Abstract
Patients with a diagnosis of anorexia nervosa can become extremely ill and can be admitted to hospital as medical emergencies. In hospital they may deteriorate because the problems of managing a patient with such severe psychiatric and medical problems may defeat the staff. To try and counter this problem, the MARSIPAN (Management of Really Sick Patients with Anorexia Nervosa) group was set up and the MARSIPAN guidance produced. In this chapter we review the development of the guidance and the sorts of problems that can arise in diagnosis, assessment and management and indicate the training that should take place if patients are to receive an effective service.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hargreaves DS, Viner RM (2014) Adolescent inpatient activity 1999–2010: analysis of English Hospital Episode Statistics data. Arch Dis Child. 2014 May 1. Arch Dis Child. 99(9):830–3
Hudson LD, Cumby C, Klaber RE, Nicholls DE, Winyard PJ, Viner RM (2013) Low levels of knowledge on the assessment of underweight in children and adolescents among middle-grade doctors in England and Wales. Arch Dis Child 98(4):309–311.
MARSIPAN (2014) Management of really sick patients with anorexia nervosa, College Report CR189. Royal College of Psychiatrists, London
Nicholls DE, Lynn R, Viner RM (2011) Childhood eating disorders: British national surveillance study. Br J Psychiatry 198(4):295–301, Erratum in: Br J Psychiatry. 2011 May;198(5):410
Royal College of Psychiatrists (2012) CR170. Eating disorders in the UK: Service distribution, service development and training. March 2012. Royal College of Psychiatrists
Treasure J et al (2005) Mind the gap: service transition and interface problems for patients with eating disorders. Br J Psychiatry 187:398–400
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Robinson, P., Nicholls, D. (2015). Introduction: Problems Occurring in the Assessment and Treatment of Patients with Severe Anorexia Nervosa. In: Robinson, P., Nicholls, D. (eds) Critical Care for Anorexia Nervosa. Springer, Cham. https://doi.org/10.1007/978-3-319-08174-8_1
Download citation
DOI: https://doi.org/10.1007/978-3-319-08174-8_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-08173-1
Online ISBN: 978-3-319-08174-8
eBook Packages: MedicineMedicine (R0)