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Physical Health in Adults
Clinical Guidance
Background
Physical illness in patients with severe mental
disorders:
Reviews produced by the World Psychiatric Association:
Mental disorders and associated physical conditions
Anxiety
- Anxiety: Generalised Anxiety and
Panic Disorders with or without agoraphobia NICE CG 113
(2011) Relationship of generalised Anxiety Disorder (GAD) to
physical co-morbidities p16-17, Primary care detection of
GAD in people with chronic physical illness p23,
Identification of GAD in people with chronic physical disorders or
when patient seeks reassurance for physical symptoms in absence of
a physical disorder p 82-83, Assessing carer’s physical
needs in people with GAD p90, Effectiveness of
physical activity in GAD p140, Side effects of
pharmacological treatments for GAD , including cardiovascular,
sexual dysfunction, weight and bleeding p274
Bipolar Disorder
- Bipolar
Disorder NICE CG 38 (2006) Physical care of people with
bipolar disorder, includes initial assessment, annual review, and
monitoring of long term mood stabilisers including ithium,
valproate, carbamazepine and lamotrigine p 39-47, Women
with bipolar disorder including planning pregnancy, the antenatal
period and breastfeeding p 47-54, Schedule of physical
monitoring for people with bipolar disorder Appendix D
p75
Depression
- Depression
in adults NICE CG 90 (2010) Guidance on depression in adults
Depression as a risk factor for physical mortality, morbidity and
health outcomes p 22, Physical illness and its impact on
depression p26, Role of physical activity programmes in
treating depression p190-213, Cardiotoxicity of
antidepressants and co-morbidity of depression and
cardiovascular disease p 457-462, Summary includes
recommendations for screening for depression in those with chronic
physical health problems p565
Eating disorders
- Eating
disorders : Identification, treatment and management of
anorexia nervosa, bulimia nervosa and atypical eating disorders
NICE CG 69 (2010) Summary of physical management
p60, Physical aspects of eating disorders, p62,
of anorexia nervosa p66, of bulimia nervosa p70,
Treatment of physical aspects of anorexia nervosa p94-105,
bulimia nervosa p141-150
Schizophrenia
-
Schizophrenia NICE
CG 82 (2009 - updated 2011) Physical risk factors and
comorbidity in schizophrenia p 20-21, Side effects of
antipsychotic medication p145, Interface between primary
and secondary care p329, Cardiovascular care p
332-333, Cardiovascular assessment and monitoring in people
prescribed antipsychotics p336
- Poisons information: TOXBASE
® Data base of Clinical Toxicology
from the National Poisons Information Service UK. Only for use by
health professionals who register to join and obtain a
password
Substance Misuse
Violence
Genetic Disorders
Essential physical health guidelines
- Guidance from SIGN on different forms of cancer
- Head Injury The
management of head injuries in adults and children, i.e. what to do
before a patient reaches hospital, who should go to hospital, what
checks should be done and the care that people should receive
within 48 hrs of head injury NICE CG 56
- Hypertension NICE
CG 127 (2011) replaces earlier NICE guidance
-
Orthopaedics: links to SIGN guidance on management of early
rheumatoid arthritis; hip fracture in older people;
osteoporosis
- Sepsis: Surviving sepsis
campaign aims to save lives in this potentially deadly
condition: click on Sepsis 6 for six steps to treat sepsis. For the
treatment Algorithm, click on links/resources and go to Sepsis Care
Pathway
- Surgery:
Management of acute upper and lower Gastro-intestinal bleeding;
antibiotic prophyllaxis in surgey; post-operative management in
adults guidlines from SIGN
- Venous
thromboembolism: an algorithm for reducing the risk-
applicable to adults admitted to hospital NICE CG 92
(2010)
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