{"id":51216,"date":"2020-07-07T12:50:16","date_gmt":"2020-07-07T12:50:16","guid":{"rendered":"https:\/\/www.hospitalarias.org\/en\/?p=51216"},"modified":"2020-07-07T12:50:16","modified_gmt":"2020-07-07T12:50:16","slug":"what-attention-is-being-given-to-the-medical-problems-of-people-with-mental-illness","status":"publish","type":"post","link":"https:\/\/hospitalarias.org\/en\/what-attention-is-being-given-to-the-medical-problems-of-people-with-mental-illness\/","title":{"rendered":"Attention to people with mental illness"},"content":{"rendered":"\n<p>The issue is old and has been the subject of debate frequently guided  by excessive ideological arguments and rarely focused on the needs of  the sick person. Today there is still no satisfactory answer. By who, where and how should medical care be provided for people with long-term mental illness?<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/www.hospitalarias.org\/en\/wp-content\/uploads\/sites\/2\/2020\/06\/Dra.-Lurdes-Santos-1-rotated.jpg\" alt=\"\" class=\"wp-image-51152\" width=\"229\" height=\"305\" \/><\/figure><\/div>\n\n\n\n<p>The pandemic that the world is trying to solve has so far killed some  400,000 people and nearly 7 million have been affected in 213  countries. The clinical picture triggers an acute respiratory syndrome  of varying complexity, and although it affects everyone equally, some  people are more at risk. <strong>People with  previous clinical conditions, such as advanced age, suffering from  previous medical or psychiatric pathologies and residing in communities  or residential institutions, are at higher risk.<\/strong><\/p>\n\n\n\n<p>If we go back a little in time, we will all remember the lobby to \ndeinstitutionalize mental illness in the 80s and 90s, which had as its \ncentral idea the closure of large psychiatric institutions and the \nassimilation of the person with mental illness into the community. \nWithin this concept, the person with a mental illness should preferably \nreceive primary care so that general doctors treat them for all their \nhealth problems.<\/p>\n\n\n\n<p><strong>However, the person with a  long-term mental illness cannot be treated for their health problems in  the primary care model, which is highly oriented to the treatment of  uncomplicated chronic diseases and primary and secondary prevention and  has a focused management principle in the results with an evaluation of  services which is exclusively quantitative. <\/strong>What has happened  over the years is something that many have witnessed and recognized, but  it is an issue that still needs to be debated and requires repair.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The reality of the pandemic has only brought to light what we already knew:<\/h4>\n\n\n\n<ul class=\"wp-block-list\"><li>Treating diabetes or hypertension in a person with a mental illness \nis not the same as treating the same illness in a person without mental \nillness.<\/li><li>This reality is especially critical as patients age since cognitive \nloss occurs with more severity, and autonomy, previously affected, is \neven more limited. Therefore the patient is not in a position to follow \nthe self-protection guidelines.<\/li><li>When people with mental illnesses live in residential environments, \nthere is often not enough equipment to treat organic illnesses, and \ninvestment in the technical quality of medical care is scarce within the\n framework of General Medicine.<\/li><li>When these people live in the community, as a consequence of the \nhistory of the disease and their own life, they always present other \ncardiovascular, cardiorespiratory and endocrine pathologies and, at the \nsame time, they have fewer resources in all areas: family, financial and\n even community. In other words, they are even more alone!<\/li><\/ul>\n\n\n\n<p>This questions the existing model for most residential units for \npeople with mental illness, designed following current regulations, with\n little investment in technical equipment, especially in the area of \nmedicine.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">To neglect this is to deny mental \nillness, its nature and its total harm with its determining factors and \nits consequences and, above all, to stop putting the person with mental \nillness at the centre of the decision-making process.<\/h4>\n\n\n\n<p><strong>Lourdes Santos, Bachelor of Medicine from the Faculty of Medicine of  the University of Porto. Psychiatry specialist. <a href=\"https:\/\/www.hospitalarias.org\/en\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Sisters Hospitallers (se abre en una nueva pesta\u00f1a)\">Sisters Hospitallers<\/a>\u2019\u00a0  Clinical advisor, Portuguese Province.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The issue is old and has been the subject of debate frequently guided by excessive ideological arguments and rarely focused on the needs of the sick person. Today there is still no satisfactory answer. By who, where and how should medical care be provided for people with long-term mental illness? The pandemic that the world [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":51219,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[588],"tags":[],"class_list":["post-51216","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cat-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Attention to people with mental illness - Hermanas Hospitalarias<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hospitalarias.org\/en\/what-attention-is-being-given-to-the-medical-problems-of-people-with-mental-illness\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Attention to people with mental illness - Hermanas Hospitalarias\" \/>\n<meta property=\"og:description\" content=\"The issue is old and has been the subject of debate frequently guided by excessive ideological arguments and rarely focused on the needs of the sick person. Today there is still no satisfactory answer. By who, where and how should medical care be provided for people with long-term mental illness? 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