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Nursing care of clients treated with atypical antipsychotics who have a risk of developing metabolic instability and/or type 2 diabetes

Edward, Karen-Leigh, Rasmussen, Bodil and Munro, Ian 2010, Nursing care of clients treated with atypical antipsychotics who have a risk of developing metabolic instability and/or type 2 diabetes, Archives of psychiatric nursing, vol. 24, no. 1, pp. 46-53, doi: 10.1016/j.apnu.2009.04.009.

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Title Nursing care of clients treated with atypical antipsychotics who have a risk of developing metabolic instability and/or type 2 diabetes
Author(s) Edward, Karen-Leigh
Rasmussen, BodilORCID iD for Rasmussen, Bodil orcid.org/0000-0003-2388-3953
Munro, Ian
Journal name Archives of psychiatric nursing
Volume number 24
Issue number 1
Start page 46
End page 53
Total pages 8
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2010-02
ISSN 0883-9417
1532-8228
Summary Objective : The aim of this article is to present a current discussion related to the nursing care of clients treated with atypical antipsychotic medicines and who have a risk of developing metabolic instability and/or Type 2 diabetes. The importance of such a discussion is to provide both the novice and the experienced nurse with additional knowledge of this current health issue with which to inform their nursing practice.

Discussion : The potential for psychosis to be a chronic condition is very high, and often people require antipsychotic medicine for lengthy periods throughout their lives. Sometimes, treatment is for life. The second generation of antipsychotic medicines was greeted with much enthusiasm since it was better tolerated than the first generation. However, each medication has desired and adverse effects and, when taken for lengthy periods, these effects may produce physical illness. Studies show that the prevalence of Type 2 diabetes and the metabolic syndrome was significantly higher in clients with a chronic psychiatric disorder, particularly schizophrenia.

Conclusions : Metabolic instability, especially weight gain, is associated with some psychotropic medicines. Nursing interventions need to include care assessment, planning, intervention, and evaluation for clients treated with antipsychotic medicines in terms of risk minimization strategies in routine nursing care.
Language eng
DOI 10.1016/j.apnu.2009.04.009
Field of Research 111005 Mental Health Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30029017

Document type: Journal Article
Collections: School of Nursing and Midwifery
Higher Education Research Group
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Created: Tue, 01 Jun 2010, 11:46:08 EST by Jane Moschetti

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