Schizophrenia, psychiatric nursing, mental health, mental disorder, confinement, plan of care, nursing diagnosis
The Swiss psychiatrist Eugen Bleuler used the term "schizophrenia" in 1911 to characterize a group of severe mental illnesses which, he claimed, shared similar characteristics (Anders, etc. 2024). The name schizophrenia is derived from the Greek words "schizein" meaning "to divide" and "phren, phren-" referring to "mind" and is also known as: dementia praeco or "multiple personality disorder" or "split personality". Schizophrenia is thought to be caused by a combination of environmental and genetic factors. The onset and course of schizophrenia may also be influenced by psychosocial factors. Schizophrenia is not as common as other mental disorders. According to the World Health Organization (2022), it affects around 24 million people, or 1 in 300 (0.32%) worldwide. The rate is 1 in 222 (0.45%) among adults, mainly in their twenties and late teens, and men are affected earlier than women.
The care provided by nursing students to a psychiatric patient with undifferentiated schizophrenia is documented in this reflective case study. A client by the name of C. A. As an illustration, consider (pseudonym), who was admitted to the Synergy Homecare Center Company after receiving a diagnosis of undifferentiated schizophrenia. Its goal is to increase the reader's understanding of the significance of providing care for a client who has a mental illness and the methods involved. In this case study, the student nurses also created a medication study and a suitable nursing care plan for the patient. The nursing process' components were then used as a framework to analyze the care provided and identify any ethical issues.
[...] Integumentary Status Patient C.A. has a fair skin complexion without pigmentation issues. Her skin shows no signs of pallor, jaundice, or cyanosis. She doesn't appear to have anybody changes since she has never gotten a tattoo. And upon assessment, no wounds were found in the upper and lower extremities. However, upon assessing the upper left part of her chest, the student nurses palpated a hard mass, but according to the result of the biopsy, it was confirmed to be breast cancer. [...]
[...] B.5. Social History Patient C.A. has a large social circle of acquaintances, some of whom are LGBTQ people. She enjoys going on frequent outings with friends and frequently stays out late to watch movies at the mall, but she is a homebody who doesn't get along well with her neighbors. C. Genogram D. Course of confinement Patient C.A. was admitted to Estrella Homes in 1994 as a result of constant stress. After her mother passed away, she was suffering stress. [...]
[...] active movement of the body part with gravity eliminated barely detachable flicker or trace of contraction No muscular contraction was detected. 6. Nutritional Status Patient C.A. follows a regular eating schedule, consuming food five times a day, including a morning and afternoon snack. This routine is maintained within the facility's kitchen and dining area. Notably, Patient C.A. is not on a diet and has no known food allergies, but is restricted in chocolates set by the facility. Also, patient C.A. [...]
[...] calcium carbonate and calcium phosphate). CNS: headache, tingling. CV: arrhythmias, bradycardia. GI: constipation, nau- sea, vomiting. GU:calculi, hypercalciuria Indications: For relief of heartburn and acid indigestion. May also be used as a nutritional supplement or to treat hypocalcemia. Contraindications: Hypersensitivity, renal calculus, high urine calcium levels, elevated serum calcium, low serum phosphate, achlorhydria, or suspected digoxin toxicity. Observe patients closely for symptoms of hypocalcemia. Protect symptomatic patients by elevating and padding side rails and keeping the bed in low position. [...]
[...] Impaired Social Interaction as evidenced by inappropriate laughter in serious situations. 5. Disabled family coping related to high-risk family situations b. Basis of Prioritization Nursing Diagnosis Rank Justification Hopelessness related to social isolation as evidenced by Expression of feeling lonely and limited of social interaction. 1 A lack of social contact can impair mood regulation, making it harder for the person to manage their emotions well. As a result, individuals may exhibit greater loneliness which is a visible indication of mood regulation difficulties. [...]
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