Symptoms of Schizophrenia
c) disorganized speech(incoherence or derailment).
d) grossly disorganized or catatonic behavior.
e) negative symptoms (affective flattening, alogia ,or avolition.)
- significant social/occupational dysfunction since the disorder began.
Nursing assessment for Schizophrenia
- History collection
- Family members
- Significant others
- Previous records
- Mental status examination
- Physical examination
- Laboratory investigations
Nursing diagnosis for Disturbed thought process related inability to trust evidenced by delusional thinking.
Nursing interventions for Schizophrenia
- Eliminate pattern of delusional thinking
- Assess the content of delusion
- Assess the intensity, frequency and duration of the delusion.
- Assess the context and environmental triggers for the delusional experience.
- Approach the patient with calmness, empathy and gentle eye contact.
- Distract the patient from delusions that tend to exacerbate aggressive or potentially violent episodes. Promote activities that require attention to physical skills and will help the patient use time constructively.
- Discourage long discussions about the irrational thinking. Instead talk about real events and real people.
- Following interventions will help highly suspicious patients:
- Use the same staff as far as possible
- Be honest and keep the all the promises.
- Avoid physical contact in the form of touching the patient.
- Avoid laughing, whispering or talking quietly where the patient can see but cannot hear what is being said.