Schizophrenia

Francis Kenneth Dalag BSN 4C1-2 Group 85-b Schizophrenia

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“Split Personality” “multiple personality disorder”

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It is characterized by a deteriorating personality

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It is not characterized by changing personality

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For decades, dangerous and uncontrollable causing a wild disturbances and violent outburst

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It is diagnostic term used by mental health professional to describe a major psychotic disorder

Pathophysiology Many authorities suggest the multiple factors must cause schizophrenia, because no single theory satisfactorily explains the disorder. Explanations can be categorized broadly into biologic or psychological cause.

Sign and symptoms Common symptoms •

hallucinations

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altered thought process

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delusions

5 primary symptoms •

affective disturbances

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autism

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associated looseness

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ambivalence

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auditory hallucinations

Nursing Interventions a. provide physical care b. promote clients safety c. increase client trust with a 1:1 nurse/client relationship d. orient to reality e. provide structure of the day f.

involve family

g. interaction should be simple and concrete : often nonverbal and short h. help work regressive behaviour i.

decrease bizarre behaviour, anxiety, agitation, aggression

j.

deal with hallucinations 1. Distract client 2. Do not confront; do not deny 3. Point that you do not share the same perception, but acknowledge that the hallucination is real to client 4. Seek to establish feelings 5. Avoid leaving client alone 6. Engage client in activities

Reaction In that disorder I learned about the sign and symptoms, in the meaning and in the nursing interventions. And know how to deal in those psychiatric disorders. We prove as student nurse to be respect and know our limitations to deal with them…