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Feedingthe
DogBlack
Canvnursingvcarevcontributevtovobesityvandvthevsymptomsvofvmentalvillnessv
invCAMHSvinpatientvsettings?vReflectivevquestionsvtovchallengevpractice.
DianeCEdwards
EdCFreshwater
:6E89OBScOMentalOHealthONursing
BirminghamOCityOUniversity
Asvavnurse,varevyouvhappyvwithvthev
qualityvandvquantityvofvfoodvservedv
invinpatientvCAMHS?
Considervfoodvasvavcopingvstrategyv
-vwherevdovwevdrawvthevline?
Arevallvcaloriesvthevsame?
Diabetesvisvcausedvbyvtoovmuchv
sugar,vright?
What'svallvthevfussvaboutvsugar?
Let'svfacevit,vyoungvpeoplevjustv
won'tveatvvegetablesvsovwevmightv
asvwellvgivevthemvchips.
Arevwevpathologisingvnormalv
behaviours?
Howvarevwevasvnursesvgoingvtov
advocatevforvthosevinvourvcare?
AhmedOCSRCHRO39:89-TOIs/sugar/as/addictive/as/cocaine?;Food/and/addiction/a/comprehensive/
/HandbookTOOxfordbOOxfordOUniversityOPressbOpp958A95–TO
AvenaOCNRO39:86-OHowOsugarOaffectsOtheObrainTOAvailableOfromOTedEdOwebsiteOatOhttpzEEedTtedTcomElessonsEhowAsugarAaffectsAtheAbrainAnicoleA
avenaOAccessedO85thOMarchO9:86TO
BottomleyOCARCzCMcKeownOCJRO39::L-OPromoting/nutrition/for/people/with/mental/health/problems.ONursingOStandardO99z6kbOpp6LARRO
ComptonOCMRTROCDaumitOCGRLRCzCDrussCOCBRGRO39::JN//Cigarette/smoking/(/overweight///obesity/among/individuals/with/serious/mental/illnesses:/
a/preventive/perspectiveTOHarvORevOPsychiatryOJulAAugO86z6bOpp989A999O
DietzRCLRO39:89-Self/SootheOTOAvailableOatzOhttpKWWwww)dbtselfhelp)comWhtmlWselfAsooth)htmlOAccessedO85OSeptemberO9:86O
GossOCKRCandCAllanOCSRO39:86-bOThe/development/and/application/of/compassion-focused/therapy/for/eating/disorders/,CFT-ENTOBritishOJournalOofO
ClinicalOPsychologyOR5bOppJ9–––TO
KielingOCCROCBakerbHenninghamOCHROCBelferOCMROCContiOCGROCErtemOCIROCOmigbodunOCORCzCRahmanOCARO39:88-TOChild/and/adolescent/
mental/health/worldwide:/evidence/for/actionT;TheOLancetb;5–LzkL:8bOppTO8R8RA8R9RTO
MurisOCPROCzCMeestersOCCRO39:86-TOSmall/or/big/in/the/eyes/of/the/other:/on/the/developmental/psychopathology/of/self-conscious/emotions/as/shameW/
guiltW/and/prideT;ClinicalOchildOandOfamilyOpsychologyOreviewb;8–z8bOpp8kA6:TO
NMCC39::L-OThe/code:/standards/of/practice/for/nurses/and/midwives./LondonbONMCO
TaubesOCGRO39:89-TOThe/New/Obesity/Campaigns/Have/it/All/WrongT;NewsweekOmagazineb;RTO
ToshOCGROCCliftonOCARVROCXiaOCJRCzCWhiteOCMRMRO39:86-OPhysical/health/care/monitoring/for/people/with/serious/mental/illnessTOCochraneODatabaseO
ofOSystematicOReviewsO9:86O
WorldCHealthCOrganisationO3WHO-O39:86-OWHO/opens/public/consultation/on/draft/sugars/guidelineTOOAvailableOatzO
httpKWWwww)who)intWmediacentreWnewsWnotesWRNPOWconsultationAsugarAguidelineWenWOAccessedO89th
OSeptemberO9:86TO
In;our;practice;we;have;seen;the;meals;
served;to;young;people;in;a;variety;of;
locations8;chips;and;wedges;served;with;
lunch;and;dinner&;"healthy";options;of;
cheese;and;potato;pie&;chip;
sandwiches&;and;vegetables;boiled;
beyond;recognition);Unhealthy;food;is;
supplemented;with;crisps&;fizzy;drinks&;
sweets;and;chocolate;as;a;"treat"
The;ability;to;regulate;our;emotions;and;
selfAsoothe;is;acknowledged;as;
essential;for;good;mental;health);
However&;selfAsoothing;includes;food;as;
a;coping;strategy;and;as;a;distraction;
technique;qDietz&;RNPR8;Goss;T;Allan&;
RNPO();We;suggest;that;helping;those;in;
our;care;to;develop;emotional;resilience;
is;a;far;better;alternative)
The;simple;answer;is;a;resounding;"No");
Different;food;groups;affect;our;bodies;
in;different;ways);Proteins;are;the;
building;blocks;of;the;body&;fat;is;
essential;for;healthy;cells&;and;
carbohydrates;are;for;quick;energy;
release);A;low;fat;diet;does;not;equal;
low;fat;person;qTaubes&;RNPR()
Again&;the;simple;answer;is;no);Refined;
sugar;may;be;part;of;the;problem&;but;
refined;grains;have;an;effect;as;well);
Yet;government;guidelines;still;push;
bread;and;pasta;as;a;staple;dietary;
requirements);Diabetes;is;
acknowledged;as;a;longAterm;
complication;of;unhealthy;lifestyles)
Increasingly;the;addictive;nature;of;
refined;sugar;and;the;negative;
consequences;on;our;health;are;being;
acknowledged;qAhmed&;RNPR8;Avena&;
RNPO(&;so;much;so;that;the;WHO;have;
recently;recommended;a;daily;intake;of;
no;more;than;5Ng;per;day&;and;not;
exceeding;5k;of;overall;calorific;intake;
qWHO&;RNPO()
People;with;mental;ill;health;may;be;
more;likely;to;neglect;nutrition;due;to;
their;illness);With;younger;service;users&;
the;problem;is;more;often;overfeeding;
with;resultant;weight;gain;qBottomley;T;
McKeown&;RNNB();
When;you;are;in;a;bad;mood;and;
lacking;energy&;what;food;do;you;reach;
for?
Are;we;at;risk;of;diagnostic;
overshadowing;as;we;administer;antiA
depressants&;mood;stabilisers;and;
sedating;medications;to;manage;normal;
teenage;behaviour&;or;even;behaviours;
caused;by;poor;diet?;These;medications;
themselves;contribute;to;sedentary;
lifestyles;and;obesity;qCompton;et;al&;
RNNx(;and;reduced;life;expectancy;
qTosh;et;al&;RNPO()
It;is;part;of;our;professional;
responsibility;to;advocate;for;those;in;
our;care;and;work;with;other;agencies;
for;their;wellbeing;qNMC&;RNNB();Nurses;
can;use;their;knowledge;and;skills;to;
inspire;the;multiAdisciplinary;team;and;
others&;to;encourage;new;ways;of;
engaging;young;people;with;healthier;
diets;and;healthier;lives)

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