how to use this adobe document as a power point

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How to use this Adobe document as a power point

Now that you have opened the file:1.Click the View tag in the top left hand corner of the screen.2.Scroll down to “Full Screen” in the dialogue box3.Click on “Full Screen” 4.Begin the presentation as you would a power point.5.At the end of the show press the escape button on the key board, it will take you back to the normal pdf format.6.You can then close the document .

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Improving the physical health of people living with mental illness: A workshop for consumers who are

living well with mental illnessPart 1: Medical Issues

by Vivien Kemp BA (Hons)And Dr Sue Jackson MB BS, FRACGP

HealthRight and Hills Community Support Groupwww.healthright.org.au

Physical Health Workshop

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Overview

Introduction: The physical health of people living with mental illness.

How physical health can effect mental health.Barriers to good health care.Getting the most out of GP visits.Health checks for men and women.Summary.

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World Health Organisation

“Health is a state of complete physical, mental and social well being not merely the absence of disease or infirmity” 1

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Facts about the physical health of people living with mental illness

The 2001 Duty to Care2 report found that: People living with a mental illness were 2 ½ times more likely to

die of preventable and treatable diseases than people in the general population.

Diseases affecting people living with mental illness are either not diagnosed, not treated properly or diagnosed and treated at a much later stage of the disease process.

The most common cause of death was heart disease. About 8% of the population have a diagnosed mental illness,

and half of these smoke.

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Small Group Discussion

Get into groups of 3 or 4:

Why do you think people living with mental illness have such poor

physical health?

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How does physical health affect mental health?

● Quite often physical health problems can be mistaken as a symptom of mental illness.

● Improvement of physical health will often improve mental health.

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Example: Under active thyroid

Constipation

Weight gain

Slowing of mental function

Depression

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Example: Overactive thyroid

Weight loss

Anxiety/agitation

Pressure of speech

Sleep problems

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Prescribed medications

May lead to raised cholesterol, raised blood sugar, raised blood pressure and unwanted weight gain.

May make diabetes more likely.

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Barriers to receiving effective healthcare

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Barriers to receiving effective healthcare

Ability to identify health concerns.Beliefs of health care provider.Ability to access health care.Wanting to keep mental and physical health

separate.Not wanting to know.

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Brainstorm

Think of the last time you went to a GP…

What did you like/dislike?

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GP visits

Choose your GP carefully.

Book a longer consultation.

Plan your visit.

Take someone with you.

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GP visits

Request a full medical.Keep a personal health record detailing BP,

weight, pap smears, lipid and sugar measurements and when they are next due.

Take this record with you whenever you go to a GP, psychiatrist, chemist etc.

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Recommended Health Checks for Everyone

A NOTE ON MEDICATIONS:

People who take psychiatric medications maybe at increased risk of physical health problems.

Tell your doctor which psychiatric medications you take and ask him/her if there are any tests you should have, and how often you should have them.

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CANCER: Many types of cancer are now treatable with good outcomes, especially if detected and treated early. Some common cancers are:

BOWEL CANCER

If you have a family history of bowel cancer ask your doctor about screening options and how often you should be checked. People over 50 are advised to get checked every 2 years.

Whatever your age, if you experience any symptoms such as bleeding from the anus, change in bowel habit or abdominal pain talk to your doctor about it as soon as you notice the change.

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SKIN CANCER Everybody is advised to do a skin self-examination

every 3 months. If you have many moles that change in shape or

colour or an area of skin that looks unusual, and seems to have changed recently, ask a doctor to examine your skin as soon as you notice it.

If you have had skin cancers before, ask your

doctor to examine your skin regularly.

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DENTAL HEALTH Everyone should have regular dental check-

ups. Your dentist will advise you on the timing of dental examinations.

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HEART DISEASE AND STROKE

It is recommended that everyone over the age of 45 is tested every 5 years.

It is a good idea to be tested more regularly if you are at risk due to family history, smoking, obesity, high cholesterol, high blood pressure or inactivity.

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WEIGHT GAIN Everyone should be aware of their weight.People who take some types of psychiatric

medication are advised to have their weight checked every year.

Increased waist measurement raises the risk of heart disease and diabetes.

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OPTICAL HEALTH (Eye checks are free under Medicare every 2 years.)

