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Psychiatric Bulletin (2007) 31: 88-91. doi: 10.1192/pb.bp.105.005934
© 2007 The Royal College of Psychiatrists
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Monitoring weight and blood glucose in in-patients: how helpful is a protocol?

Olga Runcie, Specialist Registrar in General Adult Psychiatry

Grampian Primary Care Trust, Royal Cornhill Hospital, Aberdeen AB25 2ZH, email: olga.runcie{at}gpct.grampian.scot.nhs.uk

Marie Boilson, Specialist Registrar in Child and Adolescent Psychiatry

Tayside Health Board, Centre for Child Health, Dundee

Ross Hamilton, Consultant Psychiatrist

Grampian Primary Care Trust, Royal Cornhill Hospital, Aberdeen

Declaration of interest

R.H. has received fees for speaking and attending meetings from Pfizer, Lundbeck, Lilly and AstraZeneca. M.B. has taken part in research projects funded by Pfizer.

AIMS AND METHOD

Following a survey in 2001, a protocol for monitoring weight and blood glucose of psychiatric in-patients receiving antipsychotic drugs was developed. The effect of this protocol was investigated by comparing 61 admissions in 2004 with the 2001 in-patients.

RESULTS

No significant improvement in recording of admission weight or blood glucose was observed. Ongoing monitoring of weight after admission was significantly more common. For only 29% of patients studied in 2004 was there complete adherence to the protocol.

CLINICAL IMPLICATIONS

In spite of the availability of a protocol and education, the results suggest that monitoring of weight and blood glucose is still haphazard for psychiatric in-patients. The implications for out-patient monitoring are discussed.






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Copyright © 2007 The Royal College of Psychiatrists.