Compulsory Nasogastric Feeding in adolescent Anorexia Nervosa patients, the prevalence of restraint and patient characteristics

Compulsory Nasogastric Feeding in adolescent Anorexia Nervosa patients, the prevalence of restraint and patient characteristics

Paper presentation139Miranda Fredriks, Amsterdam UMC location University of Amsterdam, the Netherlands; Kyra van der Hoeven, Amsterdam UMC, location university of Amsterdam, the Netherlands; Johanna Salih, Amsterdam UMC, location university of Amsterdam, the Netherlands

Schadee ZaalFri 16:00 - 17:30

Our goal is to find starting points to prevent and reduce compulsory Nasogastric Feeding (NF) and related physical restraint in adolescent Anorexia Nervosa (AN) patients by describing and exploring the use of restraint and patient characteristics.Historic data was collected by professionals from 12 mental healthcare facilities. We described the use of restraint at different points during admission and differences between patients who completely refused food and patients who did not.Results paint a picture of complex patients with varying psychiatric comorbidities, who either had a delay coming into care, or reached a state of complete food refusal in a short time. Physical restraint occurred often, and seems difficult to reduce, significantly more so if food was completely refused.Early detection of underlying psychiatric comorbidities, early targeted treatment approaches and further examining states of complete food refusal may be beneficial for prevention. Discussing ways to minimize harm is necessary.

Anorexia Nervosa, Children and adolescents, Compulsory nasogastric feeding, Restraint
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