Posted at 10.07.2018
Health is the level of useful or metabolic efficiency of a living being. In humans, it is the general condition of a persons body and mind, usually indicating to get rid illness, personal injury or pain. THE GLOBE Health Firm (WHO) defined health as "a state of complete physical, mental, and social well-being and not merely the lack of disease or infirmity". Which means that we can't judge someone's health on one sizing only. In "health" or "healthy" always means a person is psychologically, physically sound and has a good social wellbeing. The purpose of this paper is to spotlight the prevalence of physical health problems existing in those who are in mental clinics and the factors in charge of ignorance of such conditions. In addition, it includes the ways of uplift the physical health of patient's in psychiatric ward.
We can't disregard the romantic relationship between physical and mental health however when it comes to practice physical health is overlooked in mental health insurance and vice versa. Recently, I encountered an individual in Karvan e Hayat where I witnessed the true exemplory case of ignorance of physical health issues in mental health. "A 36 time old men patient admitted in a private hospital is sick looking anxious and completely helpless. History shows that he was admitted here three months back. During his stay in hospital he acquired loose movement and fever. It prolonged for a week and his health started deteoriating. A healthcare facility management tried out to call his attendants nonetheless they never arrived. Since, it was a mental medical center, nothing at all was done for his disorder. Patient started demonstrating hostile behavior towards the personnel and other patients. Finally, he was restrained. " The scenario highlights a few of the factors discussed below.
According to the World Federation for Mental Health (Sept 2010) "Physical and mental health disorders go together. Researches show that people with severe or chronic physical illnesses frequently have a co-existing mental health problem. At the same time, people with severe mental health problems or substance abuse disorders have physical health problems that remain undetected or untreated. " Studies show that mental disorders almost always likewise have chronic physical conditions which is most prevalent in older people such conditions can be hypertension, arthritis, diabetes. As people get older, the potential risks of physical health problems are increased and they're more susceptible to get physical health issues. People with cardiac disease, dementia, Parkinson's disease, and other serious ailments are at better risk of stress and anxiety and depressive disorders and of cognitive impairment, sometimes of psychotic proportions. (Friedman 2009).
There are numerous factors that lead to poor physical health with mental physical illness. Firstly, mental nursing homes in many countries are often lacking equipment that could help to make the prognosis of physical illness and also other materials that could be able to identify and treat physical disorder. Psychiatrists are concerned only with the mental health issues of patients and in this manner the physical disorder are remained unrecognized and therefore untreated. According to (Sartorius, 2007) physical diseases have an increased prevalence in people with schizophrenia than in individuals without it. Large proportion of people die would have infectious diseases (e. g. , tuberculosis). Second factor could be the side effects of certain psychotropic drugs and their poor monitoring. As in case of this patients he was getting certain psychotropic drugs and their side effect might well have made him sick. Literature says that such medications not only donate to poor physical health but can also sedate patients which makes it harder for them to keep effective and encouraged. (Collins et al, 2011). In addition, discrimination and stigma towards psychologically sick patients is also a hurdle to good physical health. Such behaviour do exist in our cultural framework as well, patients in mental nursing homes complaining of physical ailments are not heard thinking that these are mentally unwell and are lying down. As far as I am concerned, I could see this example where the staff seemed a minimum of bothered by the patient's condition. Corresponding to books unluckily stigmatizing attitudes towards mental health issues are present within the mental health occupations themselves. The staff usually stigmatizes the patients and treats them unfairly. Rather than attending to they just disregard the symptoms reported by the patients like weakness, pain, loose motions, constipation etc. and label them as symptoms of mental health. Such symptoms may further get worse patient's condition. (Cooper, 2010)
Thirdly, lack of access to primary good care can also contribute to physical illnesses. There may be strong evidence that individuals with a examination of any mental disorder have less usage of primary healthcare and receive poor care for diabetes and heart episodes (Druss 2001). That is despite the fact that rates of physical condition and poor dental health among people with severe mental illness are much higher than in the general populace (Phelan 2001). Such conditions have fatal outcomes that can result in premature death. Finally, the factor which contributes to poor physical health are individual's life-style. Literature shows that comparatively to the overall population, individuals with serious mental condition on average, pass away 25 years youthful, largely scheduled to preventable health conditions (Parks et al. , 2006). These conditions are scheduled to lack of exercise, smoking, poor diets, and medication aspect effects, giving surge to coronary disease, type 2 diabetes, hypertension, and liver disease.
According to Maslow's hierarchy there are physical requirements for individual success. If these requirements are not met, the body cannot function properly. Higher needs such as cultural needs and esteem are not felt until you have met the needs basic to one's bodily functioning. Through this model we can infer that physical needs when found or not can ultimately influence mental health in both ways. In order to maintain a wholesome lifestyle and avoiding from serious results physiological needs should be satisfied.
As healthcare specialists we can improve the physical health of patients to a greater extent by tightly monitoring the side effects of medications, training the staff about the relationship between physical and mental health. We will promote lifestyle interventions that incorporate exercise, nutritional counseling, and help parents with serious mental disease lose weight and reduce some risk factors for cardiovascular disease. As mental health and physical are associated, for this reason integrated treatment of health and mental health issues becomes ever more important and we ought to try our best to provide holistic health care to the patients. This is done by adding mental health professionals into primary care and attention practices. Moreover, boosting the ability of primary treatment providers to identify and treat mental disorders. Proper testing and complete medical history should be taken for physical health issues at the time of entrance. Furthermore, psychiatrists need to make certain that they are also concerned for the physical ailments of the patients. We should examine our own behaviour and capacity to cope with mental illnesses. Instead of discriminating and stigmatizing we should become active and speak for the rights of mentally ill patients. In addition, patients feel uneasy because of the tagging of stigma, so work should be taken to inform general population attitudes, such as anti-stigma campaigns e. g. 'Changing Imagination'. (Royal University of Psychiatrists, 2008).
In conclusion, many physical health problems have been determined that exist in mental unwell patients that are unidentifiable for one reason or the other. These conditions are dismissed and are continued to be untreated. Actually, there's a strong website link between physical and mental health, they both go together and initiatives must be taken to improve physical health in mental health setting up. Maslow's hierarchy also facilitates the fact that physical requirements should be met and fulfilled which are essential for human success. Healthcare experts should take measures in order to reduce factors like lack of knowledge, medication area effects, and insufficient access to primary attention, stigma and discrimination of emotionally sick patients that causes ignorance of physical conditions.