Schizophrenia Case Summary

The patient is a 36 year old female who presented to the ED with acute psychotic features. The patient reports experiencing God giving her a massage and seeing butterflies. The patient reports hearing God giving her commands. The patient denies suicidal ideations and homicidal ideations. The patient reports depressive symptoms as: guilt, fatigue, tearfulness, irritability, and inflated self-esteem.

In NURS 279, I had the privilege of caring for a patient in his late 20’s who had newly been diagnosed with schizophreniform disorder, after having a “break down”. The main symptoms he had experienced over the few months pre-hospitalization included delusions of religious grandiosity and audio/visual hallucinations and the reason it took months before hospitalization is because he was living out of province, away from his family and mostly in social isolation, though his parents noticed a change in behaviour over the phone calls they shared. He became my patient 2 weeks after his admission, at a point where he had accepted his diagnosis and had control over his symptoms in a controlled environment, however, was med noncompliant, as he

Ms. Deyo is a 35 year old Caucasian female who was referred to MCM by Stephanie Antkowiak from the Arc of High Point. Ms. Antkowiak contacted MCM with concern for Ms. Deyo expressing today she was ready to end her life. MCM Dispatcher contacted Ms. Deyo who denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Ms. Deyo reported what she said to Ms. Antkowiak was taking the wrong way. She reported having a lack of supports, is experiencing chronic pain, and trying to receive services. QP responded to call to see what services may be available to assist Ms. Deyo in her crisis.

The patient remains delusional, agitated and guarded, he always depressed, isolate and withdrawn. He still have disorganized thought and still has inappropriate emotional response because o the voices in his head. He stated that "I am so afraid of the voices in my head, they wont stop unless I'll follow them, I am afraid of dying but I think I would be better off dead, I have no choice but to follow the voices". He still insisting he will follow his belief. He remains sad and anxious, still showing self isolation and still cannot think for personal safety. His judgment, insight and impulse control are still poor. He remains a danger to self and a danger to self. He still needs an inpatient psychiatric hospital level of care as he refuses to

(Salinger 173). Holden has molded his life around this fantasy and fails to realize that

It is shown that she was prescribed some medication, but it is unclear whether she was given antipsychotics and unlikely that she remained adherent if she was. According to a study of integrative treatments for schizophrenia spectrum disorders, patients show improved long-term outcomes with comprehensive treatment approaches (Chien, 2013). Knowing this, I would recommend ACT (Assertive Community Treatment), a multifaceted approach including pharmaceutical, psychotherapy, and family/social components. Taking into account her history of poor medication adherence and her lack of insight regarding her condition, inpatient care may be beneficial in the initial stages of treatment until she is able to self-regulate. Since drug adherence could be potential complication, the class and dosing of neuroleptic would need to be carefully monitored and adjusted to find a treatment plan that would reduce side effects. In addition to the prescribing of a neuroleptic, psychosocial interventions would be added to improve medication adherence and patient functioning and to reduce the likelihood of future

The patient is a 20 year old male who presented o the ED BAC .20. Patient attempted to flee ED and was found on top of the hospital roof running towards edge. The patient reports hearing voices telling him to harm himself. Patient has multiple lacerations on his forearms and upper arms. Per documentation patient has been cooperative with staff while obtaining labs and vitals.

Antipsychotics are medications that physicians use to treat psychotic disorders such as Schizophrenia, Delusional disorder, Paraphrenia, and Substance-induced psychotic disorders. These disorders are characterised by the patient’s inability to make good judgments, think with a clear head, communicate effectively, relate to society, and understand reality. Antipsychotic drugs are also useful in the treatment of bipolar conditions that involve extreme cases of manic behaviour. Examples of these drugs include Thorazine and Trilafon. These drugs belong to a drug class called phenothiazines. They work by changing the actions of chemicals in the brain. The drugs can be beneficial, however, Steen et al. (2014) argue that the medicines have several harmful effects such as changes

Psychotic Disorder Case Study: Harry Harry is a client diagnosed with schizophrenia who currently lives alone. He has been on several antipsychotic drug treatments with short term lasting results. However, acute psychosis triggers Harry, with breakthrough symptoms of hearing voices in present regiment of care.

1. I do not believe John is responsible due to his intellectual disability. He probably has never seen or even touched a gun before and was curious to what it would actually do. Obviously, John did not know what he was doing.

There are numerous interventions for the management of symptoms of schizophrenia. Emphasis is placed on early intervention as the recurrence of psychosis results in diminished cognitive functioning and severely impacts quality of life and functioning (Galletly et al., 2016). However, emerging evidence has shown that the acute presentation of schizophrenia can be delayed and potentially averted altogether (Galletly et al., 2016). Regardless of treatment phase, schizophrenia intervention is designed to mitigate system clusters as early as possible.

1. Diagnosis: My diagnosis of Lona is that she is suffering from persistent depressive disorder (PDD), previously known as dysthymic disorder. “Persistent Depressive Disorder, formerly known as Dysthymic Disorder (also known as dysthymia), has been recently renamed in the updated DSM-5 (2013)” (Grohol). I did not find any significant symptoms to diagnose her with a personality disorder at this time.

The True Life episode, I have Schizophrenia, documented the struggles of three adults who suffer from Schizophrenia and Schizoaffective disorder. This paper will focus around Josh and whether he actually has Schizophrenia.

Schizophrenia is the most commonly diagnosed psychotic disorder (Steel, 2012), affecting 1 out of every 100 hundred people on average (Taurier & Wykes, 2004). Symptoms of the disorder include positive symptoms, which are auditory and visual hallucinations, as well as disordered patterns of thought such as delusions (Taurier & Wykes, 2004). Auditory hallucinations are the most common positive symptom, and often come in the form of voices (Steel, 2012). Delusions, which are the most common symptom of schizophrenia, involve a false belief that exists despite evidence being available that suggests otherwise (Steel, 2012).

           The patient M. is a 26 year old married female who was brought to the ER by her husband after increased anxiety and depression worsened after a “spiritual attack” that lasted for over four days.  While in the ER the patient admitted to hearing multiple distant male and female voices all around her head and outside of her head.  She states not being able to make out the message but interprets them to be negative in nature. She told the ER Doc she felt people were trying to harm her and that “people in her life have used things against her.”  She felt her extended family may have used witchcraft and “chakra dolls” to cast spells on her.  She is cognizant of the strangeness of her claims but believes them to be real