27 January 2012

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.