作者: Janet Treasure
DOI: 10.1136/POSTGRADMEDJ-2015-133282
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摘要: Aim This paper considers how the three principles of evidence based practice (clinical expertise, scientific evidence, and patient preference) can be applied to complexity treatment for anorexia nervosa AN. Method A narrative review these domains is presented. Clinical cases are used illustrate formulation management put into at different stages illness. Results The complex. First, individuals with illness do not regard manifestations as a source concern rather they embraced integrated their identity. contrasts reaction other people who terrified by overt signs ill health. Thus engagement problematic. Second, core symptom restricted eating, produces malnutrition which impacts on brain, body, social network. mixture psychological physical problems gradually accumulates over course means that targets increase time. Conclusion has work motivation readiness change tackle various