Learn to improve your assessment, investigation, and management of physical health conditions in people with severe mental illness
The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry offers psychiatric and general practitioners an evidence-based and practical guide for the appropriate assessment, investigation, and management of common physical health conditions seen in people with severe mental illness. Written by a renowned team of respected experts in medicine, surgery, pharmacy, dietetics, physiotherapy, and psychiatry, the book bridges the gap between psychiatric and physical health services for the severely mentally ill.
The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry also provides practitioners with expert guidance on making effective referrals to other medical and surgical subspecialties, telling readers what information subspecialties would expect to receive. Its use will improve the quality of clinical care received by mentally ill patients and, by promoting a holistic approach to treatment that considers both body and mind, will enhance the therapeutic relationship between patient and practitioner.
The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry covers the following:
* Guidance on assessment and management of well over a hundred different medical and surgical presentations commonly seen in people with serious mental illness
* Management of physical health emergencies in a psychiatric setting
* Evidence-based approaches to management of physical side effects of psychiatric medications
* Advice on approaches to promote a healthy lifestyle in people with serious mental illness, such as smoking cessation and changes to diet and physical activity
Perfect for both psychiatrists and general practitioners who wish to improve the quality of care they provide to people with serious mental illness, The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry will be of use to anyone setting out to navigate the divide between the treatment of psychiatric and physical health conditions.
Learn to improve your assessment, investigation, and management of physical health conditions in people with severe mental illness
The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry offers psychiatric and general practitioners an evidence-based and practical guide for the appropriate assessment, investigation, and management of common physical health conditions seen in people with severe mental illness. Written by a renowned team of respected experts in medicine, surgery, pharmacy, dietetics, physiotherapy, and psychiatry, the book bridges the gap between psychiatric and physical health services for the severely mentally ill.
The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry also provides practitioners with expert guidance on making effective referrals to other medical and surgical subspecialties, telling readers what information subspecialties would expect to receive. Its use will improve the quality of clinical care received by mentally ill patients and, by promoting a holistic approach to treatment that considers both body and mind, will enhance the therapeutic relationship between patient and practitioner.
The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry covers the following:
* Guidance on assessment and management of well over a hundred different medical and surgical presentations commonly seen in people with serious mental illness
* Management of physical health emergencies in a psychiatric setting
* Evidence-based approaches to management of physical side effects of psychiatric medications
* Advice on approaches to promote a healthy lifestyle in people with serious mental illness, such as smoking cessation and changes to diet and physical activity
Perfect for both psychiatrists and general practitioners who wish to improve the quality of care they provide to people with serious mental illness, The Maudsley Practice Guidelines for Physical Health Conditions in Psychiatry will be of use to anyone setting out to navigate the divide between the treatment of psychiatric and physical health conditions.
Über den Autor
David M. Taylor, BSc, MSc, PhD, FCMHP, FFRPS, FRPharmS, FRCP (Edin), is Director of Pharmacy and Pathology at the Maudsley Hospital; Professor of Psychopharmacology at King's College, London, UK.
Fiona Gaughran, MD, FRCP(I), FRCP (Lon), FRCP (Edin), FRCPsych, FHEA, is Director of Research and Development at South London and Maudsley NHS Foundation Trust, where she is Lead Consultant for the National Psychosis Service; Reader in Psychopharmacology and Physical Health at King's College, London, UK.
Toby Pillinger, MA (Oxon), BM BCh, MRCP, PhD, is an Academic Clinical fellow at the Institute of Psychiatry, Psychology and Neuroscience, King's College, London; South London and Maudsley NHS Foundation Trust, London, UK.