GLAUCOMA

People usually have the first eye check for glaucoma at age 40, and then regularly after that.

For people who may be at risk of glaucoma due to family history of glaucoma, diabetes, short sightedness, eye injuries or if you have ever taken cortisone, it is suggested that you have the first eye check at age 35 for glaucoma and then regularly after that.

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EYE CHECKS

Your optometrist can advise you about how often you need an eye check if you already wear glasses.

People who are aged 50 or over are advised to have an eye test every 5 years, or earlier if their vision starts to deteriorate. People over 65 are advised to have an eye test every 12 months.

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TYPE 2 DIABETES

People with impaired glucose tolerance, people over 45 or who have a family history of diabetes are advised to be tested once a year.

People who are overweight, have high blood pressure or have had a heart attack, angina or stroke, should ask their doctor about how often they need to be tested.

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Extra checks for men…

TESTICULAR CANCER

It is a good idea to become familiar with how your testes normally feel. If you notice any unusual lumps, talk to your doctor about it.

Men should do regular checks for lumps or swellings if they have a family history of testicular cancer, or if they have undescended or absent testicles. If you notice any unusual lumps or swelling, talk to your doctor about it.

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Extra checks for women…

BREAST CANCER

All women should be familiar with the normal look and feel of their breasts. See a doctor immediately if you notice any unusual breast changes.

You can have free access to breast screening for a mammogram if you are over 40. Mammograms are recommended every 2 years if you are aged between 50 – 69.

Talk to your doctor about how often you need to be screened if you have a family history of breast cancer.

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Extra checks for women…

CERVICAL CANCERPap Smears are recommended every 2

years for any woman who has ever had sex and not had a hysterectomy. Your doctor may recommend that you to have more frequent screening if you are at an increased risk of cervical cancer.

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Part 1 summary

For a number of reasons living with a mental illness usually means a person has poor physical health.

It is very important to find a GP you are comfortable with and ask for regular physical health checks.

Use the tips we have given you about GP’s and health checks to make sure you get good health care.

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Break

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Improving the physical health of people living well with mental illness

Part 2: Lifestyle Issues

by Vivien Kemp BA (Hons)And Dr Sue Jackson MB BS FRACGP

HealthRight and Hills Community Support Group

Physical Health Workshop

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Overview

Alcohol and other drugsAlcohol guidelinesSmoking and mental illnessDietary guidelinesPhysical activity guidelines

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Alcohol

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Alcohol and other drugs

May have significant effects on both physical and mental health.

Have effects on well being and

social functioning.

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Alcohol and other drugs

May themselves induce psychosis.

May make it harder to separate drug-induced problems from mental health problems.

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What is a standard drink?

Health authorities use the idea of a STANDARD DRINK to help people keep track of the amount of alcohol they drink.

Different kinds of alcoholic drinks have different amounts of alcohol in them.

A standard drink and a standard glass size are not the same thing.

Look on the bottle, can or cask to see how many standard drinks it contains.

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What does a standard drink look like?

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Alcohol guidelines

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Tips for reducing alcohol intake

● Don’t drink on an empty stomach.

● Space your drinks – make each drink

last an hour.

● Alternate with non-alcoholic drinks.

● Choose low alcohol alternatives.

● Make sure you have some alcohol free days every week.

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Are you comfortable about the amount you drink? If not…

Think about the situations where you are most likely to drink.

What part does alcohol play in your life?What can you do to reduce possible harm?

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Smoking

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Smoking

Smoking cessation has been shown to be the biggest single factor in the improving life expectancy.

Smoking cessation increases the effectiveness of antipsychotic medication.

Smoking cessation significantly improves finances!!

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Smoking

20% of the general population smoke.

46% of people with mental health problems smoke.

Up to 90% of people with schizophrenia smoke.

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Why smoke ??

To relieve boredom and provide framework for the day.

Smoking can improve social interaction.

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Nicotine -

May help relaxation.May increase alertness.Antidepressant effect.Reduce symptoms such as hearing voices.

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Stopping smoking

Various pharmacological agents available.

Courses and information.

Be aware of specific difficulties individuals with mental health problems may face.

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Group brainstorm: How can I eat more healthy foods?

