This information is common to all 5 diseases.
♦ You will find new questions to screen for anxiety, depression and "coping" within the Emotional Wellbeing Section.
These mental health conditions are very common in patients living with long-term conditions, and are associated with poorer health outcomes and reduced quality of life.
There are no “right or wrong” answers here.
We want you to have a conversation with the patient about their feelings, and perhaps intervene if you can.
Some patients may require onward referral for more specialist support.
• The risk of mental health problems increases substantially in those with long term physical conditions.
• Rates of mental health problems increase with the number of long term physical conditions and as socioeconomic deprivation worsens.
• A period of a month is a useful indicator as it shows general feelings.
COMPLETING THE TEMPLATE
Ask the 2 depression questions and the 2 anxiety questions.
• Unfortunately, at this time, there are no Read-codes available to record the results of the anxiety screening. We have applied for codes to be created, and will amend the template once these exist.
• In the meantime, EMIS users might wish to use the following EMIS codes to record the scores, if you wish:
GAD-2 (generalised anxiety disorder 2) scale score : Code EMISNQGA18
• “Depression screening using questions” has a Read Code 6896
If your conversation with the patient makes you feel that they are not coping with their condition on an emotional level, then you can record this on the template using the code provided.
This code will carry though to the Health Determinants template, where the patient may wish to discuss their emotional wellbeing as part of their agenda setting during the next part of the consultation.
Q1. Overall, having had our discussion today, how are you coping?
Q2. Overall, how well do you feel you are managing your condition?
Q3. How do you feel your family or carers are coping?
Q4. Do you feel you need any extra support in dealing with your condition?
• The Health and Wellbeing Directory lists community services to support patients to manage their long term condition, including peer support services and patient education programmes.
There are patient information leaflets, available to order from the Public Health Resources Directory, on range of different mental health issues.