Anorexia nervosa (AN) is a multifaceted psychiatric disorder characterized by diminished body weight and distorted body image that is often accompanied by denial and general cognitive impairment. Clinical efforts to treat AN are often resisted by patients. In certain situations, refeeding treatment by way of enteral nutrition is prescribed. This presentation, based on a case study, will consider the ethical dilemmas encountered in tube feeding the anorexic patient. These dilemmas are primarily informed by the dominant arguments of respecting patient autonomy and enforced treatment. Specifically, the issue of determining decision-making capacity as it pertains to patient autonomy will be discussed in detail. The clinical and ethical-legal realities of feeding tube insertion and treatment in the anorexic patient will be explored.

Section Description

We are pleased to present the abstracts from SGNA's 33rd Annual Course, SGNA on a Mission: Exceeding Expectations. The diversity of these topics certainly reflects the richness and breadth of our specialty. In keeping with the tradition of the Annual Course, we hope the following abstracts will encourage discussions for improving nursing practice and patient care outcomes.