Schizophrenia

Beschreibung

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Schizophrenia
  1. Definition: may result in some combination of hallucinations, delusions, and extremely disordered thinking and behavior that impairs daily functioning, and can be disabling.
    1. Assessment: 1. Delusions 2.Hallucinations 3. Disorganized thinking (speech) 4. Extremely disorganized or abnormal motor behavior 5. Negative symptoms-this refers to reduced or lack of ability to function normally. 6. Withdrawal from friends and family 7. A drop in performance at school 8. Trouble sleeping 9. Irritability or depressed mood Lack of motivation
      1. Diagnostics: 1. Physical exam 2. Tests and screenings 3. Psychiatric evaluation 4.Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.
        1. Drugs: 1. Second-generation antipsychotics (clozapine) 2.First-generation antipsychotics (Haloperidol)
          1. 1.Behavior therapy 2.Psychotherapy 3. Social Skills therapy 4.Family therapy 5. ECT
          2. Nursing Diagnosis: 1.Impaired verbal communication 2.Impaired social interaction 3. Disturbed thought process
            1. Nursing Interventions: 1. Keep voice in a low manner and speak slowly as much as possible,Keep environment calm, quiet and as free of stimuli as possible. 2. Avoid touching the client. Structure times each day to include planned times for brief interactions and activities with the client on one-on-one basis 3. Initially do not argue with the client’s beliefs or try to convince the client that the delusions are false and unreal. Do not touch the client; use gestures carefully
              1. Risk Factors: 1. family history of schizophrenia 2.Increased immune system activation 3.Older age of the father 4.Some pregnancy and birth complications, such as malnutrition or exposure to toxins or viruses that may impact brain development 5.Taking mind-altering (psychoactive or psychotropic) drugs during teen years and young adulthood Factors:
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