I'm a pediatric nurse who has worked in the hospital setting for the last 15 years and volunteered as a school nurse for just as many. In my career, I've cared for children with anorexia, and I think “An Inpatient Program for Adolescents with Anorexia Experienced as a Metaphoric Prison” (August) was very precise in its portrayal of the nurse–patient relationship.
It comes down to staffing ratios, which are frequently not adequate, especially when the nurse has to keep such a close eye on the patient. On our unit, on several occasions, patients with anorexia were added to a nurse's already heavy load. The rationale? “There isn't anything really wrong with them.”
Tammy L. Hernandez, BSN, RN
San Antonio, TX