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Chapter 16 - Physical Health Care

Published online by Cambridge University Press:  04 April 2024

By
Paul Rowlands  and
John Wass
Edited by
David Kingdon ,
Paul Rowlands  and
George Stein
David Kingdon
Affiliation:
University of Southampton
Paul Rowlands
Affiliation:
Derbyshire Healthcare NHS foundation Trust
George Stein
Affiliation:
Emeritus of the Princess Royal University Hospital
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Summary

This chapter emphasises the importance of the physical health history to holistic psychiatric case assessment. It describes the general approach to this and sets this particularly in the context of patients with serious or severe mental illness. Such patients have substantially increased morbidity and mortality from physical causes compared to the general population, and this increased mortality has been clearly documented for nearly two hundred years. A practical, collaborative and optimistic multilevel approach to attempting to make a difference to these outcomes is described, concluding with fourteen broad, practical areas for achievable interventions.

Keywords

physical healthmortalitymorbiditysevere mental illnesssmokingcardiometabolic syndromedietexercise
Type
Chapter
Information
Seminars in General Adult Psychiatry , pp. 688 - 698
Publisher: Cambridge University Press
Print publication year: 2024

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