schizophrenia psychiatric nursing

8/8/2019 Schizophrenia psychiatric nursing

1/12

SCHIZOPHRENIA


2/12

` SPLITING OF THE MIND Delusions hallucinations, disorganized speech, grossly

disorganized behavior and apathy

ALTERED THOUGHT PROCESS

AUTISM

ASSOCIATIVE LOOSENESS

APATHY

AMBIVALENCE


3/12


4/12


5/12

` Defect in family interaction

` Highly critical , hostile or overinvolved` Psychologic information processing

deficit` Biologic-metabolic imbalance Genetics Biochemical dopamine hypothesis Brain structure alterations =- >

ventricles


6/12

` Inappropriate behavior , affect andtransient hallucinations

` Incoherence, markedly loosening ofassociations

` Regression` Impaired social functioning

Assistance w/ adl


7/12

` Preoccupation with systematizeddelusions or auditory hallucinationsrelated to a single theme

` Suspicion , ideas of persecution anddelusions

` Mistrust and feelings of rejection` Projection` Potential for injury` Nutrition and safety


8/12

` Sudden onset mutism , bizarremannerisms, remains in stereotypedposition with awxy flexibility. May have

dangerous periods of agitation /explosivity

` Stupor, negativism, rigidity` ,Excitement, posturing` Repression and impaired motor activity` Circulation and nutrition


9/12

` One or more types of schizophrenia

` Does not meet the requirements of othertypes

` Prominent symptoms


10/12

`Absence of prominent delusion,hallucinations, incoherence or grosslydisorganized behavior.

` No longer exhibits overt symptoms


11/12

` Delusional no hallucinations

` Schizophreniform - < 6 months normalfunctioning possible

` Schizoaffective d/o dominantsymptoms- mood d/o


12/12

` Promote adequate communication

` Promote compliance with medical regimenand provide physiological needs (fluid andnutrition)

` Assist with grooming , hygiene and adls

` Promote organized behavior

` Promote social interaction and activity

` Social skills training\promote reality basedperceptions

` Intervene with delusions` Promote congruent emotional responses,

family understanding and involvement, andcommunity contacts.

schizophrenia psychiatric nursing

Documents