Psychosis and Schizophrenia Flashcards
define psychosis
mental disorder in which thoughts, ability to recognise reality and abilty to communicate is sufficiently impaired
can’t deal with reality
what are some characteristics of psychosis?
halluncinations
delusions
thought disorder
lack of insight
harm to themselves/others
what is the name of the transitional state between wakefullness and sleep?
hynogogia
what are self referential delusions?
belief that external events are related to oneself
i.e. people are speaking about them, the TV is aiming messages directly at them
what is the definiton of a delusion?
fixed, falsely held beliefs
what are some different types of delusion?
religious
paranoid
jealousy
what is thought disorder?
obsverved from speech patterns- very jumpy, going from one to thing to another in the space of a sentence, rhyming, tangents
what is thought insertion?
think people have put these thoughts in their head
i.e. had a device put in thier head
what is thought broadcasting?
believe other people have access to their thoughts
what is passivity?
feeling like someone is in control of your body
i.e. feel like someone has moved your arm, urge to push someone
how long does drug induced psychosis tend to last?
tend to be short lasting if access to psychoactive substance is removed
what are features of a depressive psychosis?
delusions of worhtlessness/guilt
describe mania with psychosis
delusions of granduer/ special ability
when is the onset of schizophrenia and who is mainly affected?
onset in young adults typically affecting males more than females
what are the three subtypes of schizophrenia?
parandoid
hebephrenic
catatonic
give a feature of paranoid schizophrenia
most common
give features of hebephrenic schizophrenia
disorganised
younger onset
emotionally younger
give a feature of catatonic schizophrenia
movement disorder predominates
when is the highest risk of suicide reooccurence in schizophrenics?
first week of discharge from hospital
what are the postive symtoms of schizophrenia?
hallucinations
delusions
passivity phenoma
disorder of form of thought
what are the negative symtpoms of schizophrenia?
reduced speech
reduced motivation/drive
reduced interest
reduced social interaction
blunting of affect
what are the 3 steps in manageing aggressive behaviour?
Prediction i.e. body language
Prevention e.g room layout
Intervention e.g restraint, sedation
what are the three kinds of detainment orders?
emergenycy detention
short term detention
compulsory treatment orders
how long does emergency detention last?
max 72hrs
can you appeal against emergency detetion?
no
do you need consent from MHO to crry out emergency detention?
no- usually do have consent tho
how long can short term detention last?
up to 28 days
does a short term detnetion certificat reuire consent from a MHO?
yes
how are applications for Compulsory Treatment Orders made?
MHO supported by two medical reports
can you appeal a Complusory treatment order
yes
how long does a CTO last?
up to 6 months- patient can be in hosptial or the community
what is nurses holding power?
nurse can hold somone in hopsital for up to 6hours
what does SIDMA stand for?
Significantly Impaired Decision MAking Ability
what are the Tayside Rapid Tranquilisation Policies?
consider non-drug therapies: distraction, seclusion, talking ot patient
consider oral therapy
what drugs are given to sedate patients in psychosis?
lorazepam 1-2mg +/- haloperidol 5mg
if oral lorazepam is unsuccessful or effect required within 30mins what is the next step?
1-2mg lorazepam IM
what can be given in extreme cases of psychosis?
combi of lorazepam and haloperidol 5mg
how is combi of lorazepam and haloperidol given?
injection- DO NOT mix same syringe
must monitor resp rate, pulse and BP every 5-10 mins for an hour
flight of ideas is most commonly seen in bipolar/schizophrenia?
mania- so Bipolar
