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[A palliative approach for severest anorexia nervosa?]
A L Westermair1, K M Perrar2, U Schweiger3
1Klinik für Psychosomatik und Psychotherapie, Universitäts-Klinikum Schleswig-Holstein (UKSH), Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland. anna.westermair@uksh.de.
Der Nervenarzt
|February 21, 2020
Summary
Severe anorexia nervosa patients may require palliative care focusing on quality of life, not just life extension. Consultation with palliative care and ethics committees is advised for complex treatment decisions.
Area of Science:
- Psychiatry
- Palliative Care
Background:
- Severe and enduring anorexia nervosa (SEAN) often persists despite specialized treatments.
- SEAN is linked to high mortality rates, suggesting a need for different care models.
Purpose of the Study:
- To postulate a palliative stage for SEAN.
- To guide treatment decisions in SEAN, balancing life extension with quality of life.
Main Methods:
- Literature review and clinical consensus on SEAN management.
- Ethical considerations in compulsory treatment for SEAN.
Main Results:
- A palliative stage for SEAN is proposed.
- Treatment decisions must integrate quality of life alongside life prolongation.
Conclusions:
- Palliative care principles should be considered for SEAN.
- Consultation with palliative care physicians and ethics committees is recommended for complex cases.
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