Choosing a Treatment Setting

Choosing a Treatment Setting

  • Outcome treatment
    • Allows the patient the greatest opportunity for self-control and autonomy
    • Requires a high level of patient motivation, active support and involvement of family members, and ongoing physiological monitoring
    • Contingencies should be mutually agreed on behavioral change, including weight gain and decreased bingeing or purging
  • Inpatient treatment
    • Needed when physiological status is compromised
    • Has the availability of 24-hr nursing care to ensure patient safety
    • Has a higher level of interdisciplinary collaborations, coordination, and consistency
    • Health insurance companies usually have a restriction on the settings for treatment and the number of treatment episodes.

Nurse-Patient Contract

  • The goal of these contracts is to engage the patient in a therapeutic alliance and to obtain commitment to the treatment process
  • The patient’s cooperation should be obtained with a nurse-patient contract
  • Once the patient signs the contract, it shows the patient understands what treatment they will be receiving and are able to make informed decisions about their commitment to the treatment process and their ability to honor the contract

Implementation

  • Acute Care
  • Psychosocial Intervention
  • Integrative Medicine
  • Teamwork and Safety
  • Pharmacological Interventions
  • Group Therapies
  • Health Teaching and Promotion