Nasogastric tube feeding under physical restraint on paediatric wards: ethical, legal and practical considerations regarding this lifesaving intervention.

BJPsych Bull

Consultant Child and Adolescent Psychiatrist, Oxford Health NHS Foundation Trust; and Senior Clinical Research Fellow, Department of Psychiatry, Oxford University, UK.

Published: April 2023

Eating disorders have the highest mortality rate of any psychiatric condition. Since the COVID-19 pandemic, the number of patients who have required medical stabilisation on paediatric wards has increased significantly. Likewise, the number of patients who have required medical stabilisation against their will as a lifesaving intervention has increased. This paper highlights a fictional case study aiming to explore the legal, ethical and practical considerations a trainee should be aware of. By the end of this article, readers will be more aware of this complex issue and how it might be managed, as well as the impact it can have on the patient, their family and ward staff.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063984PMC
http://dx.doi.org/10.1192/bjb.2022.11DOI Listing

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