Nutrition Assessment for Eating Disorders


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the team for direction. If you believe that a patient may be a danger to himself or herself or others and you are unable to speak with another team member, call 911 so that emer- gency medical personnel can transport the patient to a local emergency room.


Harmful Beliefs and Attitudes of Parents and Caregiv- ers: See the “Inappropriate Use of Food” section. As you work with an individual to improve nutrition and eating behavior, include available family members and caregivers in your educational sessions. It can be difficult for patients to make needed changes without the support of family members they depend on.


Inflexibility with Food Selection: Professional opinions differ on whether individuals with eating disorders should be able to limit their food choices in recovery or should be forced to eat a balanced and varied diet. Ultimately this decision is up to you, based on your patient’s situation, your clinical judgment, and, most significantly, the level of care in which you practice. In a residential or hospital facility you have complete control (in theory) of a person’s intake, while in an outpatient setting you have none. Flexibility with food selection will take a long time for most patients; in the short term, adequacy of energy and nutrient intake is the priority. It may not be very important which foods are used to meet these needs. If a patient’s preferences, however limited, can provide for his or her basic needs, it may be appropriate to work within these preferences until greater flexibility with food choices is possible.


Irrational Thoughts About Food’s Effect on the Body (Weight Preoccupation): When an individual with an eat- ing disorders step on a scale and see his or her weight, the past day’s or week’s intake immediately begin scrolling through his or her minds. The goal is to determine what was consumed that caused the weight change, whether up


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