Paranoid Schizophrenia

2572 Words11 Pages
Paranoid schizophrenia, what must the nurse assess? How do they go about assessing? Upon assessing, how will the nurse manage the outcomes of the assessment? These important questions are what this paper will resolve. Through review of recent literature into the assessment and management of individuals affected by paranoid schizophrenia, this paper will discuss in detail how the nurse goes about assessing the patient, why assessment is vital, common outcomes of the assessment and finally go into detail on how the nurse manages a patient with paranoid schizophrenia.
Stein-Parbury (2009) discuss the importance of providing an environment without distractions for an assessment to occur in, as this enhances the ability of both the patient
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Thought processes can be identified through how patients put their ideas together. (Shives, 2008). Patients with paranoid schizophrenia often have delusions that can vary in type, such as of a persecutory nature, believing that people, types of people or groups of people are out to get them or are talking about them (McMurran, Khalifa & Gibbon, 2008). Thought content is another important area the nurse must assess. Delusions of a paranoid nature are common in patients with psychotic illnesses, causing an impairment in their ability to comprehend and understand people or the environment around them, which can lead them to behaving impulsively due to the lack of awareness of what’s going on around them (Bentall, Rowse, Shryane, Kinderman , Howard et al, 2009). It is important to ascertain if patients are having any suicidal thoughts, plans or intent, as this is an aspect of care when assessing patient’s level of risk (Edward, Munro, Robins & Welch, 2011). Perceptual disturbances is an element that requires assessment during and MSE, to ascertain symptoms that may assist the treating team in diagnoses, patient response to treatment and risks. (McMurran, Khalifa & Gibbon, 2008). Auditory hallucinations being a common form of perceptual disturbance in someone with paranoid schizophrenia comprise of such things like a patient reporting voices that are like running commentary, voices expressing their thoughts out loud to everyone or voices discussing
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