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dc.contributor.authorDavies, Rebecca
dc.contributor.authorPriya, Anu
dc.contributor.authorBhogal, Hardev
dc.contributor.authorOmodara, Adesola
dc.contributor.authorMittal, Shweta
dc.date.accessioned2021-09-06T16:01:02Z
dc.date.available2021-09-06T16:01:02Z
dc.date.issued2021
dc.identifier.citationDavies, R., Priya, A., Bhogal, H., Omodara, A., Davies, G. & Mittal, S. (2021). Physical health monitoring in antipsychotic depot clinic. In: Kaufman, K., (Ed.) RCPsych International Congress 2021, 21-24 June 2021 Virtual. London, England: BJPsych Open, p.S317-S317.en_US
dc.identifier.other10.1192/bjo.2021.836
dc.identifier.urihttp://hdl.handle.net/20.500.12904/14863
dc.description.abstractAims A service evaluation project to look at if annual bloods, ECG, physical examination, and medical review was completed within the last year for patients attending anti-psychotic depot clinic at Bassetlaw mental health services in Nottinghamshire HealthCare NHS Foundation Trust. Method Electronic notes were examined in October 2020 for 25 patients who attend anti-psychotic depot clinic to ascertain if medical review and physical examination had been completed along with annual bloods and ECG. Result Out of 25 patients attending depot clinic in 2020 at Bassetlaw Hospital, 21 had all their blood tests done, 1 patient had refused bloods and 2 patients did not have blood tests done. ECG was completed for 3 patients at Bassetlaw hospital and 8 patients had it requested from primary care with 2 patients refusing to have ECG done. For 12 patients there was no evidence of ECG being requested or completed. 8 patients had physical examination completed and rest 17 patients did not have the physical examination completed including due to refusal. Out of 25, only 14 patients had a medical review conducted. Conclusion Patients who attend depot clinic may have an allocated community psychiatric nurse (CPN) or get reviewed by medics in outpatient clinics and would usually have their blood tests, physical health examination and ECGs requested and monitored by them. Patients who do not have any allocated CPN or medic tend to miss out on blood tests and ECG. General Practitioners are expected to complete physical health checks for patients who do not have CPN or regular outpatient review. The results of these investigations may not always be received in depot clinic, hence there is no documentation on electronic RIO system. When these patients disengage from the depot clinic, it is often very difficult to track them. As a follow-up from this service evaluation, all depot clinic patients will be allocated a key worker/CPN. This will ensure that they have a responsible person to facilitate annual checks. This will be reviewed in a years' time to evaluate the effectiveness of this intervention.
dc.description.urihttps://www.cambridge.org/core/journals/bjpsych-open/article/physical-health-monitoring-in-antipsychotic-depot-clinic/F9D22A876DF33033B1B9CA873EDCCDD6
dc.language.isoenen_US
dc.subjectClinical auditen_US
dc.subjectElectronic health recordsen_US
dc.subjectPhysical examinationen_US
dc.subjectAntipsychotic agentsen_US
dc.subjectElectrocardiographyen_US
dc.titlePhysical health monitoring in antipsychotic depot clinicen_US
dc.typeConference Proceedingen_US
rioxxterms.funderDefault funderen_US
rioxxterms.identifier.projectDefault projecten_US
rioxxterms.versionNAen_US
rioxxterms.typeConference Paper/Proceeding/Abstracten_US
refterms.panelUnspecifieden_US
html.description.abstractAims A service evaluation project to look at if annual bloods, ECG, physical examination, and medical review was completed within the last year for patients attending anti-psychotic depot clinic at Bassetlaw mental health services in Nottinghamshire HealthCare NHS Foundation Trust. Method Electronic notes were examined in October 2020 for 25 patients who attend anti-psychotic depot clinic to ascertain if medical review and physical examination had been completed along with annual bloods and ECG. Result Out of 25 patients attending depot clinic in 2020 at Bassetlaw Hospital, 21 had all their blood tests done, 1 patient had refused bloods and 2 patients did not have blood tests done. ECG was completed for 3 patients at Bassetlaw hospital and 8 patients had it requested from primary care with 2 patients refusing to have ECG done. For 12 patients there was no evidence of ECG being requested or completed. 8 patients had physical examination completed and rest 17 patients did not have the physical examination completed including due to refusal. Out of 25, only 14 patients had a medical review conducted. Conclusion Patients who attend depot clinic may have an allocated community psychiatric nurse (CPN) or get reviewed by medics in outpatient clinics and would usually have their blood tests, physical health examination and ECGs requested and monitored by them. Patients who do not have any allocated CPN or medic tend to miss out on blood tests and ECG. General Practitioners are expected to complete physical health checks for patients who do not have CPN or regular outpatient review. The results of these investigations may not always be received in depot clinic, hence there is no documentation on electronic RIO system. When these patients disengage from the depot clinic, it is often very difficult to track them. As a follow-up from this service evaluation, all depot clinic patients will be allocated a key worker/CPN. This will ensure that they have a responsible person to facilitate annual checks. This will be reviewed in a years' time to evaluate the effectiveness of this intervention.en_US
dc.description.urlhttps://www.cambridge.org/core/journals/bjpsych-open/article/physical-health-monitoring-in-antipsychotic-depot-clinic/F9D22A876DF33033B1B9CA873EDCCDD6en_US
rioxxterms.funder.project94a427429a5bcfef7dd04c33360d80cden_US


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