Increased Precautions We're Taking in Response to COVID-19
As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at McCallum Place Eating Disorder Center to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, on-site visitation is no longer allowed at McCallum Place Eating Disorder Center.

  • This restriction has been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • We are offering visitation through telehealth services so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services are being vetted and may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff has received infection prevention and control training.
  • Thorough disinfection and hygiene guidance has been provided.
  • Patient care supplies such as masks and hand sanitizer are being monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.
  • We are in communication with our local health department to receive important community-specific updates.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit https://www.cdc.gov/coronavirus/2019-ncov/index.html

Blog

The Use of Feeding Tubes as a Tool to Recovery

An essential component of eating disorder treatment consists of adequately restoring the nutritional needs of each individual, ensuring sufficient nourishment to stimulate and support the healing process. It is very difficult for an individual in a malnourished state to think clearly and fully participate in all the modalities of treatment.

Typically, oral feeding is the preferred method for nutrition. Not only is oral intake the safest and least invasive method, it also allows for patients to become comfortable with eating a calorically adequate and balanced diet. Unfortunately, oral feeding isn’t always an option. When patients, despite effort, aren’t able to obtain sufficient sustenance through oral intake, a nasogastric tube (NG tube) can be an important option.

Feeding tubes are used for a variety of reasons throughout the eating disorder recovery process.

When a patient is not eating enough calories, and/or keeping those calories in their bodies, the entire gastric system slows down. Inadequate nutrition stalls the entire emptying system (esophagus, stomach, intestines, colon), so that when food is reintroduced, it often takes longer to pass through the digestive system.  This process may cause gas, distention, discomfort, heart burn, bloating, pain, and early fullness; not to mention increased anxiety and worsening body image. Sometimes the digestive system needs a break, which is when a feeding tube can be utilized as a supportive tool.

NG feeding tubes:

  • Assist in providing relief to the psychological and/or physical discomfort that many individuals experience in the refeeding process.
  • Work in conjunction with oral intake to restore nourishment during the nutritional rehabilitation process.
  • Ease anxiety related to increasing oral intake

A NG tube is inserted through the nostril, advanced down the esophagus, and adjusted so that the outlet of the tube resides in the stomach. Liquid food can be introduced into the stomach through the tube to ensure appropriate daily calorie intake and nutrition.  Tube feedings can be performed either as a bolus or on a continuous basis depending on the particulars of the situation.

The liquid supplement, is simpler to digest, making it easier for the body to absorb the necessary nutrients. It is also easier for these nutrients to be processed, which reduces discomfort. This is helpful in regards to maintaining sufficient nutritional intake, which sometimes becomes increasingly difficult to maintain as the body becomes hyper-metabolic.

Hyper-metabolism is the increased rate of how the body processes food into energy. As the needs of the body increase, so does the speed of how bodies process energy, which is due to multiple factors such as:

  • Daily basal metabolic needs (what humans need to breath, pump blood, grow cells, )
  • Repair needs, due to the damage from the eating disorder
  • Movement and Activities of daily living

When patients reintroduce nutrition, their bodies must relearn how to process food, which is a process that can take anywhere from 3-6 months. When discussing appropriateness for removing a feeding tube, it’s important to ensure that a patient will be able to adequately and tolerably meet their nutritional needs without this support.

This process will look different for each patient and will be individualized in each case. Some patients may experience having a feeding tube removed as an exciting milestone to reach. After the initial support of the NG tube is provided, the patient may begin to slowly decrease use on their own. For others, this is a big change and can activate fear and anxiety around how it will feel to orally complete a meal plan. In these cases, each patient will work with their eating disorder treatment team to set goals around slowly decreasing their reliance on their NG feeding tubes.

Overall, feeding tubes are often recommended as a short term supportive tool to assist patients in the process of weight stabilization and nutritional rehabilitation. Whether its anxiety related to increasing oral intake, or physical discomfort as the body works through the healing process, feeding tubes can be a reliable support to lean on as someone is working towards recovery.  While most patients will never require a NG tube, in select patients they can be an important tool on the road to recovery.

About Katie Jackson, RD, LD, Registered Dietitian

Katie is a Registered Dietitian who graduated from Purdue University in May of 2018 with Bachelor of Science degrees in Dietetics and Nutrition, Fitness and Health. She was a member of the Coordinated Program to complete her dietetic internship, which provided rotations in community nutrition, food service management, and medical nutrition therapy. Katie is a member of the Academy of Nutrition and Dietetics and the Missouri Dietetic Association. Prior to working at McCallum Place, Katie worked as a Nutrition Educator at Operation Food Search where she led nutrition and cooking classes for people of all ages. Katie joined the McCallum Place team in April 2019, working with patients in both the Residential and Partial Hospitalization Programs. She assists her patients to remove the stress associated with eating and learn how to have a healthy and flexible relationship with food where no foods are off limits.​

View all posts by Katie Jackson, RD, LD