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Advocacy assignment part c
The document discusses resources for those suffering from eating disorders in Canada. It notes that an estimated 400,000 Canadians have anorexia or bulimia, and 22% of sufferers will die from their illness. There is a lack of adequate resources for adults in Simcoe County, with only outpatient services for those under 18. The document advocates for more training of healthcare professionals on eating disorders and a holistic approach to treatment that addresses both physical and underlying mental/emotional issues.
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Advocacy assignment part c
- 2. Resources for thosewith eating disorders
- 3. • In Canada,it is estimated that the amount of anorexia nervosa (AN) and bulimia nervosa (BN) sufferers is 400 000. (CTV News, 2013) • 22% of those sufferers will die from their disease. (CTV News, 2013) • Eating disorders are mental disorders which do not discriminate, have the HIGHEST mortality rate of all psychiatric disorders, but are often misinterpreted as diseases of vanity, or teenage phases. (CTV News, 2013) • There are NO resources in Simcoe County for adults, and only outpatient services for those under 18 at Soldier’s Memorial and RVH. Any stays for medical stabilization involve only HCPs, which receive incredibly limited training. (Personal Communication, 2013) • The following is a case study of the desperation experienced by one mother:
- 4. • Knowing specificmedical assessments • Awareness and participation in political action • Communicating results with other team members • Requesting training from nurse managers and higher-ups when and/or before encountering a pt. you don’t feel capable of treating with excellence • Knowing local/nearest resources • Health teaching (i.e. encourage fluids such as Powerade) • Recognizing EDs are mental diseases, with physical ramifications (don’t get so preoccupied by physical symptoms that underlying causes are ignored)
- 5. • Blood pressurelying and standing • Potassium levels • Bradycardia AND tachycardia are warning signs of cardiac insufficiency • Iron deficient anemia -> low Hgb • For more examples, see the Primary Care Provider information put forth by Eating Disorders of York Region: http://www.edoyr.com/pdf/Eating_Disorders_Tool.pdf
- 6. • Jean Watson’stheory involves treating patients holistically. Her theory of caring emphasizes that caring for someone’s basic human needs can potentiate the alignment of mind- body-spirit. (Kozier, 2013) • Often times physical needs take precedence over psychosocial and spiritual needs with eating disorder patients. The problem with this approach is that EDs are mental diseases which have physical repercussions, not vice versa. • Watson’s theory can be integrated by understanding that eating disorders are caused by a combination of factors, and recovery and healing do not occur solely with physical
- 7. Ontario’s Excellent Carefor All Strategy, which became law in June of 2010, echoes these goals with its points of: • The patient is at the centre of the health care system. • Decisions about patient care are based on the best evidence and standards. • The health care system is focused on the quality of care and the best use of resources. • The main goal of the health care system is to get better and better at what it does. (Ministry of Health and Long-Term Care, 2013)
- 8.
- 9. • The mainpoints from our literature review included that a) physicians and other HCPs feel unqualified and untrained and b) underlying/comorbid issues aren’t addressed sufficiently, leading to early termination of treatment and reoccurrence of symptoms. (Lafrance, Boachie, & Lafrance, 2013) (Masson, Perlman, Ross, & Gates, 2007)
- 10. • CCAC nowhas Mental Health & Addiction nurses in the highschools in Simcoe and Muskoka counties. They support all mental health issues. They can be used, for example, to support a teen with lunches. • Referrals can be made by physicians to outpatient services at RVH & Soldier’s Memorial if the pt. is under 18 Southlake has an outpatient and day program for 12-18 and outpatient for 18- 25 • Adults have to be referred by a physician to Toronto General, North York, or Credit Valley • Residential care at Homewood Health Centre in Guelph is available if patients have insurance or pay out of pocket. The OHIP waitlist is 2-3 years (Personal Communication, 2013)
- 11. • Speak upwhen you need assistance with meeting the emotional needs of a patient suffering from an eating disorder • Advocate for more training (i.e. contact the National Initiative for Eating Disorders) for your healthcare team • Understand that a holistic approach to care is a necessity • As a nursing student, get involved with advocacy organizations like NIED- check out https://www.facebook.com/niedcanada and keep yourself up-to-date with mental health issues in general • Understand the connection between behaviours and lab values • Know that there is always hope for recovery
- 15. • CTV News.(2013). Eating disorders crisis: researchers, doctors, meeting to discuss national epidemic. Retrieved from http://www.ctvnews.ca/video?clipId=1017501&fb_action_ids=1015193032137 7095&fb_action_types=og.recommends&fb_source=other_multiline&action_object _map=%7B%2210151930321377095%22%3A516519545088802%7D&actio n_type_map=%7B%2210151930321377095%22%3A%22og.recommends%22 %7D&action_ref_map=%5B%5D • Eating Disorders of York Region. (2010). Putting eating disorders on the radar of primary care providers: assessment tools, guidelines, and resources. Retrieved from http://www.edoyr.com/pdf/Eating_Disorders_Tool.pdf • JuiceFriends.com. (April 2008). Hayley Wilde: the woman who defeated anorexia. Retrieved from http://juicefriends.com/hayley-wilde-the-woman-who-defeated- anorexia.html • Kozier, B., Erb, G., Berman, A., Snyder, S., Bouchal, D., Hirst, S et al. (2010). Fundamentals of Canadian nursing (2nd ed.). Toronto: Pearson. • Lafrance, A., Boachie, A., & Lafrance, G. (2013). “I want help!”: Psychologists and physicians competence, barriers, and needs in the management of eating disorders in children and adolescents in Canada. Canadian Psychology, 54(3), 160-165. doi: 10.1037/a0032046 • Ministry of Health and Long-Term Care. (2013). Excellent care for all. Retrieved from http://www.health.gov.on.ca/en/public/programs/ecfa/ • National Initiative for Eating Disorders (NIED). Retrieved from nied.ca • Payne, E. (29 May 2013). How dying for twenty minutes saved my life. The Daily Mail. Retrieved from http://www.dailymail.co.uk/health/article-2332563/How-dying- minutes-saved-life- Anorexic-teenager-shocked-recovery-starving-years.html • Personal Communication. (November 22, 2013). Dawn Hilliard, Mental Health Therapist of Soldier’s Memorial’s Paediatric Program.