SCHIZOPHRENIA2 Schizophrenia The prevalence of mental disorders is becoming an issue of concern for healthcare providers today. The World Health Organization defines mental health as a state of wellbeing in which someone can identify his abilities, cope with the stress of life, be productive and contribute to his community. There are many examples of conditions that can affect an individual's mental wellbeing. An example of these conditions is schizophrenia. This paper will describe schizophrenia as a mental illness, and further, explain nursing management. Schizophrenia is a Greek word meaning "split mind." Schizophrenia is a mental disorder that is characterized by thinking disruptions, language disruption, perception, and self-sense. Schizophrenia is also known as Identity Dissociative Disorder. The leading cause of schizophrenia is not known, but assumptions attach the cause to be either due to genetic factors, biochemical factors, or other factors such as brain abnormalities. This condition can be categorized into three stages, as indicated in the bullet points below. Prodromal phase (beginning)- there are barely noticeable changes in an individual's way of thinking, feeling, and behavior (Haut, Van & Bearden, 2015). Acute phase- the changes are evident. This phase is also referred to as the formal thought disorder because of the florid symptom. Recovery phase- an individual may develop depression because of the impact of the available condition. An individual may regain his abilities to function correctly after each stage. Signs and symptoms of schizophrenia There are several symptoms that with schizophrenia exhibit. These symptoms include Cognitive –delusions, memory loss, mental confusion, and disorientation.
SCHIZOPHRENIA3 Delusion can be referred to as a thought content disorder. Types of delusions include; Persecutory delusions included feeling discriminated against or threatened. The delusion of reference- an individual attaches meaning to specific actions, objectives, or people. The delusion of grandeur is when an individual believes in possessing supernatural powers or fame. Behavior-hallucinations, aggressive, agitation, hostility, disorganized, and an individual prefers to be in isolation. Mood: anxiety, loss of interest or pleasure, anger, elevated mood, and inappropriate emotional response (Cella, Pieti, Edwards, & Wykes,2017). Speech: speech disorder and incoherent speech. Schizophrenia can be classified into different types. Each type is identified using the symptoms a patient will possess. Paranoid schizophrenia- delusions, auditory hallucinations, catatonic behavior, and disordered speech (Peralta & Cuesta, 2016). Disorganized schizophrenia- auditory hallucinations, and speech disorder. Catatonic schizophrenia- extreme mutism. Undifferentiated type Residual type. Nursing management of schizophrenia The care of the patient having schizophrenia is not limited to medication, but also includes psychotherapy, electroconvulsive therapy, social support, and family education. A nurse should administer the prescribed antipsychotic drugs to reduce the severity of psychotic symptoms (Kamel & Al Qahtan, 2019).
SCHIZOPHRENIA4 Ensure and promote safety because schizophrenia patients tend to be hostile. Ensure the patient has met nutritional requirements by providing healthy balanced meals. Deal with hallucinations by avoiding an argument based on the hallucination content. A nurse should ensure to involve the family members in the care and treatment. Family members should understand that schizophrenia can relapse and how to manage symptoms such as nervousness. Encourage both the patient on drug compliance. Ensure the patient takes drugs at the scheduled time, and observe events of adverse reactions. Community resources Mental Health Organizations- provides support to patients and families members of individuals having schizophrenia. Mental health rehabilitation centers, such as Schizophrenia support groups. (Asher, Patel &De Silva, 2017). In conclusion, Schizophrenia is a mental disorder and can be classified depending on the symptoms a patient is depicting. Schizophrenia is treatable. The management will combine the use of medication, psychotherapy, electroconvulsive therapy, and family involvement. A nurse should ensure to administer prescribed psychotic drugs and providing a safe environment for the patient.
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SCHIZOPHRENIA5 References Asher, L., Patel, V., & De Silva, M. J. (2017).Community-based psychosocial interventions for people with schizophrenia in low and middle-income countries: systematic review and meta-analysis.BMC psychiatry, 17(1), 355. Cella, M., Preti, A., Edwards, C., Dow, T., & Wykes, T. (2017). The cognitive remediation for negative symptoms of schizophrenia: a network meta-analysis. Clinical psychology review, 52, 43-51. Haut, K. M., van Erp, T. G., Knowlton, B., Bearden, C. E., Subotnik, K., Ventura, J., ... & Cannon, T. D. (2015). Contributions of feature binding during encoding and functional connectivity of the medial temporal lobe structures to episodic memory deficits across the prodromal and first-episode phases of schizophrenia. Clinical psychological science, 3(2), 159-174. Kamel, N., & AlQahtani, F. (2019). Social Cognition in Schizophrenia: A Review Study. Open Journal of Psychiatry, 9(02), 81. Peralta, V., & Cuesta, M. J. (2016). Delusional disorder and schizophrenia: a comparative study across multiple domains. Psychological medicine, 46(13), 2829-2839. World Health Organization, Schizophrenia, Retrieved from https://www.int>mental_health>management>schizophrenia.