Our Lady of Fatima University

Research and Development Center

Nursing Management 1

Schizophrenia

Nursing Management of a Patient with Schizophrenia Jennilyn S. Sta.Maria Our Lady of Fatima University

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Our Lady of Fatima University

Research and Development Center

Nursing Management 2

Nursing Management of a Patient with Schizophrenia V.P. a 30 year old male had been in jail due to Frustrated Homicide. He was charged because of attacking a man with a bolo . He was admitted prior to assault thoughts. He was diagnosed with Schizophrenia. Schizophrenia is a long-term mental health condition that causes a range of psychological symptoms such as change behavior. (Smith 2010)

Pathophysiology The understanding of the pathophysiology of schizophrenia was generally organized around concepts of neurotransmitter dysfunction with an emphasis is on the neurotransmitter (Moore and Bloom 1978). Disclosed by the siblings, he had some behavioral and mental disabilities due to an accidentally fell from a jeepney. He accordingly sustained head injuries but was not treated well due to financial problem. He is rugged and unruly in his behavior. Studies on subjective experience, especially on self-esteem were lacking. The subjective experience of schizophrenia consisted of self-esteem, satisfaction of life and subjective distress (Brekke et al, 1995). Self-esteem refers to an individual s sense of value or worth, or the extent to which a person appreciates, or likes himself (Taylor et al, 2000).

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Our Lady of Fatima University

Research and Development Center

Nursing Management 3

History V.P. a 30 year old male had been in jail due to Frustrated Homicide. He was mentally ill since the accident. He was diagnosed with Schizophrenia. He is under the medication of chloropromazine, Beperdine, Setraline, and Haloperidol. There was no reported past medical illness.

Nursing Physical Assessment V. P. was oriented to person, time and place. Has a slight body physique and has a light brown complexion. He has a tattoo on his right arm. He has a mole on his neck and properly groomed in his blue hospital uniform. He was seen a two line scar at the left arm. The patient reported to have one bowel per day, and urinates five times a day. He drinks water five to six glass a day. He was ambulatory and can perform activities of daily living like bathing, eating and grooming himself.

Related Treatment The patient is taking 100mg chloropromazine, 2mg in 1cc Beperdine, 50 mg Setraline, and 50mg Haloperidol. He was also included to those patients who are undergoing different therapies under student nurses. These therapies include remotivational therapy which promotes expression of feelings through interaction facilitated by discussion of neutral topics, occupational therapy which helps patient to achieve independence in all areas of their lives, recreational therapy which enables him to experience intense emotion with the use of play in a safe environment, bibliotherapy which broadens and deepens the patient s understanding of the particular problem that requires treatment, and music and arts therapy which facilitates relaxation, expression of feelings and outlet of tension.

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Our Lady of Fatima University

Research and Development Center

Nursing Management 4 Nursing Care Plan V.P. s nursing diagnosis is Low self esteem related to change behavior as manifested by mood changes and affect. The patient answers question with hesitate especially when talking about his educational background. After three weeks of nursing intervention the patient s self esteem level will increase from low to medium level.

The nursing interventions for the patient include establishing rapport to gain the patient s trust. Discuss the capabilities and the positive aspects of client owned. Clients can identify the skills and positive aspects that are owned. Listen to client s comments and responses to situation. Active listening provides clues to client s view of self, role changes, needs, and level of acceptance. Accept client and show concern for individual as a person. Identify and build on client s strengths give positive reinforcement for progress noted. Genuine concern and regard for the client as an individual establishes therapeutic atmosphere for selfacceptance and encouragement. The patient will also be encourage to participate in group interaction therapy like occupational, remotivational, recreational, bibliotherapy, music and arts to improve her focus and to develop positive social skills. After three weeks of nursing intervention, the patient s difficulty in participating in group discussion had been lessened though not totally solved. The patient showed more interest in group discussions though sometimes showed signs of being distracted. After three weeks of nursing intervention the patient s self esteem level increased from low to medium.
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Recommendations The patient should follow the specified intervention for her to develop his self esteem, and for him to interact to others. He should also take up his prescribe medicine and consult a doctor regularly. References Boyd, M.A. (2008). Psychiatric Nursing: Contemporary Practice (4th edition). Philadelphia: Lippincott Williams & Wilkins Smith J.E. (2010). Schizophrenia (Brekke et al, 1995) New Models of the Pathophysiology of Schizophrenia: Editors' Introduction by John Q. Cseernansky and Anthony A. Qrace