When is it Necessary to Hospitalize?
Identifying Outcome
- Expected Outcomes
- The patient will restore healthy eating patterns and normalize physiological parameters related to body weight and nutrition
- Eating 100% of meals without bingeing, purging, or engaging in other compensatory behaviors for anorexia nervosa and bulimia nervosa patients.
- Obese patients should be encouraged to leave something on their plate at the end of a meal (no more than 5% and no less than 2%)
- Short-Term Goals
- The patient will identify cognitive distortions about food, weight, and body shape
- The patient will develop a week’s worth of menus for nutritionally balanced meals
- The patient will accurately describe body dimensions
- The patient will exercise in moderate amounts only when nutritionally and medically stable
- The patient will demonstrate positive family interactions and successful movement toward the achievement of separation and individuation issues
- The patient will be able to describe the complications and medical sequelae of the eating disorder behavior
When is it Necessary to Hospitalize?
- Medical
- Need for extensive evaluation
- Excessive weight loss: >25% of body weight over 3 months
- HR <40 beats/min or >110 beats/min
- Temperature <97.0⁰ F
- SBP: 70 mmHg or marked orthostatic hypotension
- Severe dehydration or vomiting blood
- Psychiatric
- Risk of suicide or self-mutilation
- Severe depression
- Substance abuse
- Psychosis
- Family crisis
- Failure to comply with treatment contract or poor motivation
- Inadequate response to outpatient treatment