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NRS2342 Mental Health Nursing

   

Added on  2020-04-13

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Schizophrenia disorderMental Health NursingNRS2342Semester1, 2012-2018Movie: BirdyCourse Instructor: Mr. Stephen WardReferencing style: APA 6th editionWord count :
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The Birdy movie is about two friends, Birdy and Al Columbato. Birdy had a fascinationfor birds and flying and he had also built a new aviary in his bed. Due to certain life experiences,he always wanted to escape from reality and expressed his desire to be born as a bird. After theVietnam war, Birdy was emotionally scarred and confined to mental hospital. He was almost incomatose state. However, his friend Al made several attempts to reduce his dissociativebehavior. In the end, Birdy escaped to another level of the roof as he was found jumping off theroof of the hospital just like a bird (Birdy, 2017).. Considering this storyline of the movie Birdy,the essay provides a detailed insight into the mental illness depicted in the movie and discussesin detail about the symptoms, impact of the mental illness, nursing interventions and treatmentoptions available for the mental illness. After the analysis of the main character of the movie Birdy, it has been found that themental illness of schizophrenia was depicted in the movie. Schizophrenia is a chronic mentaldisorder that has an impact on a person’s feeling, thinking and behavior. It is often characterizedby episodes when patients cannot make differentiate between real and unreal experience. Birdywas also found to display bizarre behavior in the movie such as always imagining himself as abird and flying. They lose touch with reality and the brain disorder is often associated withsymptoms like hallucination, delusion, impaired memory, poor executive and motor functioning,disorganized speech and disruptions in normal emotions and behavior (Frith, 2014).Similarsymptoms were also found in the Birdy as he often wanted to escape reality and had delusions.He imagined himself as a bird. The symptoms of schizophrenia are characterized into four categories such as positivepsychotic symptoms, negative symptoms, disorganization symptoms and impaired cognition.The positive symptoms include distorted thoughts and beliefs, paranoid delusion and hearingvoices. It is called positive symptoms because this feelings did not existed in patient before theywere ill, however it get added to people’s psyche after the diagnosis of schizophrenia. On theother hand, symptoms like losing the ability to speak, develop plans and find pleasure in life isregarded as negative symptoms. It is named so because these symptoms exist in patients beforethe diagnosis of the mental illness. Confused thinking and speech are examples ofdisorganization symptoms and problem with attention and memory are example of impairedcognition (Fusar-Poli et al., 2014). Positive symptoms like paranoid delusion were observed in
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Birdy in the beginning before he went to the Vietnam War. However, other three symptoms wasfound after he returned from Vietnam War and placed in mental hospital. The Birdy has correctly depicted the sufferings and burden of schizophrenia on patientsand their immediate family members. Currently the prevalence of schizophrenia is also risingworldwide. It is a devastating disorder which creates both health and cost burden for families andcommunity. The prevalence of schizophrenia worldwide is about 1.1% of the population above18 years (Schizophrenia Symptoms, Patterns and Statistics and Patterns, 2017).This means atleast 51 million people worldwide are affected by schizophrenia. In case of UAE, it has beenfound that about 50, 000 people suffer from schizophrenia. This means almost 1% of the UAEpopulation is affected by the mental disorder (Saberi, 2017).The stigma associated withschizophrenia often exacerbates the sufferings of affected people. Schizophrenia is regarded as a devastating mental disorder as it has psychological, socio-cultural and spiritual impact on patients, their family members and the workplace of patients.The diagnosis of schizophrenia is associated with great psychological impact as it leads tocognitive dysfunction in patient. The deficits in attention, memory and executive functioninghave an impact on patient’s capability to perform daily life activities and such patients are proneto many risks in their life (Hofer et al., 2017). Hence, they rely on family members and clinicalstaffs to perform work as well as basis living skills. In addition, certain functional deficits inpatient affect socio-cultural life of people too. This can be said because people withschizophrenia tend to have overlapping symptoms of depressive disorder. Impaired cognitive,functional disability and poor ability to concentrate reduces self-esteem and confidence ofpeople. They often remained distressed contributing to the risk of depression (Balci et al., 2016).They fail to cope with demands of social life and fail to fulfill interpersonal relationship withpartners or work staffs. They capability for full-time is affected and they lose sexual desire too.Hence, stable relationship in social life does not exist and severely ill patients often enter intosocial isolation. There are even more serious impact of social isolation and if this is notaddressed, patients starts developing suicide ideation too (Baek, 2014). Religion and spiritualityalso has an impact on the life of schizophrenia patient. The relation between spirituality andschizophrenia has influence on help seeking behavior, psychopathology as well as treatmentoutcome for patient (Grover, Davuluri & Chakrabarti, 2014).
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