felt like if I *needed* it, it would be available to me. It was like
a safety net. I can't say that the reason your patient is behaving this way
is the same as my own, but...

~S
Post by unknown
On Thu, 25 Sep 2003 22:11:36 +0100, "Bobbi"
Post by Bobbi
Post by unknown
I find it odd, that an anorexic patient would hide food in their
room as I (From what I have read) thought that a patient would be
trying their damndest to NOT eat.
she's hiding the food because she claims to have already eaten it, perhaps?
I don't know, that's why I asked...
Rain Maker
2003-09-27 22:39:39 UTC
Permalink
On Wed, 24 Sep 2003 05:19:50 -0700, in alt.support.eating-disord
Post by unknown
I find it odd, that an anorexic patient would hide food in their
room as I (From what I have read) thought that a patient would be
trying their damndest to NOT eat.
Depending upon where the room is (home or professional) it could
either be any of a number of explanations. Often, in private and
familiar surroundings it can be about the battle going on in the head
with one side screaming for indulgement and the other screaming for
abstinence. This could be symbolized in the dichotomy of having food
nearby and resisting it at the same time.

In a professional setting, it would be very likely that it is a token
of defiance through claiming to have already eaten it.

Dana sends
Rain Maker
2003-09-27 00:07:19 UTC
Permalink
On Wed, 24 Sep 2003 00:03:12 -0600, in alt.support.eating-disord
Post by Carol J
What we do is conduct a special care conference with the patient,
family, doctor and charge nurse. All cards are laid on the table and the
patient is asked whether or not they wish to remain in the services of the
doctor. If they say yes, then they sign a behavior contract that they
understand what the doctor is asking them to do and if they break the
contract, the doctor will then cease to provide them with medical assistance
and they are given a 30 day notice to leave the facility. I know this
sounds harsh but in the sue happy world we live in, we find we have to do
this to protect our other residents/staff and everyone else involved. And
it makes the patient be accountable for their choice. It's really kind of
the same thing, isn't it?
I would think this would only have value if the patient is capable of
making a rational decision. ED patients typically are not rational
when it comes to their behavior.

Dana sends
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