Proof reading work Antipsychotic medications are often prescribed as the main treatment for schizophrenia as they can reduce the symptoms of psychosis by targeting dopamine receptors on the brain (Ellenbroek, 2012; Patel & Jakopac, 2012). Although they are effective at treating the positive symptoms of the illness one of the common side effects of this treatment is rapid weight gain (Ellenbroek, 2012). As a result individuals on antipsychotic medication are often at increased risk of developing type 2 diabetes and cardiac problems (Nash, 2010), which inevitably Commented [BY1]: Make sure the full stop comes at the end of the sentence. The citations should be included within the sentence. Not sure which sentence refers Jakopac Commented [BY2]: Do not require the author’s initials in the citation contributes to the high prevalence of these diseases within this population. It is important for mental health nurses to recognise the role and responsibility they have in helping to manage the physical health of those with schizophrenia in their care. Clow and Edmunds (2013) highlight the significance of encouraging service users with schizophrenia to ask clinicians for support and advice regarding becoming more physically active. They also state that nurses should be able to educate service users and their family members about the Commented [BY3]: Use they to indicate that you are continuing to discuss these authors’ point of view metabolic risks of medication, and provide lifestyle advice regarding physical activity. The Nursing and Midwifery Council (NMC, 2010) regard professional development as key to maintaining high standards of competence in practice. This has been echoed within the literature, for example Cormac (2012, p.7) states that ‘mental health nurses are responsible for keeping their knowledge and skills of physical health up to date in order to spot the signs of physical ill health and improve service user’s physical health through education about the benefits of exercise’. Nash (2014) emphasises that physical health study should be a part of the nursing process in mental health in order to provide high quality care to service users and Commented [BY4]: Make sure you have a capital letter in the author’s name Commented [BY5]: A direct quote requires a page number in the citation Commented [BY6]: Remember to include the date of publication practice in a truly holistic manner. However it would appear that this notion is not necessarily easy to achieve in practice. Research investigating mental health nurses attitudes towards physical health and physical activity revealed that although they recognised the importance of Commented [BY7]: Require references to support this assertion providing advice and opportunities for exercise in order to improve service user’s physical health, they were not particularly confident in this aspect of their practice (Happell et al, 2012; Howard & Gamble, 2011; Robson & Haddad, 2012). This may suggest that more attention is Commented [BY8]: All the citations should be held within one set of brackets) needed in this area to ensure that mental health nurses have the knowledge and confidence to direct service users with schizophrenia towards opportunities for physical activity in order to improve their physical health and reduce the risk of developing diseases which are prevalent within this population. Commented [BY9]: Sentence is very long. Splitting into two sentences would enhance this discussion.
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