Recovery from psychosis: physical health, antipsychotic medication and the daily dilemmas for mental health nurses

Bressington, Daniel; White, Jacquie

doi:10.1111/jpm.12249

Cited by 12 publications

(7 citation statements)

References 87 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, unlike other fields of nursing, the role of the mental health nurse in relation to medications remains a somewhat contentious issue (Gray, 2015), as the role of the mental health nurse continues to appear torn between biomedical traditions (Bradshaw & Pedley, 2012; Stickley et al., 2016) and emerging recovery based approaches (Anthony, 1993; Mountain & Shah, 2008). Although not mutually exclusive, the dichotomy between the two approaches is perhaps most apparent in relation to the topic of medication (Bressington & White, 2015; Lester & Gask, 2006; Osborn & Stein, 2017). Recovery orientated practice does not typically place a strong emphasis on medication, as removal of symptomology is not necessarily of primary importance (Khoury & Rodriguez del Barrio, 2015).…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of service users’ experiences of mental health nurses’ knowledge and skills in relation to medication

Pearson

Sibson

Carter

2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Introduction The role of the mental health nurse in relation to medications remains complex. Despite an increasing focus on pharmacology within pre‐registration nurse education, there is limited research exploring how mental health service users experience mental health nurses’ knowledge and skills in relation to medication. Aim To explore the experiences of service users working with mental health nurses, in relation to the nurses’ knowledge and skills associated with medicines management. Method The research prioritized the principles of co‐production and was undertaken collaboratively with a researcher with lived experience. Data were collected via semi‐structured interviews with individuals who have accessed UK mental health services. Interviews were audio‐recorded, transcribed verbatim and subjected to thematic analysis. Results Three themes were generated from the data: inconsistencies in knowledge and practice, holistic therapeutic engagement and dialogical approach to medicines. Discussion Service users may have a sense of uncertainty around the role of the nurse, potentially resulting in frustration and anxiety. However, mental health nurses also possess unique skills in relation to medicines management. Implications for practice The findings emphasize that service users value not only pharmacological knowledge but also unique skills in facilitating dialogue, prioritising shared decision‐making and practical support in medicines optimization.

show abstract

Section: Introductionmentioning

confidence: 99%

A qualitative study of service users’ experiences of mental health nurses’ knowledge and skills in relation to medication

Pearson

Sibson

Carter

2020

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…The reasons for the poor cardiometabolic health of individuals with SMI are multifaceted, but are most likely to relate to a combination of lifestyle issues, diagnostic overshadowing, iatrogenic effects of medication, problems detecting/reporting physical health concerns and the potential impact of psychiatric symptoms on health behaviours (Robson & Gray , Bressington & White ). It is also reported that the overall substandard quality of physical health care for people with SMI contributes towards poor cardiometabolic health.…”

Section: Introductionmentioning

confidence: 99%

The physical health of people with schizophrenia in Asia: Baseline findings from a physical health check programme

Thongsai

Gray

Bressington

2016

Psychiatric Ment Health Nurs

Self Cite

View full text Add to dashboard Cite

Introduction People with schizophrenia have worse physical health than the general population, and studies in developed countries demonstrate that their health behaviours are often undesirable. However, as no similar studies have been conducted in Asian countries with emerging healthcare systems, the physical health promotion challenges in these settings is unknown. Aim To identify and explore relationships between cardiometabolic health risks, lifestyle and treatment characteristics in people with schizophrenia in Thailand. Method This cross-sectional study reports the baseline findings from a physical health check programme using the Thai version of the Health Improvement Profile. Results Despite desirable levels of exercise and relatively good diets being reported by most of the 105 service users, unhealthy body mass index values were observed in 44% of participants. A BMI>23 kg/m² and central obesity was found to be most likely in women. Being prescribed antipsychotic polypharmacy was significantly associated with a higher BMI than in people prescribed monotherapy. Implications for Practice Mental health professionals in Asia should be aware of the additional risks of obesity that are associated with antipsychotic polypharmacy and may benefit from additional training in order that they may advocate for service users within medication reviews to minimize the potential iatrogenic effects of treatment.

show abstract

“…Weight gain, lipid abnormalities, type 2 diabetes mellitus, and hypertension are all iatrogenic effects of psychotropic medication which can shorten the lifespan of people with mental illness (Bressington & White, 2015). These effects can be difficult to counter while also balancing lifestyle factors and severe mental health issues.…”

Section: Discussionmentioning

confidence: 99%

The Wellness Clinic: A retrospective Quasi‐experimental, longitudinal study of physical health support in an Australian mental health service setting

Stanley

Ferguson

Harrison

et al. 2020

Int J Mental Health Nurs

View full text Add to dashboard Cite

The poor physical health of patients with severe/chronic mental illness is now well‐known, yet little has been done to address the issue. Adverse medication effects, lifestyle, and social factors can all contribute to high morbidity and mortality rates when compared to the general population. To arrest poor physical health, a Wellness Clinic within a mental health hospital was developed to provide continuity of care when patients were discharged from the hospital. A retrospective, within‐subjects, quasi‐experimental, longitudinal time‐series study was conducted analysing the demographics and physical health parameters of 57 patients who remained with the service over a four and a half year time period. Assessments were taken at baseline, 12, 24, and 36 months for each individual. Despite increasing levels of psychotropic and other health medication over time, physical health parameters were generally held stable for most measures across the four time periods. HDL‐C levels were significantly improved between baseline and 36 months. This stability over time suggests that ongoing assessment, monitoring, and treatment is necessary to arrest the downward trajectory of poor physical health in mental health and opens the door for future research to invest in interventions to run alongside the Wellness Clinic and improve patient physical health.

show abstract

Recovery from psychosis: physical health, antipsychotic medication and the daily dilemmas for mental health nurses

Cited by 12 publications

References 87 publications

A qualitative study of service users’ experiences of mental health nurses’ knowledge and skills in relation to medication

A qualitative study of service users’ experiences of mental health nurses’ knowledge and skills in relation to medication

The physical health of people with schizophrenia in Asia: Baseline findings from a physical health check programme

The Wellness Clinic: A retrospective Quasi‐experimental, longitudinal study of physical health support in an Australian mental health service setting

Contact Info

Product

Resources

About