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Physical Care [62]

Provide routine physical health checks
To be provided usually in primary care
If no contact with primary care
Secondary care should monitor physical health
             
Monitor increased risk of cardiovascular disease

Consider:

  • Primary prevention (using standard scoring systems)
  • Secondary prevention in those with established heart disease
  • Specific monitoring in relation to certain antipsychotic drugs (See BNF)
             
Promote healthy lifestyle
For example, good diet, exercise and smoking cessation
   
Monitor side effects
  • EPS / Akathisia,
  • Lethargy,
  • Weight gain/diabetes,
  • Sexual dysfunction
  • Effects on eyes,
           
Focus on
 
Neurological
Metabolic and Endocrine
Weight
Other side effects of medication
 
 
 

Consider:

  • Extrapyradimal side-effects
  • Tardive Dyskinesia

Consider:

  • Routine urine/blood screen for diabetes
  • Selective screen for other endocrine disorders (High Prolactin)
Consider routine weight monitoring
Photosensitivity and chlorpromazine
             
Regular Monitoring
Cover key areas on regular basis, agree frequency with other service user and document in notes
Primary and secondary care services identify/allocate and document responsibilities for monitoring physical health