scholarly journals The improvement of the quality of medical reviews of patients in seclusion in Rampton Hospital

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S333-S333
Author(s):  
Emma McPhail ◽  
Ian Yanson
Keyword(s):  
Adverse Effects ◽  
Physical Health ◽  
Patient Care ◽  
List Type ◽  
Clinical Tool ◽  
Code Of Practice ◽  
Retrospective Audit ◽  
Self Harm ◽  
Mental And Physical Health

AimsImprove and standardise the quality of medical seclusion reviews (MSRs).Acknowledge existing good practise.Highlight areas for improvement.Improve the awareness of doctors performing MSRs of the requirements in the Mental Health Act Code of Practice (MHA CoP)BackgroundMSRs are an essential clinical tool to ensure safe and consistent patient care. Patients detained in seclusion can be at heightened risk of poor mental and physical health, in addition to being a risk to themselves and others. There is clear guidance in the MHA CoP regarding what areas require to be covered in a MSR.MethodA retrospective audit of all MSRs in September 2019 across all patients within all directorates within Rampton Hospital was undertaken. 281 inpatients were identified within Rampton Hospital, and 61 of these patients were found to have had seclusion in September 2019. A total of 439 MSRs were identified for these patients.The standard applied was the MHA CoP guidance for MSRs: 1)MSRs should be conducted in person, and should include:2)Review of physical health3)Review of psychiatric health4)Assessment of the adverse effects of medication5)Review of observations required6)Reassessment of medication prescribed7)Assessment of the patient's risk to others8)Assessment of the patient's risk of self-harm9)Assessment of the need for continuing seclusion100% compliance with targets or a reason why it was not possible was expected to be documented.ResultThe results show there is a large variation in compliance with the MHA CoP. The area with the highest compliance was the completion of reviews in person-(99.3%). The criterion with the average worst compliance was whether the need for physical observations was reviewed-(4.3%). Physical health was reviewed in 86.1% of cases, in contrast to psychiatric health at 38.3%. The adverse effects of medication and reassessment of medication prescribed were recorded in only 8.9%. The risk from the patient to others was recorded in 25.3%, whereas risk to self was recorded in 10.7%. The need for continuing seclusion was recorded in 72.7%.ConclusionThe quality of MSRs at Rampton Hospital is currently inadequate. Improvement in practice is required to meet accepted standards and ensure safe, consistent patient care. Ways to improve this are being considered, including improving the knowledge of the MHA CoP and providing a MSR template.

scholarly journals Positivity in Mental and Physical Health

2015 ◽  
Vol 2 (2) ◽  
Author(s):  
Urvashi Sharma ◽  
Dr. Ravindra Kumar
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Problems ◽  
Weight Ratio ◽  
Well Being ◽  
Good Mental Health ◽  
Physical Wellbeing ◽  
Good Nutrition ◽  
Mental And Physical Health

Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Mental health refers to our overall psychological well-being. It includes the way we feel about our self, the quality of our relationships, and our ability to manage our feelings and deal with difficulties. Good mental health isn’t just the absence of mental health problems. People who are emotionally or mentally healthy are in control of their emotions and their behavior. They are able to handle life’s challenges, build strong relationships, and recover from setbacks. Positive mental health is a state of well-being in which we realize our abilities, can cope with life’s normal stresses, and can work regularly and productively. Physical health means a good body health, which is healthy because of regular physical activity, good nutrition, and adequate rest. Physical health can be determined by considering someone’s height/weight ratio, their Body Mass Index. Another term for physical health is physical wellbeing. Physical wellbeing is defined as something a person can achieve by developing all health-related components of his/her lifestyle. It can be concluded that mental and physical health is fundamentally linked. There are multiple associations between mental health and chronic physical conditions that significantly impact people’s quality of life. Just as physical fitness helps our bodies to stay strong, mental fitness helps us to achieve and sustain a state of good mental health. When we are mentally healthy, we enjoy our life and environment, and the people in it.

