Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
What is Schizophrenia?
Schizophrenia is a chronic mental illness with symptomatic manifestations of hallucinations, delusions, and social withdrawal. It usually begins before age 25 and it persists throughout life and affects persons of all social classes.
HISTORY
had used the term demence precoce for deteriorated patients whose illness began in adolescence.
He
translated Morels demence precoce into Dementia Praecox, a term that emphasized the distinct cognitive process (dementia) and early onset (praecox) of the disorder.
Patients with dementia praecox were described as having a long-term deteriorating course and the common clinical symptoms of hallucinations and delusions.
He coined the term schizophrenia which replaced the term dementia praecox in literature.
He stressed that schizophrenia need not have a deteriorating course. His term schizophrenia has become the internationally accepted label for the disorder.
Bleulers Four As
Meyer
The
founder of Psychobiology. He saw Schizophrenia as reaction to life stresses and called the syndrome a schizophrenic reaction.
Sullivan
Langfeldt
Classified patients with major psychotic symptoms into two groups: 1. Those with true Schizophrenia
2. Those with a Schiozophrenia-like psychosis
Schizophrenia is equally prevalent in men and women. It usually begins before age 25, and persists throughout life and affects persons of all social classes.
Fallacy
Schizophrenia is Split Personality
In
reality, split personality is Dissociative Identity Disorder according to DSM IV TR It differs completely from Schizophrenia.
Subtypes of Schizophrenia
Paranoid Schizophrenia
It is characterized by preoccupation with one or more delusions or frequent auditory hallucinations Characterized by the presence of delusions of persecution and grandeur They are typically tense, suspicious, guarded, sometimes hostile or aggressive Their intelligence remains intact.
Nursing Responsibilities
Do not whisper Provide sealed meal rations Establish rapport Provide a calm environment Medicate on time Encourage to sleep on time Provide reading materials
Disorganized Schizophrenia
Is characterized by a marked regression to primitive, disinhibited, and unorganized behavior. The onset is generally early before age 25 Thought disorder is pronounced and contact with reality is poor. Behavior is silly, fatuous and collective. Appearance is dilapidated and behavior is inappropriate.
Nursing Responsibilities
Supervise hygiene Monitor patient belongings Provide calm environment Medicate on time Encourage sleeping on time Administer restraints as ordered
Catatonic Schizophrenia
They have marked disturbance in motor function. This disturbance may involve stupor, rigidity, excitement, and positioning. Associated features are stereotypies, mannerisms, and waxy flexibility. Mutism is particularly common. Patients need careful supervision during catatonic stupor or excitement.
Nursing Responsibilities
Provide nutrition Provide safety Provide restraints as ordered Provide calm environment Medicate on time Encourage to sleep on time
Residual Schizophrenia
Characterized by a continuing evidence of schizophrenic disturbance in the absence of a complete set of active symptoms. Emotional blunting, social withdrawal, eccentric behavior, illogical thinking and mild loosening of associations commonly appear with this type.
Nursing Responsibilities
Medicate on time Encourage to sleep on time Encourage client to join art and occupational therapy in order to find ones aesthetic skills Encourage client to verbalize feelings. Provide calm environment
Schizophrenia Undifferentiated
These patients are clearly schizophrenic but cannot be easily fitted into one or another type.
Nursing Responsibilities
Anti-psychotic Medications
Higher end Olanzapine Risperidone (Risperdal) Amisulpride (Solian) Clozapine (Leponex)
Depot Medications
Tranquilizers