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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

journal contribution
posted on 2010-02-01, 00:00 authored by Karen-Leigh Edward, Bodil RasmussenBodil Rasmussen, Ian Munro
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.

History

Journal

Archives of psychiatric nursing

Volume

24

Issue

1

Pagination

46 - 53

Publisher

Elsevier

Location

Amsterdam, The Netherlands

ISSN

0883-9417

eISSN

1532-8228

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2010, Elsevier

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