Interprofessional Relations

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Primary Care Issues in Patients with Mental Illness - Article

ABSTRACT: Family physicians commonly care for patients with serious mental illness. Patients with psychotic and bipolar disorders have more comorbid medical conditions and higher mortality rates than patients without serious mental illness. Many medications prescribed for serious mental illness have significant metabolic and cardiovascular adverse effects. Patients treated with second-generation antipsychotics should receive preventive counseling and treatment for obesity, hyperglycemia, diabetes, and hyperlipidemia. First- and second-generation antipsychotics have been associated with QT prolongation. Many common medications can interact with antipsychotics, increasing the risk of cardiac arrhythmias and sudden death. Drug interactions can also lead to increased adverse effects, increased or decreased drug levels, toxicity, or treatment failure. Physicians should carefully consider the risks and benefits of second-generation antipsychotic medications, and patient care should be coordinated between primary care physicians and mental health professionals to prevent serious adverse effects.

Improving Care for Patients with Serious Mental Illness - Editorials

Tips to Help Take the Hassle Out of Inpatient Utilization Review - Feature

Interviewing 101 - Feature

Tailoring New Physicians to Fit Your Practice - Feature

Worth While Web: 50 Useful Sites for Family Physicians - Feature

Managing Your Boss - Feature

Protecting the Time You've Got - Balancing Act

When All Else Fails, Contact Your HCFA Regional Office - Getting Paid

Implementing Change: From Ideas to Reality - Feature

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