Abstract

PURPOSE
Patients with severe mental illness (SMI) treated with antipsychotic medication are at increased risk of metabolic side-effects like weight gain, diabetes mellitus and dyslipidaemia. This study aims to examine the feasibility of maintaining a physical health monitoring sheet in patients' records and its impact on physical health of patients with SMI, over a period of one year.
DESIGN/METHODOLOGY/APPROACH
A physical health monitoring sheet was introduced in all the patients' records on a 15-bedded male medium secure forensic psychiatric rehabilitation unit, as a prompt to regularly monitor physical health parameters. An audit cycle was completed over a one year period. The data between baseline and re-audit were compared.
FINDINGS
At baseline, 80 per cent of the patients were identified as smokers, 80 per cent had increased body mass index (BMI) and 87 per cent had raised cardiovascular risk over the next ten years. Appropriate interventions were offered to address the risks. At re-audit, the physical health monitoring sheets were up to date in 100 per cent of patients' records. The serum lipids and cardiovascular risk over the next ten years reduced over time. No significant change was noted on the parameters including BMI, central obesity, high blood pressure and smoking status.
RESEARCH LIMITATIONS/IMPLICATIONS
This was a pilot study and was limited by the small sample size, male gender only and the specific nature of the ward.
PRACTICAL IMPLICATIONS
There is a need for improved access to physical health care in long-stay psychiatric settings. A more robust lifestyle modification programme is required to positively influence the physical health parameters in this cohort of patients.
ORIGINALITY/VALUE
Introduction of a physical health monitoring sheet in patients' records led to regular screening of cardiovascular risks and subsequent increased prescribing of hypolipidaemic agents in individuals with severe mental illness.

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Aggregator Full Text

Authors

Vasudev K, Thakkar PB, Mitcheson N

Institution

London Health Sciences Centre, London, Canada. kamini.vasudev@lhsc.on.ca

Source

International journal of health care quality assurance 25:4 2012 pg 363-70

MeSH

Adult
Antipsychotic Agents
Blood Pressure
Body Mass Index
Cardiovascular Diseases
Diabetes Mellitus, Type 2
Drug Monitoring
Health Status
Humans
Life Style
Lipids
Male
Medical Records
Mental Disorders
Pilot Projects
Risk Factors
Schizophrenia
Smoking

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22755485