Care and Treatment of Patients with Schizophrenia

The assignment report focuses on the essential need for care in affected patients, particularly those with schizophrenia. It emphasizes the role of proper medication and planning in controlling risks and promoting recovery. The report also highlights the significance of communication and compassionate care skills in patient treatment.

CARE SKILLS

Table of Contents
INTRODUCTION...........................................................................................................................1
GIBBS REFLECTION CYCLE......................................................................................................1
Description...................................................................................................................................2
Feelings........................................................................................................................................3
Evaluation....................................................................................................................................5
Analysis........................................................................................................................................6
Conclusion...................................................................................................................................7
Action plan...................................................................................................................................8
CONCLUSION ...............................................................................................................................8
REFERENCES................................................................................................................................9

INTRODUCTION
Care is a provision that is essential for the health, wealth and protection of someone. The
term care is predominantly taken into account to describe the inherent activity and value of
nursing. This project report is based on preparing a research that explain about the selected
activity used in care planning (Shield and et. al., 2011). A case scenario is studied in this report
according to which it has been observed that a 65 years old man who is suffering from
Schizophrenia disorder, having a past record of Epilepsy, misuse of Alcohol and traumatic brain
injury is residing high support hostel. These types of disorder are basically a sign of Chronic
mental health condition feature primarily with symptoms of Hallucinations or delusions as well
as mood disorder such as depression. This case is evaluated in this report using Gibbs Reflective
Cycle.
GIBBS REFLECTION CYCLE
Illustration 1: Gibbs Reflective Model, 2017
(Source: Gibbs Reflective Model, 2017)
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Description
I was sent to a high support hostel where there are various people who are suffering from
schizophrenia, bio-polar, depression, brain injury etc. Main responsibility of me is to take care of
the patients. One of them was Mr. John William who is a 65 years old single man. He was
suffering from schizophrenic disorder and has a past history of epilepsy, alcohol misuse and
traumatic injury. During the time of providing care to Mr John, I have found overlapping
indications for schizoaffective disorder. Henceforth, this disorder is less studied than any other
condition. In order to provide all sort of reliable care to Mr John I needed to plan well organised
activities with the help of care equipment that could assist him to deal with the situations. To
provide him appropriate care the skills that demonstrated by me were caring nature, appropriate
knowledge of medicines and equipment, communication, ethical behaviour, toileting and
grooming skills, clinical skills, feeding therapy and certified nurse skills. The activities selected
by me for care procedure of Mr. John were dressing and grooming and eating and drinking (The
Gibbs Reflective Model, 2017). It is very important for the patients to get proper care so that they
can recover easily. I had planned to use Mood track diary, remind calendar, Rollator, Toilet
safety Frames, Mobile phone, Wheelchairs, Electrical assistive devices, Shower chairs and
crutches etc. equipment.
The main reason behind choosing these activities is that both of them matches to my
skills. As I am good in communication and have toileting and grooming skills which helped me
to interact with patient while grooming. My feeding threapy skills were used by me to feed him
properly. I have good knowledge of equipment which helped me to use them properly and
provide maximum protection to Mr John as he is so old and can harm himself. With the help of
these equipment the condition of Mr. John was suggested to be controlled up-to an extent. I was
working there with two other nurses those were appointed to note down all the changes in the
condition of John’s body. After undertaking complete observation of Mr John’s health conditions
I planned to collect outcomes on regular interval and record them. I have noticed that he often
got a call of command in that information regarding providing harm to his friends or family are
more. These orders tend to came either by using electrical implant from the people. I asked Mr
John if he sometimes felt then he could harm himself or few other people of his psychotic.
