Schizophrenia Flashcards
Distorted and bizarre thoughts, perceptions, emotions, movements, behavior
schizophrenia
What are the categories of symptoms for schizophrenia?
- positive (hard)
* negative (soft)
•Delusions, hallucinations; grossly disorganized thinking, speech, behavior
positive (hard)
Flat affect, lack of volition, social withdrawal, or discomfort
negative (soft)
what is the peak onset age for men and women?
The peak onset is age 15 to 25 for men and age 25 to 35 for women
Targeting positive symptoms
No observable effect on negative symptoms
Conventional antipsychotics (dopamine antagonists)
Diminish positive symptoms
Lessen negative symptoms
Atypical antipsychotics (dopamine, serotonin antagonists)
What are the six antipsychotics available in depot injections forms?
- Fluphenazine in decanoate and enanthate
- Haloperidol in decanoate
- Risperidone
- Paliperidone
- Olanzapine
- Aripiprazole
What are the nonneurologic side effects?
- Weight gain, sedation, photosensitivity
- Anticholinergic symptoms (dry mouth, blurred vision, constipation, urinary retention)
- Orthostatic hypotension
- Agranulocytosis (clozapine)
Psychosocial treatment for schizophrenia?
*Individual, group therapies Supportive, medication management, use of community supports *Social skills training Cognitive adaptation training Cognitive enhancement therapy (CET) *Family therapy *Family education
general appearance schizophrenia
motor behavior
speech (odd, bizarre; catatonia; echopraxia, psychomotor retardation, word salad, echolalia, latency of response
what is the mood and affect for a person with schizophrenia?
(flat, blunted; anhedonia)
nursing interventions
Safety of patient, others
Therapeutic relationship; therapeutic communication
Interventions for delusional thoughts (focus on reality; no confrontation or reinforcement)
Interventions for hallucinations
Management of socially inappropriate behavior
what are the neurologic side effects?
Extrapyramidal side effects Acute dystonic reactions Akathisia Parkinsonism Tardive dyskinesia Seizures Neuroleptic malignant syndrome