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Welcome to 4NW Inpatient Eating Disorders Program Workbook BB.500.In7.PHC (2021.09.22) Inpatient Eating Disorders Program Workbook © 2021 Providence Health Care Nutrition Guide for Portioning is the property of Providence Health Care, Provincial Adult Tertiary & Specialized Eating Disorders Program. No portion may be reproduced without permission. Please reference this document as follows: Providence Health Care, Provincial Adult Tertiary & Specialized Eating Disorders Program. February, 2021. Meal Support Checklist, Copyright © 2019 by the Provincial Adult Tertiary & Specialized Eating Disorders Program (PATSEDP) at Providence Health Care (PHC), Vancouver, BC, Canada. No portion may be reproduced without written permission. We would like to acknowledge all members of the inpatient eating disorders team (past and present) and patients of 4NW (past and present) who have provided feedback and contributed to the completion of this workbook. Edited & layout by Max Foss The information in this book has been adapted from a number of sources – our thanks to all. References available upon request. N This material has been E T TI reviewed and approved by A D P patients, families and staff. AP VE PRO Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Leisure & Self-Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Exploring Your Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 What Leisure Means to You . . . . . . . . . . . . . . . . . . . . . .49 My Treatment Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 How Leisure Makes You Feel . . . . . . . . . . . . . . . . . . . .53 SMART Goal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Leisure Resource List . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Could I change? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Self-care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Managing Your Feelings . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Sleep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Functions of Emotions . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Exploring Spirituality . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 DBT Skills - Emotional Regulation . . . . . . . . . . . . . . . 15 Compassion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 DBT Skills – Distress Tolerance . . . . . . . . . . . . . . . . . 16 Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66 What is self-compassion? . . . . . . . . . . . . . . . . . . . . . . . 17 Contribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Planning for Meals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Creativity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 Preparing for Meals Outside of Hospital . . . . . . . . . .21 Building Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 List of Safe Foods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Family . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Meal Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Friends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Weekly Menu Planner . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Creating Healthy Personal/Emotional Boundaries . .74 Weekly Menu Planner . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Barriers to Boundary Setting . . . . . . . . . . . . . . . . . . . . .75 Create a Grocery List . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Tips for setting Healthy Boundaries . . . . . . . . . . . . . .76 Grocery Store Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Planning for Home . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 Grocery List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Nutrition and Meal Planning . . . . . . . . . . . . . . . . . . . .79 Nutrition Guide for Portioning . . . . . . . . . . . . . . . . . . .27 Leisure Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 What do Portions Look Like? . . . . . . . . . . . . . . . . . . . .33 Activity and Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Sushi Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Building Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Coffee Shop Beverages . . . . . . . . . . . . . . . . . . . . . . . . . .35 Successful Discharge Planning . . . . . . . . . . . . . . . . . . .83 Choosing Recipes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Planning Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 Make time for meals and snacks in your day . . . . . . .38 Three Day Planner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Choose helpful after-meal activities . . . . . . . . . . . . . .38 Activity Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Prune Delight Recipe . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Grocery List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Food Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Meal Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Meal Support Checklist . . . . . . . . . . . . . . . . . . . . . . . . .41 Food Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 Activity & Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Weekly Menu Planner . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Important Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . .47 My Emergency Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Points to Ponder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Other Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96
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