Because of Mr John past medical as well as family history which was typical. He would also not
use any kind of prescription or over-the-medication. Thus, he felt his thought regarding the
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electrical implants were low throughout the behaviour of the patient. He denies for any weight
changes, bowel or bladder issues and difficulty in breathing (Moazed and et. al., 2013). My
caring nature has resulted in the proper recovery of Mr. John as I tried my best to provide him
appropriate treatment according to his requirements. Various equipments are used by me while I
was in the high support hostel to care Mr. John. Wheelchairs are being used by me to take him
from one place to another because he was old and having problem in walking. Shower chairs
were used for bathing procedure which was a part of dressings and grooming activities. As Mr
John had poor memory so remind calendar are used so that he can recognise people and he can
become mentally stable.
Feelings
As I was responsible to take care of Mr. John who is 65 years old and suffering from
schizophrenia, in this caring procedure various issues are faced by me while providing him
treatment. The major problems that were faced by me are related to lack of motivation and
emotions, reduced energy, recognition related issues and loss of interest in life. Whenever I try to
connect with him emotionally he does not respond as he was not interested in living. As a Nurse
I was responsible to provide him proper care in which I have to make him dressed and groomed
appropriately. These activities are conducted by me properly with the help of my toileting and
dressing skills. The main thing which was focused by me was to provide him proper food and
drinks both of them are done by me with the help of my feeding therapy skills. I used to set food
timings as it is highly required to bring him in better condition. While I was there with him I felt
like he is not conscious regarding his food and drinking habits. When I use to make him eat he
use to consistently keep looking at me and tries to recognise me (Griffin and Care, 2014). In the
initial days he was quite successful in recognising me sometimes but after some time it become
hard for him to recognise any face. Sometimes he got scared of me when I move towards him
after few minutes. It is very important to take care about his dressing as wearing clean and
washed cloths makes person hygienic which is highly required.
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(Source: Feelings in schizophrenia, 2018)
While I use to make him wear some new clothes he shows no emotions of feeling to
something new and different. During his care I found that he is at very critical situation and it is
required to provide him proper care regarding his food. He used to eat a very small portion of
food as it was hard for him to settle in this completely different environment where he is
surrounded by different patients (Webb, 2011). It was essential for him to take proper diet as
prescribed by doctors because in this critical condition to recover fast it is required to be
physically healthy. Even he himself do not possess any believe that someday he will be fine and
live a normal life. As he keeps on denying every therapy or process that is required for his
recovery. I use to keep on talking with him to make him realise that I am the one who is there for
him to take proper care (Feelings in schizophrenia, 2018).
When he felt that he does not recognise any person he used to felt left out and considered
himself unwanted for the world. Sometimes when he recognises his past for few minutes he used
to share it with me and for that minute I use to assume that he is fine. This improvement is seen
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Illustration 2: Feelings in schizophrenia, 2018

from few months and after the situation where he used to completely forget about what has
happened I can say that he is quite improving. When I talk to him now I found him quite happy
than before and a hope is there inside his heart that one day he will be completely fine.
Whenever I look back to his situation at the initial stage it is quite hard for me to believe that he
is the one who got recovered. People who use to meet him and few visitors are now happy and
looks to the situation like some miracle has happened in past few months (Arnold and Boggs,
2015). He got quite emotionally attached to me and whenever I try to motivate him put efforts to
look at the situation from my point of view. This positivity in his behaviour make him successful
to fight with such rare disease and puts him in a better situation than before.
Safety and security procedure for Grooming and Dressing
Safety of patient is among main priorities of a care work. At the time of dressing and
grooming patient, I adopted washing, bathing, showering, moving and handling procedures that
are highly required while working with dementia patient. The first step is to analyse the situation
in order to find level of assistance required by service user. After this, I explained him reason of
moving so patient does not get starting behaving abnormal or feel insecure. The third step is
related to finding that equipment, which assist patient in moving. They differ from time to time.
Last step is related to creating an environment that suits to patient. It normally involves activities
like improving lights, reducing noise etc. I continuously talk to patient at the time of following
these steps because it removes their confusion and distress (Nickless, 2011).
Safety and security procedure for Eating and Drinking:
It is very important to focus on the safety and security of the patients while feeding them.