scholarly journals Newspaper depiction of mental and physical health in Qatar

2020 ◽  
pp. 1-4 ◽  
Author(s):  
Khalid Elzamzamy ◽  
Abdulkarim Alsiddiqi ◽  
Ali Khalil ◽  
Hassan Elamin ◽  
Mustafa Abdul Karim ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Physical Health ◽  
Health Professionals ◽  
General Information ◽  
Quality Of Reporting ◽  
Daily Newspapers ◽  
News Reports ◽  
Mental And Physical Health

This study provides an overview of the extent, nature and quality of reporting on mental health compared with physical health in Qatari newspapers. We analysed 1274 news reports from daily newspapers in Qatar. The majority of the articles provided general information and were either positive or neutral in tone, reporting purely on physical health matters. A small proportion made associations with violence or reported on suicide or substance use. Our results highlight the underrepresentation of mental health in Qatari newspapers. A collaboration between media and health professionals is recommended to improve reporting on mental health.

scholarly journals Gendered experiences of providing informal care for older people: a systematic review and thematic synthesis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ioanna Zygouri ◽  
Fiona Cowdell ◽  
Avraam Ploumis ◽  
Mary Gouva ◽  
Stefanos Mantzoukas
Keyword(s):  
Gender Identity ◽  
Older People ◽  
Physical Health ◽  
Informal Care ◽  
Caregiving Burden ◽  
Thematic Synthesis ◽  
Informal Carers ◽  
The Impact ◽  
Mental And Physical Health

Abstract Background and purpose The caregiving’s impact on informal carers’ quality of life and gender-based stereotypes make older individuals’ informal care a complex process for which our knowledge is still limited. The purpose of this review is to identify how gender relates to informal carers’ experiences of providing care for people aged 60 years and over with mental and physical health needs by synthesising the available empirical data published between 2000 to 2020. Design and methods The systematic method for reviewing and synthesising qualitative data was performed using the PRISMA checklist and ENTREQ statement. The CASP tool was used to examine the quality of the included papers. Thematic synthesis was used as the methodological framework. Results This review produced two analytical themes, the impact of gender on the caregivers’ labour and negotiating gender identity with self, society, and cultural norms. While informal caregivers share motivators, a linkage between traditional gender stereotypes impacts caregiving burden and coping strategies. Informal carers’ experiences entail a constant pursuit of self-agency after acquiring the caregiver role. Cultural values and their intersection with gender appear to influence caregivers’ healthy adjustment into their new caregiving identities. The flexibility to move beyond gender boundaries could mediate caregivers’ negotiations between self and society on developing their new caregiving identity. Providing intensive informal primary care to older people affects both men’s and women’s mental and physical health. Gender ideals of the feminine nurturing role further disadvantage women as they determine the caregiving arrangements, the strategies and resources to sustain the caring burden, and the adaptability to experience their new caregiving role positively. Men appear more flexible to debate their hegemonic masculinity and defend their existence in the caregiving role. Conclusion and implications Transgressing gender lines and expanding gender possibilities can ease the caregiving burden and strengthen caregivers coping potentials. Health professionals can empower informal careers to challenge gender binaries and expand gender possibilities by intentionally injecting the language of diversity in caring information and caring processes. The review findings outline a path for research on gender identity development in older people’s care.

scholarly journals Mechanisms in endocrinology: Antipsychotic medication and type 2 diabetes and impaired glucose regulation

2018 ◽  
Vol 178 (6) ◽  
pp. R245-R258 ◽  
Author(s):  
Clare A Whicher ◽  
Hermione C Price ◽  
Richard I G Holt
Keyword(s):  
Type 2 Diabetes ◽  
Mental Illness ◽  
Physical Health ◽  
Causal Effect ◽  
Metabolic Effects ◽  
Improve Life Expectancy ◽  
Potential Risks ◽  
Mental And Physical Health

