The Whole Person Approach
Click here to download our care planning information sheet on Personal Care and Physical Wellbeing.
"When I was ill it was
difficult for me to look after my physical wellbeing. One of the most
important parts of my recovery was learning how to stay physically healthy,
including eating a healthy diet and exercising. Now that I'm physically
healthy, my mental health is much better." Mair Elliott
For many people the long-term goal will be to be fully fit
and healthy, to be physically active, to have a good diet, to avoid smoking and
excessive alcohol consumption, and to have control of body weight.
1. What do you want to achieve?
It is important not to
neglect your physical health when you are receiving care and treatment for a
mental illness. Maintaining and improving your physical health is an essential
part of your recovery and can also counter the side-effects of antipsychotic
medication (such as weight gain, increased risk of diabetes and heart problems).
Your specific outcomes
may be to have an improved diet, give up smoking, exercise regularly and reduce
your alcohol consumption or use of illegal drugs. If you are very ill there may
be some basic issues to address such as keeping clean, eating properly and
generally taking proper care of yourself. Also think about goals which will
minimise the impact of physical issues such as disability, mobility and pain
management on your mental health.
2. What actions need to be taken or services need to be provided
to achieve your goals?
Next think about the actions that need to be taken to
achieve your goals, and what services need to be provided to support you.
● Advice and treatment
from your GP/Practice Nurse
● Well-woman or well man
clinics at your local surgery
● Support services for
giving up smoking, reducing alcohol intake, etc.
● Registering with a
● Preparing for your
GP appointment by making a list of the things you want to discuss such as stopping smoking,
exercise and the management of physical conditions
● Getting advice and
information on healthy living
● Writing an exercise
and diet plan
● Taking steps to
improve your personal care by eating and washing regularly, etc.
● Joining a local gym
● Joining a
stop-smoking support group
● Registering and
making an appointment with a dentist/optician
● Getting support to
reduce your alcohol/drugs intake
● Getting advice on
● Discussing the
physical side-effects of anti-psychotic medication with your GP.
3. Who can support you to achieve your goals?
Your GP and Practice Nurse are the main health
professionals who can support you in achieving your personal care and physical
Other supporters may include:
● NHS Direct
● Alcohol and drug
(substance misuse) services
● Stop Smoking Wales
● Health promotion
● Gym instructor
● A family member and/or
● Care Coordinator
More resources and links on Physical Health
To register with a GP go directly to the surgery and they will
If you want to
find out what surgeries are available in your area use the search facility on
this link http://www.wales.nhs.uk/ourservices/directory
· To find a dentist use the
same search facility as for a GP - http://www.wales.nhs.uk/ourservices/directory
· You may have difficulty
finding an NHS dentist - ask for help from your local NHS Board using the same
· Use the same link http://www.wales.nhs.uk/ourservices/directory to find opticians - note that you can get free eye tests in some
places for example Tesco
Stop smoking resources at http://www.stopsmokingwales.com/home
on alcohol http://www.drinkwisewales.org.uk/ and at http://www.alcoholconcern.org.uk
on drugs at http://www.drugaidcymru.com/ and at http://drugscope.org.uk/