Pharmacological management of akathisia in combination with psychological interventions by a mental health nurse consultant.
The article describes the management of akathisia by a mental health nurse (MHN) prescriber, working in partnership with the patient. A single-case design was used to evaluate this. It highlights three features: first, MHN can safely prescribe psychiatric medication in combination with concordance therapy. Second, the value base underpinning prescribing practice is partnership, honesty and choice for the patient. Finally, the pharmacological mechanism of antipsychotic medication, which contributes towards akathisia, requires further analysis.
Jones
M
M
Hillingdon Primary Care Trust and Buckinghamshire and Chilterns University, Riverside Centre, Uxbridge, UK. Martin.jones@thh.nhs.uk
Bennett
J
J
Gray
R
R
Arya
P
P
Lucas
B
B
D017109:Akathisia, Drug-Induced / Q000188:drug therapy* / Q000209:etiology / Q000451:nursing* / Q000523:psychology; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000009:adverse effects; D001569:Benzodiazepines / Q000009:adverse effects; D003975:Diazepam / Q000627:therapeutic use; D016903:Drug Monitoring / Q000451:nursing; D011307:Drug Prescriptions; D006801:Humans; D008297:Male; D009720:Nurse Clinicians / Q000458:organization & administration*; D024802:Nurse's Role; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D000077152:Olanzapine; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance / Q000523:psychology; D017009:Professional Autonomy; D011568:Psychiatric Nursing / Q000458:organization & administration*; D011569:Psychiatric Status Rating Scales; D011614:Psychotherapy, Brief; D012559:Schizophrenia / Q000175:diagnosis / Q000188:drug therapy / Q000451:nursing; D012565:Schizophrenic Psychology; D012720:Severity of Illness Index
D014151:Anti-Anxiety Agents; D014150:Antipsychotic Agents; D001569:Benzodiazepines; D000077152:Olanzapine; D003975:Diazepam