Improving mental health service users' physical health through medication monitoring: a literature review.

Published on Apr 1, 2011in Journal of Nursing Management3.325
· DOI :10.1111/J.1365-2834.2011.01244.X
Michael Nash10
Estimated H-index: 10
(Trinity College, Dublin)
Sources
Abstract
nash m. (2011) Journal of Nursing Management 19, 360–365 Improving mental health service users’ physical health through medication monitoring: a literature review Aim  To explore the importance of improving physical health in mental health service users through medication monitoring. Background  Mental health service users’ physical health is frequently poor, although many have contact with health-care services. Adverse drug reactions are a unique risk factor for poor physical health. However, medication monitoring remains inconsistent. Evaluation  A literature review was conducted using search terms: medication monitoring, adverse drug reactions, physical health/illness, mental health/psychiatric nursing. Databases searched included PsychINFO, Pubmed, CINHAL and the British Nursing Index. Key issue  Structured medication monitoring is required to enhance physical health and reduce the risk of adverse events. Implications for nursing management  Nurse managers should promote a culture of evidence-based practice in medication monitoring. Practitioner learning needs and competencies should be assessed to provide relevant education and skills training. Conclusion  Nurse managers require strategic leadership to transform practice and enhance mental health service users’ physical health through medication monitoring. Good practice guidelines should be implemented to improve quality of care and reduce the risk of adverse events. Addition to current knowledge  This paper illustrates the importance of medication monitoring in improving physical health.
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Accessible summary Little is known about mental health service users’ experiences of physical conditions such as diabetes. Stigma and diagnostic overshadowing occurred when seeking help with physical problems. A split in mental and physical health left two distinct illness identities – the mental health service user who is largely ignored in primary care and the diabetic who is largely ignored in mental health. Most participants mentioned experiencing physical complications of diabetes. Abstract...
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