1. Definition: o Some schizophrenic clients experience catatonic characteristics in which they have very little movement and moves the least amount possible. 2. Possible Causes/Risk Factors: o Unknown causes, some researchers believe it is from an imbalance of dopamine that is involved in the onset of this disorder o Risk factors: Genetics Fetus that was malnourished Stress, especially in a person’s earlier years If physical or mental abuse occurred in early childhood If person experienced any trauma as a young child A viral infection as a child 3. S/S: o Physical: Agitated Grimacing o Behavioral: Unusual posture Waxy flexibility Odd mannerism Moves over and over again with no reason Quiet, little to no verbal response …show more content…
6. Nursing Interventions: o Establish a trusting relationship, so that the client will continue with treatment and feel able to open up o Provide a quiet, supportive environment; allows client to feel comfortable in this type of setting and he/she will want to be there o Assess clients ability to do certain things, this will allow more focus on some things over others depending on ability and importance o Assist with ADLs, allow client to be as independent as possible but be there for support or assistance if client needs support. o Explain the process of treatment and the importance of it, education will provide information on the depth and importance of what he/she will be going through and doing. o Assess clients need and attend to every aspect he/she might need help with, such as physical, emotional, nutrition and hydration; treatment involves the whole body and not just pieces o Administer Benzodiazepines: Diazepam Advise to take as directed Do not operate heavy machinery or drive while taking Only for short term use and for immediate action Also if target symptoms are not decreased then it is important to gradually withdraw from
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.
Provide a psychological evaluation to enable client to have a proper diagnosis and treatment for disorder
They will tell you about their lives, needs and wishes. Some people have problems with communicating so you can always read their care plan, ask your colleagues or just talk to the family.
The direct clinical practice offers a solid structure to construct the standards of expert care, consultation, collaboration, evidence-based care, leadership as well as ethical decision-making. Direct client contact assist J.F. to effectively direct as well as refer direct patient care as needed. She evaluates patterns in individuals diagnostic data as well as appropriate interventions, recommended medications, obtaining additional diagnostic testing and/or supplying education. J.F. has establishes a healing partnership with all her clients. Her patients are open to her about their feelings as well as existing stressors. She admits to closely monitoring as well as proactively paying attention to them while analyzing their psychological wellness. An APRN such as J.F. communicates and interact with with her client| in order to be in tune with the patient’s psychosocial requirements. To achieve this, J.F. carries out a comprehensive|an extensive psychosocial history and physical. The demands of her patients assist J.F. to individualize treatments and review the effectiveness of care given to the patient. As a result, the relationship and direct patient treatment J.F. has effectively established a mutual understanding with her patients. The patients seem to value her awareness, respect her as a professional and accept her advice without hesitation.
Accessing the root cause of the anxiety. Whilst the client may come to you with a specific problem that they wish to address, it may well be that this problem is caused by underlying issues that they cannot, or sometimes, will not face. For example, a client who wishes to lose weight, may actually be comfort eating as a response to low self
Following this step, in order to be sensitive to the client and ensure she understands confidentiality and consent, I would explore the reasons she is seeking help. Through this exploration process I would use the techniques of empathic responding and motivational interviewing to establish rapport with the client. Empathic responding and motivational interviewing will also help to ease any reservations Precious may
Assess the client mental state( suicidal thoughts/ideations) on a regular to prevent any attempts or future thoughts.
Did you know one percent of our population is schizophrenic? Schizophrenia is a chronic and disabling psychiatric disorder that commonly presents during late adolescent and early adulthood (Javitt, Daniel C). Schizophrenia is illustrated by an incapacity to differentiate what is real from what is not. The way they live can affect their brain functions causing relationships to end because of the symptoms schizophrenia produce in them, but there are treatments and support that can help with the symptoms.
Catatonic schizophrenia which is characterized by severe disturbances in movement and a marked lack of responsiveness to the outside world. At one end of the extreme they can not speak, move or respond. At the other end of the extreme they are over excited or hyperactive mimicking sounds or movements around them. Other symptoms are, uncooperative which means they resist any attempt to move them, they may say absolutely nothing and won’t listen to any instructions. Another is, strange movements, the patience posture may be unusual or inappropriate. With catatonic schizophrenia patients can stay immobile for long periods of time, in positions that we may think look extremely uncomfortable (Nordqvist, 2015).
There are over a hundred different types of mental disorders but the most common psychotic disorder is schizophrenia. Schizophrenia affects approximately 3.5 million people in the United States. The symptoms include: “hallucinations, delusions, disorganized thinking (speech), grossly disorganized or abnormal motor behavior (including catatonia) and negative symptoms.” ( Barnhill 19) Symptoms of schizophrenia begin to appear around late youth/ early adulthood and must be persistent for a length of at least six months to be concluded as schizophrenia. DSM-IV analyzes the schizoaffective disorder in which patients must show signs of “major depressive
Both of these disorders are serious and require the attention of trained professionals. No one has agreed on the causes of these disorders but what is important
Schizotypal personality disorder is mostly common in men than women. Patients with Schizotypal personality disorder have severe social and interpersonal deficits. He or she can shows sign of manifest ideas of reference, cognitive and perceptual distortions, socially inept, and paranoia (individual can be very suspicious and anxious). He or she can also shows sign of hallucinations and delusion but only minimal (Halter & Vacarolis, 2014),.
Establish rapport and have a pleasant student nurse-client working relationship with our client, Sir Xxx Client x, and his significant others so that the group can gain their trust and can obtain pertinent information from them;
Based on what I learned from my client's chart, I approved a medication he responded to favorably in the past. I concentrated on becoming a reliable, predictable element of my client's life in order to build his trust. Over subsequent visits, he began to open up. I was able to work with his discharge team to arrange for him to live with a sister that previously lost contact with him. Finally, he had a relative to help him stay on track with his medications and transport him to follow up appointments; he could get better.
The two diagnosis I considered after my first session with Caleb were Autism Spectrum Disorder and Schizophreniform Disorder. Caleb clearly displayed deficits in both social communication and social interaction during our session. Caleb was so socially withdrawn, that his mother, Nina, was the person I communicated with throughout the entirety of our session. Caleb occasionally mumbled responses to some of the questions; his answers ranged from “yes”, “no” to “I don’t know”, although he mumbled thank you to one of my compliments, Caleb definitely displayed deficits in social-emotional reciprocity. Caleb also exhibited deficits in nonverbal communication, avoiding eye contact throughout our entire session, he even avoided eye contact with his