#519: Eating Disorders: Inpatient Treatment & Challenges – Helen West, RD

Sigma Nutrition Radio

Danny Lennon

Nutrition, Health & Fitness

4.8 • 633 Ratings

🗓️ 16 April 2024

⏱️ 48 minutes

🔗️ Recording | iTunes | RSS

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Summary

Acronyms & Terminology:

NHS - National Health Service (UK)
CAMHS eating disorder unit - Child & Adolescent Mental Health Service
Tier 4 Services - CAMHS services are organized through a tiered system. Tier 4 is the highest on the hierarchy and relates to highly specialized or inpatient services.
NG Feed - nasogastric (NG) tubes
MDT decision - multidisciplinary team (MDT) decision-making
CBT-E - Enhanced Cognitive Behaviour Therapy - a "transdiagnostic" treatment for all forms of eating disorder including anorexia nervosa, bulimia nervosa, binge eating disorder and other similar states.
ARFID - Avoidant/restrictive food intake disorder (ARFID) is a feeding or eating disorder in which people avoid eating certain foods, or restrict their diets to the point it ultimately results in nutritional deficiencies.
SSCM - Specialist Supportive Clinical Management (SSCM) is a psychotherapy comprising a clinical management focus addressing anorexia nervosa (AN) symptoms and a supportive therapy component.

About This Episode:

When exploring the landscape of eating disorder treatment and research, several crucial topics emerge, each shedding light on different aspects of this complex field.

Firstly, the practice of nasogastric feeding under restraint raises ethical questions and considerations. How do healthcare professionals navigate the balance between ensuring adequate nutrition and respecting the autonomy and dignity of patients? What are the potential implications and risks associated with this practice?

Progress in understanding and treating eating disorders has evolved significantly over the years, yet challenges persist in translating research findings into effective clinical practice. How can advancements in genetics, neurobiology, and psychology inform more personalized and holistic treatment approaches? What barriers hinder the implementation of evidence-based practices within healthcare settings?

An essential aspect of eating disorder treatment is understanding what "recovery" truly means. Beyond weight restoration, what factors contribute to a meaningful and sustainable recovery journey? How can healthcare professionals support individuals in achieving their unique goals and aspirations for recovery?

Improving services and introducing better treatment options requires a nuanced understanding of the complexities inherent in eating disorders. How can healthcare systems prioritize patient-centered care and tailor interventions to meet the diverse needs of individuals affected by eating disorders? What strategies can be employed to address systemic challenges and foster positive change within healthcare settings?

In addressing these questions and navigating the complexities of eating disorder treatment and research, expertise and insights from seasoned professionals are invaluable.

In this episode Helen West, an Advanced Specialist Eating Disorders Dietitian with over 12 years of clinical experience, discusses her experience and understanding of these areas. With her extensive background and expertise, Helen offers valuable perspectives in tackling these critical topics within the realm of eating disorder treatment and research.

Transcript

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0:00.0	Hello and welcome to Sigma Nutrition Radio, the podcast that brings you evidence-based discussions about nutrition science and related health sciences.
0:22.6	Today we're at episode 519 of the podcast.
0:26.6	I'm your host, Danny Lennon. You are very welcome to the show.
0:30.6	I think you're going to enjoy this particular episode and one that I've been looking forward to for quite a period of time. I'm going to be talking
0:38.3	to Helen West, who is a registered dietitian with a speciality in eating disorders, who has
0:45.1	experience of working for many years with patients of eating disorders in inpatient services, both in
0:52.9	private practice, as well as within the NHS in the UK,
0:57.0	and has also been doing a PhD to look at some of the potential treatment options
1:02.0	that could help improve the outcomes in inpatient settings.
1:06.6	So we're going to be diving into a lot of that.
1:09.4	Now, before we get started, I will note that there's a
1:12.1	number of different acronyms that will probably be used throughout this episode, a number of different
1:16.3	terms that, unless you are familiar with eating disorder, dietetics, probably might be new or
1:22.7	that you might not be aware of. So what I will do is I'll put a formal list of those in the
1:27.0	description box wherever you're currently listening right now. So what I will do is I'll put a formal list of those in the description box
1:27.7	wherever you're currently listening right now. So you can quickly reference any of the terms
1:32.3	or acronyms used that might crop up. But just as some of the main examples that you will hear
1:39.8	in this conversation that might be useful for you to bear in mind now would be at one point
1:45.7	we discuss the CAMS eating disorder unit, CAMS being an acronym for child and adolescent mental
1:52.8	health service, which is a part of the NHS in the UK.
1:57.1	And within CAMS, there is an eating disorder unit as well. So when Helen discusses CAMs, that is what it's being referred to. She'll also maybe mention some of the specific services within the NHS, with of course is the National Health Service within the UK, specifically mentioning Tier 4 services. And so this again refers back to CAMs, the child and adolescent mental health service.
2:19.6	They have their services organized in a tiered system and tier four being at the top of that list.
	...

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