Bauwens Inès, Cottencin Olivier, Rolland Benjamin, Bonord Alexandre, Guardia Dewi
CHU de Lille, service d'addictologie, 59000 Lille, France.
CHU de Lille, service d'addictologie, 59000 Lille, France; UDSL, EA4559, 59000 Lille, France; Université Lille-Nord-de-France, 59000 Lille, France.
Presse Med. 2014 Mar;43(3):263-9. doi: 10.1016/j.lpm.2013.03.009. Epub 2013 Jul 31.
Although many patients face a long and severe evolution, there is no consensus regarding the definition of chronic and/or refractory anorexia nervosa. The multiplication of treatments and therapies lead to what could be called a total resistance to treatment in these patients. Cognitive impairment in anorexia nervosa, known to be worsened by deep denutrition, is a striking issue as it could limit the ability of the patients to consent to needed care. Constrained admission ruled by French July 5th 2011 psychiatric law could be decided given the aforementioned consent issues. When care given to patients involuntarily admitted are unsuccessful, supportive and palliative care could be an alternative in chronic and refractory anorexia nervosa. The goals of care would be shifted at this point to active comfort measures and better quality of life.
