Nursing Care plan is a site for all kind of disease and many nursing skills about nurse routine duty and play a vital roll for patient care....

Nursing Care plan For Schizophrenia Diagnosis and Intervention

Schizophrenia (from the Greek roots skhizein ("to split") and phrēn, phren- ("mind")) is a severe mental illness characterized by a variety of symptoms including but not limited to loss of contact with reality. Schizophrenia is not characterized by a changing in personality; it is characterized by a deteriorating personality. Simply stated, schizophrenia is one of the most profoundly disabling illnesses, mental or physical, that the nurse will ever encounter (Keltner, 2007). There are 5 subtypes of schizophrenia naming; paranoid, disorganized, catatonic, undifferentiated, and residual

Symptoms of Schizophrenia

 b) hallucinations.
 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
  • Patient
  • 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.

Popular Posts

Featured post

Nursing Care Plan and Managment ARDS (Acute Respiratory Distress Syndrome)

ARDS , or acute respiratory distress syndrome , is a lung condition that leads to low oxygen levels in the blood. ARDS can be life threaten...

Follow Us

Copyright © Nursing Care Plan | Powered by Blogger Design by ronangelo | Blogger Theme by