most or all responsibility for obtaining, preparing, and consuming food.
• As patients transition through levels of care, the RD and patient share meal planning responsibilities to varying degrees. Over time and depending on situ- ational factors, patients may require more or less support from the RD. The progression from full reliance on the RD to full reliance on self is not lin- ear. During stressful and/or transitional times, such as pending discharge from a treatment facility, the start and end of school semesters, or relocation, the RD may provide more structure for a patient who has previously been managing his or her own meal planning.
General Guidelines for Meal Planning
Boxes 8.2, 8.3, and 8.4 provide generalized guidelines for nutrition interventions for anorexia nervosa, buli- mia nervosa, binge eating disorder, and eating disorder not otherwise specified (EDNOS). As with all nutrition interventions, dietary recommendations vary with each patient’s nutrition assessment, nutrition diagnosis, and specific concerns. You may select the interventions that fit each patient’s needs.
