References

Academy of Medical Royal Colleges, Royal College of General Practitioners, Royal College of Nursing. Improving the physical health of adults with severe mental illness: essential actions. 2016. https://tinyurl.com/y9a8qqvz (accessed 12 May 2020)

BAPEN. The ‘MUST’ toolkit. 2018. https://tinyurl.com/y8m2oyz8 (accessed 12 May 2020)

Bermingham SL, Cohen A, Hague J, Parsonage M. The cost of somatisation among the working-age population in England for the year 2008–2009. Ment Health Fam Med. 2010; 7:(2)71-84

Blows WT. The biological basis of clinical observations, 3rd edn. Abingdon: Routledge; 2018

Carey MP, Ravi V, Chandra PS, Desai A, Neal D. Prevalence of HIV, hepatitis B, syphilis, and chlamydia among adults seeking treatment for a mental disorder in southern India. AIDS Behav. 2007; 11:(2)289-297 https://doi.org/10.1007/s10461-006-9134-2

Collins E, Drake M, Deacon M. The physical care of people with mental health problems: a guide to best practice.London: SAGE; 2013

Crawford MJ, Jayakumar S, Lemmey SJ Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study. Br J Psychiatry. 2014; 205:(6)473-477 https://doi.org/10.1192/bjp.bp.113.142521

Dougherty L, Lister S. The Royal Marsden manual of clinical nursing procedures, 9th edn. Oxford: Wiley Blackwell; 2015

Glasper A. Caring for adults with severe mental illness and physical health problems. Br J Nurs. 2016; 25:(22)1266-1267 https://doi.org/10.12968/bjon.2016.25.22.1266

Antipsychotic medication and weight gain. 2017. https://tinyurl.com/y7dwvsyg (accessed 12 May 2020)

HM Government, Department of Health. No health without mental health: a cross-government mental health outcomes strategy for people of all ages. 2011. https://tinyurl.com/y5dnec5h (accessed 12 May 2020)

Himelhoch S, Lehman A, Kreyenbuhl J, Daumit G, Brown C, Dixon L. Prevalence of chronic obstructive pulmonary disease among those with serious mental illness. Am J Psychiatry. 2004; 161:(12)2317-9 https://doi.org/10.1176/appi.ajp.161.12.2317

Joint Formulary Committee. Antipsychotic drugs. 2020. https://bnf.nice.org.uk/drug-class/antipsychotic-drugs.html (accessed 12 May 2020)

Lord CC, Wyler SC, Wan R The atypical antipsychotic olanzapine causes weight gain by targeting serotonin receptor 2C. J Clin Invest. 2017; 127:(9)3402-3406 https://doi.org/10.1172/JCI93362

Matevosyan NR. Reproductive health in women with serious mental illnesses: a review. Sexuality and Disability. 2009; 27:(2)109-118 https://doi.org/10.1007/s11195-009-9114-3

McBain H, Lamontagne-Godwin F, Haddad M Management of type 2 diabetes mellitus in people with severe mental illness: an online cross-sectional survey of healthcare professionals. BMJ Open. 2018; 8:(2) https://doi.org/10.1136/bmjopen-2017-019400

Mental Health Taskforce. The five year forward view for mental health. Report to NHS England. 2016. https://tinyurl.com/gvc4or3 (accessed 12 May 2020)

Moore T. Respiratory assessment in adults. Nurs Stand. 2007; 21:(49)48-56 https://doi.org/10.7748/ns2007.08.21.49.48.c4605

Nash M. Physical health and well-being in mental health nursing: clinical skills for practice, 2nd edn. Maidenhead: McGraw-Hill; 2014

National Institute for Health and Care Excellence. Surgical site infection. Quality standard QS49. 2013. https://tinyurl.com/y9ysju9w (accessed 12 May 2020)

National Institute for Health and Care Excellence. Diagnosing hypertension. 2019. https://tinyurl.com/y9vyf8o8 (accessed 12 May 2020)

Bringing together physical and mental health: a new frontier for integrated care. 2016. https://tinyurl.com/y85gsg3r (accessed 12 May 2020)

NHS England. NHS long term plan. 2019. https://tinyurl.com/y4k3mjyw (accessed 12 May 2020)