As I am responsible to feed Mr John and provide him water to drink. While performing these
activities I have followed three different procedures these are positioning, handling and moving.
For this purpose, I have to help him by providing support to sit properly with the help of a
cushion at his back. After this I need to wash my hands to make sure that he has a healthy meal. I
wash my hands and then clean his mouth before feeding him. I sit in front of patient so that he
may have his food appropriately. After finishing his meal, I help Mr John. to drink water and at
the end I clean their mouth and help to lie properly.
Evaluation
There are various levels of assistance which varies from patient to patient and client to
client. In case of Mr. John, I adapted various assistance levels which majorly focused on my skill
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of communication so that patient can be encouraged be self-dependent. While I was delivering
treatment to the Mr. john he adapted all assistance levels properly. In earlier stage whenever I
tried to communicate with him he never responded or interacted. As time passes he started to
respond and interact with me (Aird, 2013). Usually, the patient of schizophrenia is not able to
communicate due to speech disorder and also have short term memory loss as they have poor
memory. To overcome all these challenges, I have communicated with him and tried to motivate
him. He has observed to adapt the treatment properly and started to share his thoughts with me.
This adaption has encouraged him to maintain privacy, dignity, independence and positive self
image. In second stage of treatment I was responsible to give patient the medicine according to
the prescription of doctor. In starting Mr John was not comfortable to have all the medicines but
as he become familiar to me so he adapted the assistance and started to take it accordingly. As he
has poor memory and because of this he was not able to remember things and the interaction
which happen between us the day earlier. But after some time medicines started to lead him to
recovery. It has helped him to remember things and me. As a nurse of Mr. John was responsible
to use right equipment that can help him to recover faster (Schell and et. al., 2013). I made a
remind calendar for him so that he could remind everting, toilet safety frames are also used by
me to facilitate him while sitting on the toilet seat. As he was old so he may have some issue to
walk so wheelchairs are being used by me to move him from one place to another. Shower chairs
are also being used by me while conducting bathing activities. The patient has adapted all the
assistance which was provided by me with the help of different equipment. It has helped him to
recover easily and faster (Williams, 2011).
If I have to repeat the same task again in future, then the recommendations that are
provided by me is that as last time only I was able to interact with the patients but I would
suggest that if the family members of patients interact with them then it can help to recover them
faster. According to me other changes that can be made in their treatment are using more
technological gadgets in order to give them quick treatment whenever they require it.
Analysis
In this part sense of a particular situation is being analysed. As I was in the care home to
give appropriate care to the patients. While I was working there I put my best efforts to perform
all the jobs that were allotted to me. The equipment that are available in the hostel are arranged
and cleaned appropriately and used according to their requirements. Cleaning of the equipments
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was done by me so that all of them remain germs free. One of them is being replaced as it was
not working (Emanuel and Librach, 2011). I have also established a safe and hygienic
environment so that they can feel good and recover faster. It was very important to make good
surroundings for patients so that appropriate treatment can be provided.
Based on the above findings from the patient and signs as well as symptoms of
schizophrenia disorder, I analysed that there was a need for further medical investigation. In spite
of this, Mr John not agreed with the initial assessment he did advice to a follow-up with referring
physician. The physician examined the condition of Mr John concurred with my assessment and
concluded that the patient was experiencing some of the issues and little pain in the brain. As he
was having history of traumatic brain injury in his life. I provided the physician with certain
direct quotes regarding Mr John to demonstrate the level of disorder he was suffering during that
point of time. After the complete analysis of the health condition, the physician was order to
diagnose with Schizophrenia and stated on a daily dose of risperidone and Olanzapine
medication. The patient was highly instructed to follow up with the continuous check-ups every
second week to ensure compliance with the medication and to discuss the entire progress.
Conclusion
As per the evaluation, process of it has been identified that it is mandatory to create a
strategic plan for the patient who is suffering from the disease of Schizophrenic disorder. This
kind of practices assist in identifying required practices that aid in providing best possible
solution to the patient. The evaluation of such planning practices helps in identifying best
possible outcomes that is admire by me for better recovery and facilitate solution of Mr John.
