{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T04:39:29Z","timestamp":1772771969616,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,11,27]],"date-time":"2018-11-27T00:00:00Z","timestamp":1543276800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This is the case of an 18\u2010year\u2010old young adult woman with anorexia nervosa (AN) who presented to the emergency department with complications from AN and was found to be hyponatremic. The hyponatremia was prioritized and corrected with fluids on hospital day one. The consulting adolescent medicine team recommended the primary inpatient medical team initiate the malnutrition protocol. Nephrology recommended fluid restriction. Despite initiation of this protocol and emphasis on protocol adherence with the primary team, patient, and family, the hyponatremia recurred. Retrospectively, there were three factors that led to her recurrent hyponatremia: inconsistencies in protocol adherence across medical clinical providers, lack of knowledge regarding the importance of adherence to the malnutrition protocol, and suboptimal communication between medical clinical providers. A multidisciplinary team experienced in the care of patients with AN may enhance inpatient treatment of this condition. A multidisciplinary team experienced in AN will have a better understanding of the complexities of AN, skill in protocol implementation, understand the importance of protocol adherence, and be more likely to clearly communicate the plan of care to the patient\/family. These skills can lead to improved care quality, decreased risk of adverse outcomes, and likely decreased medical costs.<\/jats:p>","DOI":"10.1002\/eat.22973","type":"journal-article","created":{"date-parts":[[2018,11,27]],"date-time":"2018-11-27T10:25:16Z","timestamp":1543314316000},"page":"1378-1381","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Recurrent hyponatremia in a young adult woman with anorexia nervosa and the effects of insufficient communication"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2230-2419","authenticated-orcid":false,"given":"Erin D.","family":"Boyd","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Adolescent and Young Adult Health, Vanderbilt University Medical Center Monroe Carell Jr. Children's Hospital at Vanderbilt  Nashville Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nefertiti Harmon","family":"Durant","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Adolescent Medicine School of Medicine, University of Alabama at Birmingham  Birmingham Alabama"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,27]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.1.204"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423363"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0194"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2011.06.014"},{"key":"e_1_2_4_7_1","unstructured":"Dingley C. Daugherty K. Derieg M. K. &Persing R.(2008). Improving patient safety through provider communication strategy enhancements. In: K. Henriksen J. B. Battles M. A. Keyes & M.L. Grady (Eds.) Advances in patient safety: New directions and alternative approaches(Vol. 3: Performance and tools). Rockville MD: Agency for Healthcare Research and Quality (US)."},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.10.259"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.11.020"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.32-12-508"},{"issue":"1","key":"e_1_2_4_11_1","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1515\/ijamh-2013-0341","article-title":"Outcome of adolescents with eating disorders from an adolescent medicine service at a large children's hospital","volume":"27","author":"Hergenroeder A. C.","year":"2015","journal-title":"International Journal of Adolescent Medicine and Health"},{"key":"e_1_2_4_12_1","unstructured":"Joint Commission on Accreditation of Healthcare Organizations. (2015). Sentinel event statistics released for 2014. Retrieved fromhttp:\/\/www.jointcommission.org\/assets\/1\/23\/jconline_April_29_15.pdf."},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2004.010033"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.126"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Feat.22973","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.22973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T10:31:16Z","timestamp":1694773876000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.22973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,27]]},"references-count":13,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1002\/eat.22973"],"URL":"https:\/\/doi.org\/10.1002\/eat.22973","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,27]]},"assertion":[{"value":"2018-04-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}