This article delineates concordance and adherence; two fundamental positions pertaining to the role of the nurse in medicine management. Taking the form of a debate, it uses mental health nursing to describe the role and function of concordance and adherence in practice. Each author presents their case and responds briefly to the other in order to show why they see the adoption of one term or another as central to medicines interventions with the patient. The purpose of the paper is to encourage...
A 20-year mortality gap for men, and 15 years for women, is still experienced by people with mental illness in high-income countries. The combination of lifestyle risk factors, higher rates of unnatural deaths and poorer physical healthcare contribute to this scandal of premature mortality that contravenes international conventions for the ‘right to health.’
Last. Robert Stewart('KCL': King's College London)H-Index: 84
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Objective Despite improving healthcare, the gap in mortality between people with serious mental illness (SMI) and general population persists, especially for younger age groups. The electronic database from a large and comprehensive secondary mental healthcare provider in London was utilized to assess the impact of SMI diagnoses on life expectancy at birth. Method People who were diagnosed with SMI (schizophrenia, schizoaffective disorder, bipolar disorder), substance use disorder, and depressiv...
walsh l. & brophy k. (2010) Staff nurses’ sites of choice for administering intramuscular injections to adult patients in the acute care setting. Journal of Advanced Nursing67(5), 1034–1040. Abstract Aim. The aim of this descriptive, correlational study was to determine intramuscular injection sites presently being used by acute care nurses in one Canadian province and factors that contribute to site selection. Background. Intramuscular injections are routinely administered by nurses in acute ca...
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, med...
Summary Background/Aims: An intramuscular (IM) injection into the buttock risks damaging the sciatic nerve. Safe injection practices need to be understood by doctors and nurses alike. The aims of this study were to determine if sciatic nerve injury because of IM injection is a continuing problem and to establish the availability of published guidelines on IM injection techniques. Methods: Intramuscular injection related sciatic nerve injury claims to the New Zealand Accident Compensation Corpora...
Last. Peter Nolan(Staffordshire University)H-Index: 28
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Healthcare professionals are key providers of information about antipsychotic medication and may have a significant influence on the decisions that service users make about how their medication is delivered. This systematic review aimed to explore health professionals’ attitudes and beliefs towards antipsychotic depot medication. A systematic search of AMED, BNI, CINAHL, EMBASE, HEALTH BUSINESS ELITE, HMIC, MEDLINE and PsycINFO was carried out, as well as hand searches of journals and citation s...
Background Depot antipsychotics are widely used in clinical practice. Long-acting formulations of second-generation antipsychotics are now being developed and introduced. Aims To review the pharmacology, pharmacokinetics and adverse effect profiles of currently available antipsychotic long-acting injections (LAIs). Method The psychopharmacological properties of first- and second-generation antipsychotic LAIs are reviewed using data available up to October 2008. Results First-generation antipsych...
Background A patient-centred approach to care, focusing on recovery, demands a reconsideration of how choices are made about treatment, how this affects medication adherence, and the role of long-acting antipsychotics (LAIs) in this process. Aims To explore the role of the mental health professional (particularly nurses) in helping patients manage their medication, with a specific focus of the use and administration of LAIs. Method A pragmatic review of the literature. Results Patients (by exper...
Summary Background The introduction of second-generation antipsychotic drugs during the 1990s is widely believed to have adversely affected mortality of patients with schizophrenia. Our aim was to establish the long-term contribution of antipsychotic drugs to mortality in such patients. Methods Nationwide registers in Finland were used to compare the cause-specific mortality in 66 881 patients versus the total population (5·2 million) between 1996, and 2006, and to link these data with the use o...
