{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T14:14:42Z","timestamp":1778163282873,"version":"3.51.4"},"reference-count":62,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:p>Eating disorders (ED), particularly anorexia nervosa (AN), represent high-morbidity, high-mortality psychiatric illnesses with multisystem medical complications, frequent relapse, and substantial caregiver burden. As palliative care (PC) clinicians increasingly encounter patients with severe and enduring ED, they may be asked to help manage complex symptom distress, navigate treatment refusals, support families, and participate in values-based goals of care discussions amid prognostic uncertainty. At the same time, the emerging and contested discourse around \u201cterminal anorexia nervosa\u201d underscores the need for careful clinical reasoning, nuanced capacity assessment, and ethically rigorous, interdisciplinary deliberation. In this article, an interdisciplinary group of PC, psychiatry, psychology, and eating-disorder specialist clinicians presents a practical \u201cTop Ten Tips\u201d framework to support real-world care. Tips emphasize early recognition of countertransference and moral distress, medical severity assessment and refeeding risk, trauma-informed and harm-reduction approaches, task-specific decision-making capacity evaluations, communication strategies that prioritize values and meaning over labels, and collaboration with eating-disorder specialty teams, ethics consultation, and community resources. We aim to provide actionable guidance that strengthens PC clinicians\u2019 confidence and consistency when caring for patients with severe EDs.<\/jats:p>","DOI":"10.1177\/10966218261447000","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:38:43Z","timestamp":1777894723000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Top Ten Tips All Palliative Care Clinicians Should Know About Anorexia Nervosa and Eating Disorder Care"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4516-7368","authenticated-orcid":false,"given":"Gregg A.","family":"Robbins-Welty","sequence":"first","affiliation":[{"name":"Department of Family and Preventive Medicine, Emory University School of Medicine and Grady Memorial Hospital, Atlanta, Georgia, USA."},{"name":"Department of Medicine, Emory University School of Medicine and Grady Memorial Hospital, Atlanta, Georgia, USA."},{"name":"Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine and Grady Memorial Hospital, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Childers","sequence":"additional","affiliation":[{"name":"Section of Palliative Care and Medical Ethics, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Feinberg School of Medicine, Northwestern University and Ann and Robert H Lurie Childrens Hospital of Chicago, Chicago, Illinois, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bonnie","family":"Davis","sequence":"additional","affiliation":[{"name":"The Elizabeth Hospice, San Diego, Escondido, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina","family":"Newport","sequence":"additional","affiliation":[{"name":"Section of Palliative Care, Department of Medicine, Penn State University College of Medicine, Hershey, Pennsylvania, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth","family":"Patterson","sequence":"additional","affiliation":[{"name":"University of Colorado Health and Iliff School of Theology, Denver, Colorado, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordana L.","family":"Meyerson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Section of Geriatrics, Hospice, and Palliative Care, Veterans Affairs Northeast Ohio Healthcare System, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Golden","sequence":"additional","affiliation":[{"name":"St. Camillus Palliative Care, Bon Secours Health System, Greenville, South Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Certo","sequence":"additional","affiliation":[{"name":"Divisions of Pediatric Palliative Care, Critical Care, and Ethics, Ann &amp; Robert H. 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