Chapter 23 Flashcards
Schizophrenia
this will cover chapter 23 with lecture and study guide notes
notes
schizophrenia may
See things/hear things that other don’t see/hear
Feel people are out to get them
Have ideas that no amount of evidence to the contrary can dislodge
Have trouble maintaining employment or school
Appear lazy, unmotivated and uninterested
May look like they are experiencing dementia
Lose the ability to get and keep friends
Talk to “voices”
Make odd movements or gestures
Fail to bathe or take care of personal hygiene
what is the age of onset of schizo?
18-25 years old
what does psychosis mean?
state in which a person experience hallucination, delicious or disorganized thinking, speech or behavior
what is delusions ?
grandiose, nihilistic, somatic
you believe of yourself
what is hallucinations?
you believe youre seeing something there
what is disorganized thinking ?
what is speech ?
what is behavior ?
concrete, ideas of reference
pressured speech
aggression, agitation
what are the 4 negative symptoms ?
decreased emotional expression
avolition
anhedonia ( lack of interest )
difficult making decision
its important that we as care givers do what?
dont challenge their distorted thinking or delusions
instead what are the 3 things we want to do ?
- acknowledge
2,. find out if they are commending them to hurt - present reality to them
what is the main treatment for theses patients?
antipsychotic
what are your first generation medications?
haloperidol
chlorpromainze
what are your first generation symptoms antipsychotic medications ?
eps symptoms
tardive dyskinsea
qt prolongation
how do you treat patients with eps symptoms ?
Benadryl / anticholinergic medications
how do you treat tar dive dyskinesia?
ingrezza ( valbenazine )