Event Details
Zoom Meeting
15 October 2024
12:30pm - 1:30pm AEDT
15 October 2024
– 15 October 2024
Zoom Meeting
15 Oct 2024
12:30pm - 1:30pm
15 October 2024
– 15 October 2024
Presenters:
Lead - Audit into the restraint for involuntary nasogastric tube feeding
Meaghan has worked at The RCH in admin in Nursing Research for far too long. As part of the Building Evidence with Support to Transform (BEST) Practice Program she led this retrospective audit looking at restraint for involuntary nasogastric tube feeding of young people with Anorexia Nervosa or Atypical Anorexia Nervosa.
Clinical Nurse Consultant - Bioethics
The Royal Children's Hospital Melbourne
Jenny is a Clinical Nurse Consultant at The RCH’s Children’s Bioethics Centre and in Nursing Research. Jenny is a paediatric nurse with over 20 years’ experience in clinical, research and education roles. Her clinical background has largely been in adolescent health and with the Neurodevelopment and Disability department. Her research interests include health equity, difficult decision making in paediatrics, holding children for procedures and adolescent autonomy and consent.
Director, Department of Adolescent Medicine and Co-director, Royal Children's Hospital Gender Service
The Royal Children's Hospital Melbourne
Cate has extensive experience working as a Paediatrician, with particular expertise in eating disorder care, gender affirming care, neurodiversity and mental health. She is passionate about improving access to high quality care for adolescents, and leading service improvement in collaboration with those with lived and living experience. She is also a Medical Educator and uses teaching to advocate for her patients more broadly. Cate enjoys getting to know each individual young person and their family and is grateful for the opportunity to learn from them and to assist them throughout their journey.
Event Dates
Date: 15 October 2024
Time: 12:30pm – 1:30pm AEDT
Date: 15 October 2024 – 15 October 2024
Location
Zoom Meeting
, Web Conference
,
Restraint for involuntary nasogastric tube feeding of young people with Anorexia Nervosa or Atypical Anorexia Nervosa: A retrospective Audit
Vulnerable Children Series
Zoom Meeting
, Web Conference
,
About
Restraint for nasogastric tube insertion and feeding in medically unstable young people with anorexia nervosa (AN) and atypical anorexia nervosa (AAN) has been a clinical and ethical concern raised at our organisation. To further understand current practices and the characteristics of this population a retrospective audit was conducted. This included 217 children and young people admitted with AN and AAN to our paediatric medical ward for a total of 470 admissions. Results of this project will be shared as well as next steps being undertaken to inform proactive treatment approaches to reduce restraint.
- Just over one in 10 YP with AN or AAN in this audit were restrained for feeding. For a small number of these YP this occurred several hundred times over a long period of hospitalisation.
- Patients restrained for NGT insertion/feeding are more likely to be more complex socially and clinically than those without restraint.
- The incidence of autism or suspected autism in those that were restrained for feeds was more than twice that of those who did not require restraint.
- This audit is informing our next steps in developing guidelines regarding restraint in this population with collaborative engagement.
