Supportive care in the management of treatment-resistant and chronic anorexia nervosa

Although many patients face a long and severe evolution, there is no consensus regarding the definition of chronic and/or refractory anorexia nervosa. The multiplication of treatments and therapies lead to what could be called a total resistance to treatment in these patients. Cognitive impairment i...

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Bibliographic Details
Published inLa Presse médicale (1983) Vol. 43; no. 3; pp. 263 - 269
Main Authors Bauwens, Inès, Cottencin, Olivier, Rolland, Benjamin, Bonord, Alexandre, Guardia, Dewi
Format Journal Article
LanguageFrench
Published France 01.03.2014
Subjects
Adult
Anorexia Nervosa - complications
Anorexia Nervosa - therapy
Chronic Disease
Cognition Disorders - etiology
Cognition Disorders - therapy
Female
Humans
Informed Consent
Middle Aged
Palliative Care - methods
Treatment Outcome
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Summary:Although many patients face a long and severe evolution, there is no consensus regarding the definition of chronic and/or refractory anorexia nervosa. The multiplication of treatments and therapies lead to what could be called a total resistance to treatment in these patients. Cognitive impairment in anorexia nervosa, known to be worsened by deep denutrition, is a striking issue as it could limit the ability of the patients to consent to needed care. Constrained admission ruled by French July 5th 2011 psychiatric law could be decided given the aforementioned consent issues. When care given to patients involuntarily admitted are unsuccessful, supportive and palliative care could be an alternative in chronic and refractory anorexia nervosa. The goals of care would be shifted at this point to active comfort measures and better quality of life.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
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ISSN:2213-0276
DOI:10.1016/j.lpm.2013.03.009