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Schizophrenia Treatment & Management - Doc

   

Added on  2021-02-20

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Schizophrenia

TABLE OF CONTENTPART B ...........................................................................................................................................1INTRODUCTION...........................................................................................................................1Treatment strategies for Schizophrenia ..........................................................................................1Medical strategy (Clozapine).......................................................................................................1Non-medical strategy (Psychoeducation)....................................................................................2Role of nurses in managing and implementing treatment strategies ..............................................3CONCLUSION ...............................................................................................................................4REFERENCES................................................................................................................................5

PART B INTRODUCTIONSchizophrenia is one of the most severe and chronic disorder which requires lifelong treatment and management. Along with the medical strategies the patients and service users are also provided non-medical strategies such as psychoeducation. Both the strategies seems to be effective and their role depending upon the situation of patient (Mohr & et.al., 2018). The nurses plays an important role in the management of this chronic disorder along with the family members. This part of the report will analyse the strength and weakness of both types of treatment strategies. It will also highlight the role of nursing interventions and management in treatment of Schizophrenia. Treatment strategies for Schizophrenia Medical strategy (Clozapine)Clozapine is known to be highly effective antipsychotic and is preferred medical strategy for the treatment of schizophrenia. Despite its high effectiveness the drug is only limited to schizophrenic patients who do not show adequate response to other antipsychotics available for the disease. According to Porcelli & et.al., (2016) drug requires extensive monitoring on dosage and impact as it leads to adverse impacts such as myocarditis, neutropenia and agranulocytosis. The people with treatment resistance schizophrenia shows a significant reduction in the hospitalization and symptoms with the use of this medical strategy. Clozapine is very helpful andeffective in rebalancing the serotonin and dopamine in the body so that thinking ability, behaviour and mood can be controlled. The drug seems to be effective in terms of improving suicidal behaviour, delusions, hallucinations and other critical symptoms of schizophrenia. Though drug is beneficial but it has serious health implications among patients. 1

Clozapine reduces a specific type of while blood cell (neutrophils) in the body which gives immunity to cells. Thus, with the decrease in the number of neutrophils individuals becomes more prone to infections leading to deaths and extreme health complexities. Due to this reason the medical strategy is used in extremely controlled environment and forms the basis of REMS (Clozapine risk evaluation and mitigation strategy). Contrary to this Kulhara, Grover & Kate, (2015) states that complications such as myocarditis is very rare and only less than 1% people may account to risk of developing agranulocytosis due to this medical strategy. Despite having these serious risk implications the medical strategy is considered as last line treatment forthe schizophrenia patients in vulnerable or severe condition. Non-medical strategy (Psychoeducation)Along with the medical strategy another intervention used by the health professionals is psychoeducation. With this non-medical strategy schizophrenia patients as well as their family members are provided education and information regarding management of disease. The family plays an important role in the treatment of mental disorders. As compare to the medical strategiesfor schizophrenia one of the key strength of psychoeducation approach is that it provides more improved health outcomes to the patient. Along with the diagnosis, treatment and adverse impactof medications the treatment also involves risk assessment for the disease and health outcomes ofthe patient. However, as per the view of Hercelinskyj & Alexander, (2019) the psychoeducation method suffers from a significant weakness that it cannot be applied stand-alone. This weakness become more particular among the patients suffering from severe schizophrenia. The people withthe early stages of the disease can be treated effectively and their hospitalization events can be reduced greatly by only psychoeducation. However, with the increasing severity the treatment 2

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