Paediatric restrictive practices and NGT feeding guidance

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Patients with life threatening eating disorders or disordered eating including anorexia nervosa, bulimia and Avoidant Restrictive Food Intake Disorder (ARFID) are being admitted to general paediatric units for treatment, and may be at risk for poor outcomes. Reasons for this include the child or young person (CYP) not following their nutritional treatment, complications of treatment such as refeeding syndrome, and underfeeding.

This guidance is for all involved in the care of a child or young person with an eating disorder, who is being cared for in an acute care setting, such as on a Paediatric Ward or Emergency Department (ED), and:

  • has a high impending risk to life from their eating disorder - as assessed using the Medical Emergencies in Eating Disorders (MEED) guidance
  • nasogastric tube (NGT) feeding is actively being considered
  • restraint may be required if the children or young person is unable to understand the severity of their illness, unwilling to co-operate, or no other option can be found to treat them

Resource details

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Contributed to: Community contributions
Community resources are online learning and digital materials provided by the wider Learning Hub community that anyone can contribute to.
Contributed by: Tim Hunt
Authored by: Alison Robertson, NHS England, Independent clinical advisor
Oliver Shanley, NHS England, Independent clinical advisor
Dr Libby Thomas, NHS Elect, King's College Hospital NHS Foundation Trust, Queen Mary University of London, Clinical Educator, Emergency Medicine Consultant, Senior Clinical Lecturer
Licence: © All rights reserved More information on licences
Last updated: 27 August 2024
First contributed: 02 April 2024
Audience access level: General user

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