• Metabolic dysregulations associated with the use of antipsychotic medications: Who do GPs think should manage them?

      McDonald, G; McDonald, C; Ahmed,M; Bainbridge, E; Gallagher, A; Galway Mental Health Services, Galway, Ireland (2011-05-16)
    • Monitoring and documentation of side effects from depot antipsychotic medication: an interdisciplinary audit of practice in a regional mental health service.

      Cleary, A; Walsh, F; Connolly, H; Hays, V; Oluwole, B; Macken, E; Dowling, M (Journal of Psychiatric and Mental Health Nursing, 2012)
      The aim of this audit was to review current practice within a rural mental health service area on the monitoring and documentation of side effects of antipsychotic depot medication. Following a review of the literature on best practice internationally, an evidence based audit tool was adapted. A sample of 60 case files, care plans and prescriptions were audited between January and May 2010. This represented 31% of the total number of service users receiving depot injections in the mental health service region (n=181). The audit results revealed that most service users had an annual documented medical review and a documented prescription. However, only 5 (8%) case notes examined had documentation recorded describing the condition of the injection site and alternation of the injection site was recorded in only 28 (47%) case notes. No case notes examined had written consent to commence treatment recorded, and only 3 (5%) of case notes had documented that information on the depot injection and side effects was given. In 57 (95%) of case notes no documentation of recorded information on the depot and on side effects was given. Documentation of physical observations and tests revealed that 58% of cases had full blood count, liver function tests, thyroid function tests and fasting lipids recorded. All other tests (i.e. temperature, pulse, respirations, blood pressure, ECG) were recorded in less than 50% of cases. Prolactin levels were not recorded in any case. The lack of written consent was partly attributed to lack of recording of consent. The failure to monitor and record some blood tests was partly attributed to a lack of clarity regarding whose responsibility it was. A standardised checklist has been developed as a result of the audit and this will be introduced by all teams across the service.
    • The occurrence of neurological symptoms in currently abstinent misusers of alcohol.

      Khalily, M T; Hallahan, B; Department of Psychology, Roscommon Mental Health Services, School of Psychology, National University of Ireland, Galway, Galway, Ireland. khalily64@yahoo.com (2012-12)
      Significant neurological symptoms may be overlooked because of the traditional view that the non-Korsakoff's psychosis, middle aged alcoholic misuser is neurologically preserved.
    • Patients repeatedly attending accident and emergency departments seeking psychiatric care

      Okorie, E. F.; McDonald, C.; Dineen, B.; St Brigid's Hospital, Ballinasloe. Co Galway (2011)