Schizophrenia System Disorder PDF

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Summary

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Description

System Disorder

ACTIVE LEARNING TEMPLATE:

Espinosa ST UDENT NAME Catherine _____________________________________ Schizophrenia DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem Schizophrenia occurs when multiple inherited gene abnormalities combine with nongenetic factors. These factors include viral infections, birth injuries, evironmental stressors, prenatal malnutrition, and abnormal neural pruning that alters brain development or function and/or injure the brain directly

-Disturbed thought process -Disturbed sensory perception -Risk for self-directed/other-directed violence

12 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention -including family members and caregivers in the teaching -having a warm, concerned and supportive environment -teaching significant others how to recognize and respond to symptoms

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings -deluisons -hallucinations -disorganized speech -catatonic behavior -negative symptoms (i.e. diminished emotional expression)

-Genetic factors -Brain structure abnormalities -Biological, chemical, and evironmental stressors

Laboratory Tests

Diagnostic Procedures

-Complete blood cell (CBC) count

-MRI -CT -Physical Exam

-Liver, thyroid, and renal function tests -Electrolyte, glucose, vitamin B-12, serum methylmalonic acid, folate, and calcium levels

PATIENT-CENTERED CARE

Nursing Care -Ensure that patient has had a medical workup -Assess for substance or alcohol use disorders -Assess for hallucinations -Establish a trusting relationship -Validate pateint's feelings and help patient recognize positive traits and accomplishments

Medications -haloperidol -chlorpromazine

Client Education -Know early warning signs of relapse (i.e. sleep disturbances, troubling thoughts, difficulty thinking/remembering) -Let treatment team know right away if one is experiencing these symptoms. -Develop a relapse prevention plan not using drugs or alcohol, taking medications, and managing stress.

-Drug Therapy

-5 hydroxytryptami ne 2A

-Psychiatrist

-Pet Therapy

-clozapine

-Psychologist

-Individual Psychotherapy

ACTIVE LEARNING TEMPLATES

-Ensure that patient is taking medications as prescribed -Provide safe outlets for physical energy (i.e. walk with patient, allow pacing, provide access to safe exercise equipment)

Complications

-dopamine Therapeutic Procedures

-Provide increased supervision when risk of self or other directed violence is present

-Command hallucinations -Paranoia -Impaired executive functioning

Interprofessional Care

-Licensed Professional Counselor

THERAPEUTIC PROCEDURE

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