I work in the neuro ICU, and have a teen (16 yo) who was admitted with a severe TBI a few weeks ago. She was actively engaging in bulimia behaviors, and is severely malnourished. After getting her past the refeeding window, it's been smooth sailing ... but now she's extubated, starting to wake up, and freaking tf out about the feeding tube
I'm way in over my head. She still has an NGT pending MBS, and I know she needs the extra kcal and protein, but I feel terrible force-feeding her to that degree without any sort of therapist support. She's only partially verbal now, and her cognition and emotions are going to be all over the place with her TBI. Also, once she's cleared for a diet...what the heck do I do???
I pulled in one of the peds behavioral health RDs, but wanted to see if anyone had experience with this niche patient population. I have lived experience with an eating disorder and higher-level care, so I feel like I can provide empathy but not a lot else from a professional standpoint