By Jane Morris
The ABC of consuming Disorders is a complete primer for GPs, dieticians, psychiatrists and neighborhood well-being groups who have to include a cosmopolitan knowledge of this box into their specialist perform. It spans, and differentiates, consuming and feeding problems from prognosis to their administration and therapy. With a spotlight on basic care, this ABC touches at the medico-legal facets and moral problems with treating consuming problems and professional referral.
This new identify within the winning ABC sequence describes operating with households, kids and different professional populations, corresponding to the aged, males and minority teams. It is helping fundamental care practitioners recognize consuming problems in humans offering with different difficulties, whereas the part on comorbidity discusses the remedy of consuming problems current with different conditions.
The ABC of consuming Disorders is out there - victims will locate it offers an invaluable heritage to self support fabrics, and their lay carers should be capable of enjoy its clever and compassionate method
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Extra resources for ABC of eating disorders
5/8/2008 12:51:14 PM CHAPTER 7 What can a GP do? Management of Eating Disorders in Primary Care Jane Morris and Nadine Harrison OVER VIEW • General practitioners (GPs) often struggle to find specialist care for eating disordered patients, or to persuade these patients to engage with such services. • As the ‘backstop’ of care, GPs should avoid colluding with the anorexic drive to lose weight whilst providing unconditional physical monitoring, nurturing and risk assessment. • The art of weighing a patient is delicate, fraught with deceptions and yet a valuable way both to monitor progress and understand distress.
Strangely, her chief motivation to change was distress about nocturia and recurrent thrush rather than concern about her eyesight. Lifetime prevalence rates of substance use disorders have been reported to be 12–18% in anorexia nervosa and 30–70% in bulimia nervosa. These rates are very similar to the converse rates for eating disorders seen in alcohol dependence—anorexia nervosa 17%, bulimia nervosa 46%. In some cases it may be necessary to withdraw the patient from alcohol or drugs before attempting any significant eating disorder treatment; and referral to a specialist drug and alcohol service should be considered.
1 Case vignette: Jeannie Jeannie, a student teacher in her mid-20s, had disclosed details of her bulimia to her family general practitioner, Dr Brown, and was working through a self-help manual with the support and encouragement of the practice nurse. The receptionist asked Dr Brown if he would kindly ‘pop through between patients’ as Jeannie had become very distressed in the nurse’s office. Weekly weighing had revealed a 2 kg weight gain, after several weeks of weight stability and improvement in Jeannie’s eating pattern.