Comments on: Palliative Care for Anorexia Nervosa? http://www.blog.drsarahravin.com/eating-disorders/palliative-care-for-anorexia-nervosa/ Blog Wed, 01 Feb 2012 15:01:54 +0000 hourly 1 http://wordpress.org/?v=3.1.2 By: dsi r4 http://www.blog.drsarahravin.com/eating-disorders/palliative-care-for-anorexia-nervosa/comment-page-1/#comment-324 dsi r4 Thu, 12 Nov 2009 10:12:20 +0000 http://www.blog.drsarahravin.com/?p=70#comment-324 Palliative care is an active approach to managing the whole patient and family and their problems which applies to many conditions. The potential numbers of people with these conditions far exceed those of people with cancer. Thanks for the post. Palliative care is an active approach to managing the whole patient and family and their problems which applies to many conditions. The potential numbers of people with these conditions far exceed those of people with cancer. Thanks for the post.

]]> By: Frank http://www.blog.drsarahravin.com/eating-disorders/palliative-care-for-anorexia-nervosa/comment-page-1/#comment-169 Frank Mon, 21 Sep 2009 13:36:28 +0000 http://www.blog.drsarahravin.com/?p=70#comment-169 I'm sick of people telling me its just a phase when I know people out there dying from eating disorders! Lend a hand; don’t avoid the problem people. http://www.eatingdisorderclinic.org/?utm_source=blog&utm_medium=pv&utm_content=zs&utm_campaign=home I’m sick of people telling me its just a phase when I know people out there dying from eating disorders! Lend a hand; don’t avoid the problem people.

http://www.eatingdisorderclinic.org/?utm_source=blog&utm_medium=pv&utm_content=zs&utm_campaign=home

]]> By: M. http://www.blog.drsarahravin.com/eating-disorders/palliative-care-for-anorexia-nervosa/comment-page-1/#comment-112 M. Tue, 08 Sep 2009 15:03:41 +0000 http://www.blog.drsarahravin.com/?p=70#comment-112 Is it really so hard to understand that something so nearly universal as resistence to treatment and an irrational but crippling fear of food and weight gain are SYMPTOMS of this illness? The notion of uncomfortable and distressing treatment in service to the return of wellness is not new to medicine, nor to interpersonal therapy, for that matter. Are we going to have to wait until all the doctors and therapists who don't keep up with the research and the science die off themselves before every sufferer gets a real chance at recovering? Thank you Dr. Ravin. I really appreciate the work you do. Is it really so hard to understand that something so nearly universal as resistence to treatment and an irrational but crippling fear of food and weight gain are SYMPTOMS of this illness?

The notion of uncomfortable and distressing treatment in service to the return of wellness is not new to medicine, nor to interpersonal therapy, for that matter.

Are we going to have to wait until all the doctors and therapists who don’t keep up with the research and the science die off themselves before every sufferer gets a real chance at recovering?

Thank you Dr. Ravin. I really appreciate the work you do.

]]> By: Elizabeth http://www.blog.drsarahravin.com/eating-disorders/palliative-care-for-anorexia-nervosa/comment-page-1/#comment-108 Elizabeth Mon, 07 Sep 2009 16:07:51 +0000 http://www.blog.drsarahravin.com/?p=70#comment-108 I guess I can understand why with adults who have the choice of leaving treatment at any time, it might be worthwhile to start with a smaller goal- increasing cals to 1500/day, gaining some weight even if not to full weight restoration, etc. in order to not have the patient leave treament without any progress. But how can you in good conscience give a patient with a BMI of 12.2 "assurance that weight gain will not be a principal objective of the management approach"? I find the scenario of patient "S" rather strange. If the patient wanted to continue in treatment but was having some resistance to gaining further weight after the first 20 lbs, I don't see her treatment team abandoning her in the way described. I guess I can understand why with adults who have the choice of leaving treatment at any time, it might be worthwhile to start with a smaller goal- increasing cals to 1500/day, gaining some weight even if not to full weight restoration, etc. in order to not have the patient leave treament without any progress. But how can you in good conscience give a patient with a BMI of 12.2 “assurance that weight gain will not be a principal objective of the management approach”?

I find the scenario of patient “S” rather strange. If the patient wanted to continue in treatment but was having some resistance to gaining further weight after the first 20 lbs, I don’t see her treatment team abandoning her in the way described.

]]> By: Fiona Place http://www.blog.drsarahravin.com/eating-disorders/palliative-care-for-anorexia-nervosa/comment-page-1/#comment-107 Fiona Place Mon, 07 Sep 2009 00:30:11 +0000 http://www.blog.drsarahravin.com/?p=70#comment-107 I totally agree with you - to give up and describe someone as treatment resistant is not only unethical but also to fail to understand people do recover when they are ready. Thank you for alerting me to this article - I am very concerned with this type of attitude. And it is only by bringing it out into the open we can stop such behaviour on the behalf of professionals. thank you. Fiona Place Author of Cardboard; a woman left for dead I totally agree with you – to give up and describe someone as treatment resistant is not only unethical but also to fail to understand people do recover when they are ready. Thank you for alerting me to this article – I am very concerned with this type of attitude. And it is only by bringing it out into the open we can stop such behaviour on the behalf of professionals. thank you.
Fiona Place
Author of Cardboard; a woman left for dead

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