Inhaltsverzeichnis
Preface xxiii List of Abbreviations xxv Part 1 Cardiology 1 Chapter 1 Tachycardia 3Guy Hindley, Eromona Whiskey, Nicholas Gall Sinus tachycardia 3 Atrial fibrillation 4 Supraventricular tachycardia 4 Ventricular tachycardia 6 Diagnostic principles 6 Management 10 References 14 Chapter 2 Bradycardia 17Eleanor Croft, Nicholas Gall Diagnosis 19 Management and when to refer to a specialist 21 References 22 Chapter 3 QT Interval Prolongation 23Guy Hindley, Nicholas Gall Prescribing QTc¿prolonging medication 27 Diagnostic principles 28 Management 29 References 32 Chapter 4 Syncope 35Luke Vano, Nicholas Gall Causes of syncope 35 Syncope and serious mental illness 36 Diagnostic principles 36 Diagnosis and management 38 References 39 Chapter 5 Hypertension 41Luke Vano, Toby Pillinger, J. Kennedy Cruickshank Diagnostic principles 43 Diagnosis 44 Management 45 References 48 Chapter 6 Postural Hypotension 51Toby Pillinger, Ian Osborne, Thomas Ernst, J. Kennedy Cruickshank Diagnostic principles 53 Management 54 References 58 Chapter 7 Peripheral Oedema 59Thomas Whitehurst, Theresa McDonagh Diagnostic principles 60 Management 66 References 67 Chapter 8 Myocarditis 71Thomas Whitehurst, Theresa McDonagh Diagnostic principles 71 Management 75 Clozapine¿induced myocarditis 75 References 77 Chapter 9 Hypercholesterolaemia 79Dipen Patel, Toby Pillinger, Narbeh Melikian Diagnostic principles 80 Diagnostic criteria 81 Management 81 References 84 Chapter 10 Physical Activity 85Garcia Ashdown-Franks, Brendon Stubbs Physical activity and serious mental illness 85 How much physical activity and exercise should people be doing? 86 Practical tips 87 Messages to include in discussions with patients 87 References 88 Part 2 Endocrinology 91 Chapter 11 Diabetes Mellitus 93Yuya Mizuno, Toby Pillinger, Dan Siskind, Sophie Harris Diagnostic principles 93 Management 97 References 102 Chapter 12 Thyroid Disease 105Harriet Quigley, Jackie Gilbert Hypothyroidism 105 Diagnostic principles 107 Management 110 Hyperthyroidism 111 Diagnostic principles 112 Management 113 References 114 Chapter 13 Hyperprolactinaemia 117John Lally, Toby Pillinger, Olubanke Dzahini, Sophie Harris Diagnostic principles 119 Management and when to refer to a specialist 121 Hyperprolactinaemia and osteoporosis risk in serious mental illness 122 Hyperprolactinaemia and cancer risk 123 References 123 Chapter 14 Obesity 125Yuya Mizuno, Toby Pillinger, Dan Siskind, Ian Osborne, Kate Moffat, Donal O'Shea Monitoring 127 Prevention and treatment of weight gain 129 References 134 Part 3 Haematology 137 Chapter 15 Anaemia 139Sanjena Mithra, Aleksander Mijovic Diagnostic principles 140 Management and referral pathways 143 References 145 Chapter 16 Neutropenia 147John Lally, Toby Pillinger, Aleksander Mijovic Drug¿induced neutropenia and agranulocytosis 149 Diagnostic principles 150 Management 151 References 153 Chapter 17 Thrombocytopenia 155Sanjena Mithra, Aleksander Mijovic Diagnostic principles 156 Management and when to refer 158 References 158 Chapter 18 Venous Thromboembolism and Anticoagulation 159Helen Doolittle, Lara Roberts, Roopen Arya Risk factors 159 Prophylaxis 161 Diagnosis 162 Management 164 References 168 Part 4 Gastroenterology 169 Chapter 19 Gaströoesophageal Reflux and Peptic Ulcer Disease 171Luke Vano, Seema Varma, John O'Donohue Gaströoesophageal reflux disease 171 Peptic ulcer disease 176 References 178 Chapter 20 Gastrointestinal Bleeding 181Douglas Corrigall, David Dewar Diagnostic principles 183 Management 185 References 188 Chapter 21 Nausea and Vomiting 191Mary Denholm, Matthew Cheetham Diagnostic principles 193 Management 195 References 198 Chapter 22 Dysphagia 199Mary Denholm, Jason Dunn Causes of dysphagia in the general population 199 Diagnostic principles 200 Management 203 Oesophageal cancer in psychiatric populations 203 Dysphagia in the elderly 204 References 204 Chapter 23 Deranged Liver Function Tests 207John Lally, Aisling Considine, Kosh Agarwal Diagnostic principles 207 Management 212 References 213 Chapter 24 Alcohol and Physical Health 215Musa Sami, Joseph Cooney, Michael Heneghan What is harmful use? 215 Physical complications of alcohol use 216 Approach to the patient with suspected alcohol misuse 217 Management 220 References 222 Chapter 25 Unintentional Weight Loss 223Mary Denholm, John O'Donohue Diagnostic principles 225 Management 227 References 227 Chapter 26 Dry Mouth 229Enrico D'Ambrosio, Andrea Falsetti, Stephen Challacombe Diagnostic principles 231 Management 231 References 232 Chapter 27 Hypersalivation 235Enrico D'Ambrosio, Andrea Falsetti, Toby Pillinger, Stephen Challacombe Diagnostic principles 235 Management 236 References 239 Chapter 28 Constipation 241John Lally, Toby Pillinger, Kalliopi Vallianatou, Immo Weichert Diagnostic principles 243 Management 244 References 249 Part 5 Renal and Urology 251 Chapter 29 Urinary Retention 253Atheeshaan Arumuham, Vimoshan Arumuham Urinary retention and serious mental illness 