Eating Disorders - page 2

I'm really curious to hear if anyone has worked with eating disorders whilst in psych, particularly in an eating disorder specific setting. I'm really interested in this aspect of psychiatric care as eating disorders present... Read More

  1. 0
    Thanks for the replies...

    We also sit with the group for meals. Just before they sit, the bottom metal dishes and lids are taken away and set back on the cart. I find a good one also is getting butter or peanut butter all over their fingers, then excessively using a napkin to wipe. When this happens, we take the napkin away. One other we have instituted for some, if we need to, is putting the spreads on ourselves. That way there is less temptation to get it all over your fingers.
    We disallow bathroom for 1 hour after meals. If they have to go, we go with them.

    We have two staff with a group of 6 patients, for all meals. ( We only have 6 beds. ) After meals we check all cartons and if anything is found, it must be replaced with liquid nutrition.

    We weigh in the a.m. and someone stands outside of the room to ensure the water has not been turned on so they cannot drink. The bladder scanner is a great idea but we don't have the time with only 1 nurse trying to get all the weights done at 6:30 a.m.

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  2. 15
    I know I'm late on this topic, but I as an ED patient (now in recovery after 4 long years) turned nursing student, a few things I would have liked the nursing staff to know on the psych unit I was hospitalized on multiple times:

    1. As stated by other posters, I am a very intelligent person whose illness forces me to manipulate you to prevent me from eating. I don't enjoy this any more than you do, but still, NEVER let your guard down around me.

    2. In a secret part of me I may never tell you about, I am grateful someone has taken over my life which, though I may swear otherwise, is completely out of control.

    3. You may not understand my complex need to not eat. That's totally fine. What goes a long way is attempting to understand, with active listening. Being ignored and hushing up my feelings contributed greatly to me getting sick in the first place. When my symptoms flare up, I am trying to communicate what I can't say in words. Don't ask me, "Why won't you eat?" Instead, ask, "What do you want to say to me right now?"

    4. Again, you may not see it right away. But being in the hospital may be the first real support I've gotten in a long, long time. People finally "get" me, and I don't have to constantly keep up this facade of being fine while my mental, physical, social, and spiritual health slowly but surely degrade. It was, and still is, the best thing that could have been done for me, though I appeared to fight and kick the whole time.

    Thanks to the psych nurses who cared for me until I could get well enough to help others like me .
    edie1, Michizzle, annietart, and 12 others like this.
  3. 1
    Thanks, Palemoon, I've been in your shoes & you put my thoughts into words so well. Treat me as a PERSON with an illness, not some freak with an "I don't really think it's an illness" thing going on.
    trebugRN likes this.

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