Adaptability of "Management of Really Sick Patients with Anorexia Nervosa" (MARSIPAN) for extreme anorexia nervosa in a developing country: A case report

Sahimi HBMS 1 , Selvarajoo S 1 , Nik Jaafar NR 1 , Sharip S 1 , Ismail MA 1 , Hasni MM 1 Show all authors , Wahab NA 2

Affiliations 

  • 1 Department of Psychiatry, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
  • 2 Endocrine Unit, Department of Internal Medicine, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
Perspect Psychiatr Care, 2021 Apr;57(2):786-790.
PMID: 32918751 DOI: 10.1111/ppc.12614

Abstract

OBJECTIVE: For the management of patients with severe eating disorders, coordinated collaboration between a multidisciplinary team is imperative. Ideally, these cases should be treated in a specialized eating disorder unit (SEDU).

METHOD: This case report highlights the use of an integrated approach based on "Management of Really Sick Patients with Anorexia Nervosa" report in managing a case of extreme anorexia nervosa where a SEDU is unavailable.

RESULT: In this case, early psychiatric team support is key in the patient's path to recovery.

PRACTICE IMPLICATION: This highlights the importance of having a SEDU and staff trained in eating disorder.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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