NHS England, NHS Improving Quality, Public Health England, National Audit of Schizophrenia Team. Lester UK Adaptation. Positive cardiometabolic health resource. An intervention frame work for people experiencing psychosis and schizophrenia. 2014. https://tinyurl.com/uy7eohh (accessed 12 May 2020)

Nursing and Midwifery Council. The code. Professional standards of practice and behaviour for nurses, midwives and nursing associates. 2018. https://www.nmc.org.uk/standards/code/ (accessed 12 May 2020)

Office for National Statistics. Alcohol-specific deaths in the UK: registered in 2018. Deaths caused by diseases known to be a direct consequence of alcohol misuse by sex, age and region. 2019. https://tinyurl.com/y8naakwm (accessed 12 May 2020)

Park YW, Kim Y, Lee JH. Antipsychotic-induced sexual dysfunction and its management. World J Mens Health. 2012; 30:(3)153-159 https://doi.org/10.5534/wjmh.2012.30.3.153

Public Health England. Health matters: harmful drinking and alcohol dependence. 2016a. https://tinyurl.com/gtlow3o (accessed 12 May 2020)

Public Health England. Health matters: getting every adult active every day. 2016b. https://tinyurl.com/jv4fgcz (accessed 12 May 2020)

Public Health England. Technical supplement. Severe mental illness and physical health inequalities. 2018a. https://tinyurl.com/y82fyqtf (accessed 12 May 2020)

Public Health England. The eatwell guide. 2018b. https://tinyurl.com/jr8sl4o (accessed 12 May 2020)

Public Health England, NHS England, Health Education England. Making every contact count (MECC): consensus statement. 2016. https://tinyurl.com/ydhs9oxx (accessed 12 May 2020)

Quinn C, Browne G. Sexuality of people living with a mental illness: a collaborative challenge for mental health nurses. Int J Ment Health Nurs. 2009; 18:(3)195-203 https://doi.org/10.1111/j.1447-0349.2009.00598.x

Ross LE, Vigod S, Wishart J Barriers and facilitators to primary care for people with mental health and/or substance use issues: a qualitative study. BMC Fam Pract. 2015; 16 https://doi.org/10.1186/s12875-015-0353-3

Stroup TS, Gray N. Management of common adverse effects of antipsychotic medications. World Psychiatry. 2018; 17:(3)341-356 https://doi.org/10.1002/wps.20567

Teasdale G, Murray G, Parker L, Jennett B. Adding up the Glasgow Coma Score. Acta Neurochir Suppl (Wien). 1979; 28:(1)13-6 https://doi.org/10.1007/978-3-7091-4088-8_2

Tsuda Y, Saruwatari J, Yasui-Furukori N. Meta-analysis: the effects of smoking on the disposition of two commonly used antipsychotic agents, olanzapine and clozapine. BMJ Open. 2014; 4:(3) https://doi.org/10.1136/bmjopen-2013-004216

The Waterlow score. 2005. http://judy-waterlow.co.uk/waterlow_score.htm (accessed 12 May 2020)

World Health Organization. Global database on body mass index. BMI classification: the international classification of adult underweight, overweight and obesity according to BMI. 2006. https://tinyurl.com/yd22ef3f (accessed 12 May 2020)

Physical health assessment for people with a severe mental illness

28 May 2020
Volume 29 · Issue 10

People with severe mental illness (SMI) have poorer physical health than the general population and die on average 15 to 20 years earlier than people without a mental health condition (HM Government and Department of Health (DH), 2011). This is mostly because of physical health problems that are not diagnosed or managed efficiently (HM Government and DH, 2011). Being in contact with a mental health service does not always mean that people with an SMI have a physical health assessment, have their physical health monitored or receive information, support and lifestyle interventions to improve their overall wellbeing. A group of organisations, including several royal colleges, have produced a report setting out actions to improve the physical health of these patients (Academy of Royal Medical Colleges et al, 2016).

Nurses from all fields have unparalleled opportunities to improve the physical health conditions of SMI patients, both in inpatient and community settings (HM Government and DH, 2011). To make these improvements and ensure parity of esteem between physical and mental health, all nurses must capitalise on every contact they have with people with SMI to improve early detection, evidence-based care and interventions.

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