Posted by Shahzad Khan on Friday, January 27, 2012
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.