Objective There have been concerns about the effects of antipsychotics on weight gain and the development of type 2 diabetes (T2DM). This article aims to provide an up-to-date review on the evidence addressing this issue and the practical implications for the management of people taking antipsychotics in the context of T2DM. Methods We carried out searches on MEDLINE/PUBMED and the ClinicalTrials.gov website in August 2017 using the terms ‘antipsychotic’ and ‘diabetes’ or ‘glucose’ citing articles published after 2006 preferentially. Results Antipsychotics are associated with T2DM and are likely to exert a causal effect of uncertain magnitude. Children and adolescents appear especially vulnerable to these metabolic effects; as T2DM is not common in healthy younger people, the relative risk is more apparent. Antipsychotics act on glucose and insulin homeostasis in a variety of direct and indirect mechanisms. To reduce the increasing health inequalities among individuals with mental illness screening, monitoring and prevention of T2DM is important, as is improved diabetes care in this population. Conclusion It remains unclear whether these antipsychotic medications exacerbate an underlying predisposition to the development of T2DM or have a direct effect. Potential risks need to be weighed up and balanced between improved and lasting mental health benefits and any detrimental physical health side effects. Achieving parity of esteem between mental and physical health is a worldwide priority if we wish to improve life expectancy and quality of life in people with severe mental illness.

scholarly journals Emotional Imbalance and Human Ailments

2020 ◽  
Vol 8 (5) ◽  
pp. 307-309
Keyword(s):  
Physical Health ◽  
Human Health ◽  
Negative Emotions ◽  
Physical Activities ◽  
The Other ◽  
Other Hand ◽  
Anxiety Depression ◽  
The Impact ◽  
Mental And Physical Health

Man is made by cells and their life is made by emotions, which in turn determine their health and wealth. Our emotions and feelings direct our physical activities. What we think inside comes outside. What we see outside came from human mind1 . Our thoughts and the emotions are the input and the deeds and the actions are the outcomes. In fact, our emotions and thoughts are our life. As the quality of inputs determine the output. The nature of our emotions and thoughts determine the nature of our life. If the emotions and thoughts are positive then our life will be positive.1 that means we will be happy and healthy. On the other hand, if our thoughts are negative, we will be negative, that is our life will be unhappy and unhealthy. It is believed that, negative emotions such as anger, anxiety, worry, depression and jealous influence our mental and physical health negatively. Therefore the researchers made an attempt in this study to find out the impact of emotions on human health. Thus, the study concludes that the negative emotions such as anger, anxiety, depression, fear and worry and disease are associated. But this may or may not be generalized as it is pertaining to a particular group of people belong to a particular center and a particular area, however it may be a valuable model for a macro study.

Body checking and avoidance in women: Associations with mental and physical health-related quality of life

2012 ◽  
Vol 13 (4) ◽  
pp. 386-389 ◽  
Author(s):  
Janet D. Latner ◽  
Jonathan M. Mond ◽  
Joanna K. Vallance ◽  
David H. Gleaves ◽  
Geoffrey Buckett
Keyword(s):  
Quality Of Life ◽  
Physical Health ◽  
Health Related Quality ◽  
Body Checking ◽  
Related Quality ◽  
Health Related ◽  
Mental And Physical Health

scholarly journals Early Sexual Abuse as a Predictor of the Health-Related Quality of Life in General Population

2016 ◽  
Vol 9 (1) ◽  
pp. 184-184
Author(s):  
E. Kang ◽  
◽  
S. Lee ◽  
Keyword(s):  
Quality Of Life ◽  
Sexual Abuse ◽  
General Population ◽  
Physical Health ◽  
Health Conditions ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Mental And Physical Health

Objective: Past research has indicated that sexual abuse is related to mental and physical health conditions and that mental and physical health conditions are related to decreased health-related quality of life (HRQOL). However, little is known about the relationship between sexual abuse and HRQOL. The purpose of the present study is to investigate whether early sexual abuse is an important predictor of adult HRQOL in the current analysis. Design and Method: We recruited 267 subjects from 2009 September to 2015 December by advertisement in Korea. We excluded pregnancy, seizure, major psychiatric and medical illness patients such as schizophrenia, mood disorder, anxiety disorder, severe hypertension and diabetes. We measured the Early Trauma Inventory for sexual abuse, coping scale and sociodemographic. IBM SPSS version 21.0 was used for statistical analysis. Results: Multiple linear regression analyses showed that HRQOL physical functioning (PF) subscale can be related to early sexual abuse after adjusting age, gender, education, problem solving coping style which were significantly correlated with HRQOL PF subscale. Conclusions: This study suggested that early sexual abuse is an important determinant of HRQOL PF in general population.

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