Dr Marion Leighton is a General Physician with an interest in palliative care, eating disorders and chronic pain. She’s worked as a consultant at Wellington Hospital and Mary Potter Hospice since 2008. She graduated from Newcastle in the UK but did most of her training in Aotearoa. Over the years she’s been involved in lots of governance projects and more recently set up Doctors for Active, Safe Transport (DAST), a large group of SMOs from Wellington Hospital advocating for the health benefits of non-car transport for the hospital staff, and in local and national infrastructure. She recently stepped down as chair of the New Zealand CPD Committee for the RACP but continues as a podcast editor for Pomegranate Health. She’s an enthusiastic tramper, taking every opportunity to get into the hills, loves cycling, speaks semi-fluent Te Reo, and is a keen contributor to the Wellington Community Timebank.
Kyle Perrin is a General and Respiratory Physician at Wellington hospital, and Clinical Director of Innovation and Training.
An Approach To Eating Disorders On The General Medical Ward
General physicians at Wellington Hospital had long considered the management of inpatients with eating disorders to be difficult. Given the size of the department, each person came across them infrequently. Guidelines regarding admission were contradictory, recommended inpatient guidelines were difficult to find, and links with other stakeholders were fragmented.
We decided to nominate one medical team to look after all patients with an eating disorder who required admission. The aim was to improve consistency and continuity of care, medical management, and lines of communication.
After four years, this is a little of what we've learned. We'll cover our clinical reasoning around the decision to admit, management strategies on the ward, the range of complications that can occur, and working with the other teams involved.
A warning that this talk is not particularly evidence based, because there isn’t much evidence, but is a practical guide to what we think works.