Nutrition Intervention for Eating Disorders: Coordination of Care


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• medically compromised and requiring daily or con- stant monitoring of weight or vital signs;


• unable to travel safely or reliably to treatment; • in an unstable or unsupportive living environment; • unable to follow a meal plan without supervision and external motivation;


• unable to resist purging or self-harm triggers without supervision and external motivation and so require supervision using the bathroom; and


• resistant or uncooperative in recovery, requiring con- stant structure and external motivation to remain safe.


Inpatient Hospitalization: Full hospital care is offered in either a medical, psychiatric, or eating disorders unit. Patients appropriate for this level of care are: • medically unstable and requiring daily or constant monitoring of weight, vital signs, or laboratory tests, including:


• heart rate < 40 beats per minute (adult) or < 50 beats per minute (child/adolescent)


• blood pressure < 90/60 mm Hg (adult) or < 80/50 mm Hg (child and adolescent)


• > 10 to 20 mm Hg drop in blood pressure from sitting to standing position


• glucose level < 60 mg/dL • potassium < 3 mEq/L • temperature < 97°F


• dehydrated, hypokalemic or hypophosphatemic, or experiencing hepatic, renal, or cardiovascular com- plications requiring acute treatment2


• malnourished or refusing oral intake, possibly requir- ing nutrition support;


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