B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
Public Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference Gr B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221roup (NHS England and NHS Improvement) - Managing a Healthy Weight Task and Finish Group44228Contents1.Summary..........................................................22.Introduction....................................................22.1Building on existing standards............................... B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221.42.2Essential approaches..........................................63.Workforce.......................................................74.Practice guidB0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
ance across the pathway...........................104.1Healthy Weight Practice Guidance: across the whole pathway......114.2Healthy Weight Practice GuPublic Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference Gr B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221ansition............325.Appendices.....................................................345.1Appendix 1: Supporting information for prescribing clinicians working insecure servicesin relation tomanaging a healthy weight.........345.2Appendix 2:What is a qualifiedexercise professional (QEP)?.395.3Appe B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221ndix 3: Supportive e-Learning platforms..................415.4Appendix 4:Glossary.........................................425.5Appendix 5:References..B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
.....................................441 I Managing a healthy weight in adult secure services - practice guidance1.SummaryCauses of obesity for servicPublic Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference Gr B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221he physical effects of pharmacological treatment interventions. Developing a service environment and a systems approach to healthier lifestyles that takes account of these complexities and the needs of service users is likely to make it easier for service users to achieve and maintain a healthy weig B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221ht during admission and as part of whole pathway. This will be different for individual service users.This practice guidance is for commissioners andB0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
providers of adult secure services, those who use these services and their families and carers. The aim of this document is to provide helpful and infPublic Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference Gr B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221roductionThis guidance relates to all adult secure services, high, medium and low secure across all diagnostic groups. Further developmental work is required to ensure that these guidelines can be adapted and applied to related forensic community, outreach and liaison settings, and potentially appro B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221priate links to the Criminal Justice Service, to ensure the whole pathway works effectively and seamlessly.The guidance has been developed through theB0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
Adult Secure Clinical Reference Group and Managing a Healthy Weight Task and Finish group.There are significant health inequalities for those living Public Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference Gr B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221r. The higher rates of obesity found in these groups poses a particularly significant physical health inequality with an increased risk of several chronic diseases.2 I Managing a healthy weight in adult secure services - practice guidanceThe prevalence of overweight and obesity in adult secure setti B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221ngs is greater than in the general population (~80% vs -60%) and service users appear to be at increased risk of weight gain when detained. Public HeaB0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
lth England's report on obesity in secure settings shows the prevalence of obesity in service users in secure care is two to three times higher than tPublic Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference Gr B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221ing antipsychotic treatment: in the EUFEST study of service users in their first episode of psychosis, 65% of service users had weight gain of 27% of initial body weight at one-year (Fleischhacker et al, 2005).While many secure settings have been taking approaches to support service users to achieve B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221 and maintain a healthier weight, there has been no specific national guidance to support these changes. As highlighted in the Rethink Mental IllnessB0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
report: “there are specific characteristics of secure settings that make it difficult for people to make healthier choices, and which therefore contriPublic Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference Gr B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221ent issues that make it necessary to adapt NICE guidelines specifically to suit this population. NICE guidelines suggest that service users should demonstrate an active engagement in diet, exercise and other lifestyle interventions to reduce weight before medical treatment is considered. This is ver B0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221y difficult to achieve in the secure services due to the severe, chronic nature of mental disorder, the treatments received, and the restrictions on fB0121_Managing-a-healthy-weight-Adult-Secure-Services-practice-guidance-090221
reedom of movement.Public Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference GrPublic Health EnglandNHSManaging a healthy weight in adult secure services - practice guidanceDeveloped through the Adult Secure Clinical Reference GrGọi ngay
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