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The WHO management needs to manage physical health in severe mental illnesses



Graham Thornicroft

Graham Thornicroft

WHO has issued guidelines for the management of physical fitness in adults with severe mental disorders, the press service informs.

The guidelines provide for a possible interaction between different types of medicines for healthy lifestyle behavior (eg diet, physical activity and smoking), psychosocial support and mental and physical health.

"Most people died [severe mental disorders] infectious and non – infectious as health. Graham Thornicroft, PhD, FRCPsych, Chairman of the Leading Development Group and Professor of Public Psychiatry in London and his colleagues at the Royal College of London in the Executive Executive of WHO.

"Access to comprehensive medical services is not available to many people [severe mental disorders]they continued. "Unfortunately, there are people [severe mental disorders] often do not have access to healthcare services, or receive poor quality medical care such as advocacy and prevention, screening and treatment. It is crucial to address the problem of health accessibility and people's inequality [severe mental disorders]. «

Guidelines for the treatment of patients with cardiovascular disease, diabetes mellitus, HIV / AIDS, tuberculosis, hepatitis B and C, tobacco dependence, substance abuse and / or overweight / obesity. WHO recommended these guidelines to improve the physical health of adults with severe mental disorders, reduce the risk of life-threatening illnesses and reduce the incidence of illness and premature mortality among patients with severe mental illness.

run on the treadmill

WHO guidelines provide guidance on healthy lifestyle development for people with severe mental illness.

Source: Shutterstock.com

An important peculiarity of the Manual is the combination of psychotropic or antipsychotic drugs and other drugs.

When there is a risk of overweight or obesity, WHO recommends that you initiate psychotropic drugs with low inclination to increase weight gain after considering clinical advantages / potential adverse effects. For people with mental disorders and those suffering from cardiovascular or cardiovascular risk factors, WHO recommends the introduction of psychotropic drugs for patients with cardiovascular disease.

For people with severe mental disorders and diabetes mellitus, antipsychotic drugs should be known and potential interactions to reduce hyperglycemia. WHO also recommends glycemic control and, if appropriate, dose adjustment.

For infectious diseases, doctors should consider interoperability with medicines for psychotropic drugs and antiretroviral drugs, antituberculous drugs and hepatitis B and C. For tobacco control programs, the WHO provides interoperability with psychotropic drugs between bouffion and varenicine.

"Developed by the United Nations for the Sustainable Development Goals, on the principle of non-discrimination and universal health, [severe mental disorders] The WHO Guidance Development Team should provide at least one treatment for risk factors, written in the Executive Summary, the overall health status and their general risk. Savannah Demco

References:

WHO Management of physical health in adults with severe mental disorders. http://apps.who.int/iris/bitstream/handle/10665/275718/9789241550383-eng.pdf?ua=1. It was reached on November 7, 2018.


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