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Good news! Before you feel overwhelmed……

Small changes now can lead to long term benefits down the track.

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Small changes that over time make a BIG difference

For Example:Buy low fat instead of full cream milk

(Hi-Lo, Skim, No Fat etc).Buy whole grain or wholemeal breads and pastas, Basmati rice.Don’t add salt to your cooking.Look for ‘mono-saturated’ or ‘poly-unsaturated’ butter, margarine and oils.

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Cut down of the amount of sugar in your dietReduce the amount of sugar in tea and coffee

by 1/4 of a teaspoon a week until you add no sugar at all.

Switch to diet soft drinks and cordials instead of regular soft drinks and cordials.

Drink unsweetened fruit juice.Buy canned fruits in natural juice not syrup.

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Water: Try to drink 6-8 glasses of water a day

For every kind of drink you have in a day, drink one glass of water first.

If you don’t like the taste of water try adding squeeze of lemon juice.

Drink it hot from the kettle or cold from the fridge.

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Let’s get physical!

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Physical activity guidelines

Try to do 30 minutes of moderate physical activity most days of the week, everyday if you can.

“Moderate” activity means increasing your heart rate, but not making you breathless i.e. a brisk walk.

You don’t have to do it all at once – 3 sessions of 10 mins each is fine.

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If you tend to be an inactive person PLEASE see a GP for a thorough physical health check BEFORE you start any exercise program.

This is VERY important.

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Physical activity

When you are active you:Have better long term health.Have more energy.Reduce your risk of getting heart disease

type 2 diabetes and some cancers.Reduce blood pressure and bad cholesterol.Feel more confident and happy.

Sleep better.

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If you have been inactive for a while:Start slowly e.g. walk down your streetGradually build up the amount of time being active

Find an activity you enjoy. Make it part of your daily routine.

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Brainstorm…..

How can you be more active everyday without killing yourself?

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A take home message…

Has anything you have heard today made you think about changing what you do?

If so what and why?

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Summary, Part 2

Be aware of the risks associated with alcohol use and smoking.

Look for low fat, sugar and salt foods when shopping.

Try to be more active every day.

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Conclusion

Physical and mental health are linked together. It is important to have regular physical health checks.By making small changes in your daily eating and

activity habits you can reduce your risk of getting metabolic syndrome, heart disease and type 2 diabetes.

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References

1. World Health Organization, (2003) Investing in mental health. Investing in Mental Health, WHO, p7. Retried on 27/11/2008 from: http://www.who.int/mental_health/en/investing_in_mnh_final.pdf

2. Lawrence D, Holman D, Jablensky A. (2001).Duty to Care: Preventable Physical Illness in People with Mental Illness. Perth: The University of Western Australia.

3. Lieberman AA, Coburn AF. The health of the chronically mentally ill: A review of the literature. Community Mental Health Journal. 1986;22(2):104-16.

4. Brown S, Birtwistle J, Roe L, Thompson C. The unhealthy lifestyle of people with schizophrenia. Psychological Medicine. 1999;29:697-701.

5. Davidson S, Judd F, Jolley D, Hocking B, Thompson S, Hyland B. Cardiovascular risk factors for people with mental illness. Australian and New Zealand Journal of Psychiatry. 2001a;35:196-202.

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References – Web sites:

6. http://www.alcohol.gov.au/internet/alcohol/publishing.nsf/Content/standard

7. http://www.iccwa.org.au/Youth%20Alcohol%20Project/YAP/web%20site/HP5979-standard%20drink.pdf

8. The Fagerstrom test may be used to assess nicotine dependence ( See website) http://www.way2quit.com/Quit_Place_Dependency.aspx

9. http://www.nutritionaustralia.org/Food_Facts/Fact_Sheets/about%20_the_healthy_eating_pyramid.asp

10. Find Thirty everyday findthirtyeveryday.com.au

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Contact details:

Vivien Kemp Senior Research Officer HealthRight Community, Culture and Mental Health Unit School of Psychiatry and Clinical Neurosciences University of Western Australia W Block, L6,1 Alma StreetFremantle, WA 6160 Ph: 9431 3438Fax: 9431 [email protected]://www.healthright.org.au

Sue Jackson

MobileGP

Ph: 0417 984 210

[email protected]

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