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Urgent Care

If a person needs urgent medical attention, but cannot access inpatient care, then frequent medical monitoring in the community is imperative

See: Medical Monitoring: Routine Check-up for routine investigations.

Ensure that: 
  • An appropriate treatment team is in place 
  • Set up a case conference with the team, as indicated Develop an escalation plan
  • Practical supports are available to the person (i.e. family, carers) 
  • Meal support is available
Important things to consider:
  • Multi-vitamins and thiamine 
  • Risk of refeeding (low but can be mitigated)
  • Further investigations, as indicated, at own pace (see Further medical assessments) 
  • Medications  
  • SSRIs may be beneficial in the treatment of co-occurring depression and obsessive-compulsive disorder.  Low dose of olanzepine may be helpful in anorexia nervosa, when patients are severely anxious and demonstrate obsessive eating-related ruminations.
  • Liaise with local specialist service - let them know what you can and cannot manage
  • Weekly or bi-weekly appointments are essential to conduct ongoing medical monitoring.
  • Liaise with local specialist service - let them know what you can and cannot manage
  • Discuss with a colleague and seek support from an eating disorder GP special interest group