253 Diagnostic principles 254 Management 256 References 256 Chapter 30 Urinary Incontinence 259Atheeshaan Arumuham, Vimoshan Arumuham Diagnostic principles 261 Management 262 References 264 Chapter 31 Polyuria 267Atheeshaan Arumuham, Toby Pillinger, Benjamin Whitelaw Diagnostic principles 268 Management 269 References 271 Chapter 32 Sodium Derangement 273Atheeshaan Arumuham, Peter Conlon Diagnostic principles 274 Management 276 References 277 Chapter 33 Potassium Derangement 279Ellis Onwordi, Peter Conlon Hyperkalaemia 279 Hypokalaemia 282 References 285 Chapter 34 Chronic Kidney Disease 287Ellis Onwordi, Toby Pillinger, Anne Connolly, Peter Conlon Diagnostic principles 289 Management 291 References 295 Part 6 Sexual and Reproductive Health 297 Chapter 35 Sexual Dysfunction 299Rudiger Pittrof Assessment of a patient with sexual dysfunction 299 Management 301 References 304 Chapter 36 Contraception 307Neha Pathak, Usha Kumar Clinical approach 308 Contraceptive options 308 Ethical and legal considerations 312 When to refer 313 Special considerations in patients with serious mental illness 313 References 314 Chapter 37 Infertility 317Rudiger Pittrof Addressing infertility in psychiatric practice 317 Onward referral and further tests for infertility 318 Infertility treatments 318 References 318 Chapter 38 Sexually Transmitted Infection 319Harriet Le Voir, Rudiger Pittrof History 319 STI testing in psychiatry 320 Determining urgency of clinical action/referral 321 Referral to sexual health services 322 References 324 Part 7 Infectious Diseases 325 Chapter 39 Pneumonia 327Emma McGuire, Loren Bailey, Peter Saunders, Meera Chand Pneumonia and serious mental illness 329 Diagnostic principles 329 Management 332 References 335 Chapter 40 Influenza 337Anna Riddell, Eithne MacMahon Diagnostic principles 338 Management 339 Preventing spread of influenza 341 References 342 Chapter 41 Urinary Tract Infection 343Sian Cooper, Conor Maguire Urinary tract infection and serious mental illness 344 Diagnostic principles 344 Management 347 References 350 Chapter 42 Gastroenteritis 351Maria Krutikov, Luke Snell Diagnostic principles 351 Management 354 References 356 Chapter 43 Viral Hepatitis 357Klara Doherty, Aisling Considine, Kosh Agarwal Hepatitis B 357 Hepatitis C 361 References 364 Chapter 44 Tuberculosis 365Sakib Rokadiya, Adrian R. Martineau Diagnostic principles 366 Management 369 References 371 Chapter 45 Human Immunodeficiency Virus 373Rebecca Marcus, Jessica Gaddie, Toby Pillinger, Ben Spencer, Kalliopi Vallianatou, Rudiger Pittrof Testing for HIV 374 HIV and the central nervous system 374 Antiretroviral therapy 375 References 380 Part 8 Respiratory 383 Chapter 46 Smoking Cessation 385Harriet Quigley, Mary Yates, John Moxham Identifying those who want to stop smoking and degree of nicotine dependence 385 Approaches to smoking cessation 387 References 392 Chapter 47 Chronic Obstructive Pulmonary Disease 395Mary Docherty, Jenny Docherty, Peter Saunders Common causes of COPD in the general population and patients with serious mental illness 395 The asthma-COPD overlap 396 Diagnostic principles 397 Management 400 References 403 Chapter 48 Asthma 405Mary Docherty, Jenny Docherty, Peter Saunders Causes in the general population and people with serious mental illness 405 Diagnostic principles 406 Management 409 References 412 Chapter 49 Obstructive Sleep Apnoea 413Nicholas Meyer, Hugh Selsick, Kai Lee Diagnostic principles 414 Management 415 References 416 Part 9 Neurology 419 Chapter 50 Delirium 421Luke Jelen, Sean Cross Diagnostic principles 421 Management 426 References 429 Chapter 51 Autoimmune Encephalitis 431Adam Al-Diwani, Julia Thompson, Sarosh Irani Autoimmune disease mechanisms 431 Clinical approach 432 Management 437 References 439 Chapter 52 Catatonia 441Jonathan P. Rogers, Ali Amad Diagnostic principles 442 Management 444 References 448 Chapter 53 Seizure Disorders 451Emanuele F. Osimo, Brian Sweeney Acute seizure 452 Psychiatric comorbidity in people with epilepsy 455 Psychiatric side effects of antiepileptic drugs 457 Psychiatric drug therapy in people with epilepsy 457 Psychogenic non¿epileptic seizures 458 Epilepsy surgery 459 Epilepsy and learning disability 459 References 459 Chapter 54 Headache 461Ines Carreira Figueiredo, Nazia Karsan, Peter Goadsby Diagnostic principles 463 Management 466 References 468 Chapter 55 Disorders of Sleep and Circadian Rhythm 471Nicholas Meyer, Hugh Selsick Definitions of common sleep disorders in psychiatric populations 471 Diagnostic principles 474 Management 476 References 477 Chapter 56 Extrapyramidal Side Effects 479Graham Blackman, R. John Dobbs, Sylvia Dobbs Clinical approach 480 Management 482 References 483 Chapter 57 Tardive Dyskinesia 485Graham Blackman, Toby Pillinger, R. John Dobbs, Sylvia Dobbs Clinical approach 486 Management 487 References 489 Chapter 58 Tremor 491Graham Blackman, R. John Dobbs, Sylvia Dobbs Clinical approach 491 Management 494 References 496 Part 10...