Some of the factors provides impactful outcomes over the memory Mr John as Mood track diary,
Electrical assistive devices, medication, therapy, injections and so on. My learning phase
denoting me to analyse different areas properly while providing health care treatment to any
patient. As in the case of Mr. John, it works properly in order to providing foremost treatment
approaches that help him to managing his routine in a proper manner. This experience is far
positive for me while I consider some favourable results in the health of Mr John. In the case of
treatment, I pay my maximum attention toward analysing issues, symptoms and causes of
specific disease that may affect directly upon their memory. After this, it is required to consider
appropriate solutions in terms of treatment that can be medication, learning therapy, use of Toilet
Safety Frames, Wheelchairs, Shower chairs, crutches and so on. Through this, I can manage their
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routine properly as well as provide them better treatment that make him more comfortable
towards treatment methods and us effectively.
Action plan
The main aim of developing this action plan is, if the situation of Mr. John arose again
then this action plan can be followed. If in future, I have to face this type of situation then I will
make sure to do not repeat my mistakes again. I will ensure to change the procedure of
communication and I will try to ask the family members of patients to visit them so that they can
feel good. As, if they meet the patients then it will help them to get emotionally attached and
create a zeal to live life happily. The another change which is going to be made by me in the
same situation is using such type of gadgets or equipment that helps to track patients and analyse
that whether they need quick treatment or not. It will help to reach them easily and provide them
the care according to their requirement.
CONCLUSION
From the above project report, it has been concluded that care is one of the essential need for
any affected patient. This will assist the patient to be recover from any kind of diseases that are
associated with that particular patient. Further, with the help of proper medication and plan
patient can recover more quickly and all kind of risks can be control with right strategy. Disorder
like Schizophrenia, which is having a bad impact on the mental condition of the patient, would
be avoid by following right kind of treatment at the correct point of time.
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REFERENCES
Books and Journals:
Shield, R. R., and et. al., 2011. Teaching communication and compassionate care skills: an
innovative curriculum for pre-clerkship medical students. Medical Teacher. 33(8).
pp.e408-e416.
Moazed, F., and et. al., 2013. Retention of critical care skills after simulation-based mastery
learning. Journal of graduate medical education. 5(3). Pp.458-463.
Griffin, P. and Care, E. eds., 2014. Assessment and teaching of 21st century skills: Methods and
approach. Springer.
Arnold, E. C. and Boggs, K. U., 2015. Interpersonal relationships: Professional communication
skills for nurses. Elsevier Health Sciences.
Nickless, L. J., 2011. The use of simulation to address the acute care skills deficit in pre-
registration nursing students: A clinical skill perspective. Nurse Education in
Practice. 11(3). Pp.199-205.
Schell, J. O., and et. al., 2013. Communication skills training for dialysis decision-making and
end-of-life care in nephrology. Clinical Journal of the American Society of
Nephrology, 8(4), pp.675-680.
Williams, C. A., 2011. Mentoring and social skills training: Ensuring better outcomes for youth
in foster care. Child Welfare. 90(1). p.59.
Emanuel, L. L. and Librach, S. L., 2011. Palliative Care E-Book: Core Skills and Clinical
Competencies. Elsevier Health Sciences.
Aird, R., 2013. The Education and Care of Children with Severe, Profound and Multiple
Learning Disabilities: Musical Activities to Develop Basic Skills. David Fulton
Publishers.
Webb, L. ed., 2011. Nursing Communication skills in practice. Oxford University Press.
Online
Feelings in schizophrenia. 2018. [Online]. Available through:
<https://www.practo.com/health-wiki/schizophrenia-symptoms-complications-diagnosis-
and-treatment/9/article>
The Gibbs Reflective Model. 2017. [Online]. Available through:
<https://www2.mmu.ac.uk/media/mmuacuk/content/documents/careers/Applying-the-
Gibbs-Model.pdf>
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