SCHIZOPHRENIA AND OTHER PSYCHOSES Flashcards
Is a serious psychiatric disorder
One of the most profound disabling illness
Not a single disease entity but a combination of disorders
“SPLIT MIND”
SCHIZOPHRENIA
characterized by:
impaired communication
loss of contact into REALITY
deterioration from a previous level of functioning
SCHIZOPHRENIA
4 A’s of Schizophrenia
A_______
A__________
A___________
A_________
AUTISIM
APATHY
AMBIVALENCE
ASSOCIATION LOOSENESS
PHASES OF SCHIZOPHRENIA
NORMAL FUNCTIONING
SYMPTOMS HAVE NOT BECOME APPARENT YET.
PRE-MORBID
PHASES OF SCHIZOPHRENIA
More tempered form of the disorder.
can be months to years for the disorder to become obvious
PRODROMAL
PHASES OF SCHIZOPHRENIA
positive symptoms are noticeable and apparent
SCHIZOPHRENIA
PHASES OF SCHIZOPHRENIA
Periods of remission. negative symptoms may remain, but positive symptoms are gone.
RESIDUAL
Delusion
Anxiety/Agitation
Hallucination
*Auditory most common
Jumbled speech
Disorganized behavior
POSITIVE SYMPTOMS
Flattened/Bland affect
Lack of Energy
Reduced Speech
Avolition (lack of motivation)
Anhedonia (not capable of feeling pleasure)
Lack of Social Interaction
NEGATIVE SYMPTOMS
Type of SCHIZOPHRENIA
Odd/Bizarre Behavior
incoherence
Stereotyping
Prognosis is Poor
DISORGANIZED
DISORGANIZED Type of SCHIZOPHRENIA
Defense Mechanism: _____________
REGRESSION
DISORGANIZED Type of SCHIZOPHRENIA
Nursing intervention
Assist with ___- hygiene
________ activity
Present _______
Nursing intervention
Assist with ADL- hygiene
ENCOURAGE activity
Present REALITY
Type of SCHIZOPHRENIA
Hallucination
Ideas of Reference
Delusion of Persecution
suspiciousness
PARANOID
PARANOID Type of SCHIZOPHRENIA
Defense Mechanism:________
PROJECTION
PARANOID Type of SCHIZOPHRENIA
Nursing interventions
Priority: _______________ of others
SAFETY OF OTHERS
PARANOID Type of SCHIZOPHRENIA
Nursing interventions
Deal with the HID
A_______
V_______
P________
O__________
ACKNOWLEDGE
VERIFY CONTENT OF HID
PRESENT REALITY
OFFER DISTRACTION
PARANOID Type of SCHIZOPHRENIA
Nursing interventions
Offer _______ foods / ________ medicines
OFFER SEALED FOOD
UNOPENED MEDICINES
PARANOID Type of SCHIZOPHRENIA
Nursing interventions
Never display outbursts of _________________
OUTBURST OF EMOTIONS
PARANOID Type of SCHIZOPHRENIA
Nursing interventions
Explain procedures in ______ ways
Never argue with the patient
SIMPLE WAY
TYPE OF SCHIZOPHRENIA
Wax flexibility
Stupor
Negativism – mutism, rigidity, lack of response
CATATONIC
CATATONIC Type of SCHIZOPHRENIA
Defense mechanism: __________
REPRESSION
CATATONIC Type of SCHIZOPHRENIA
Nursing Intervention
Priority: nutrition & _________________
Provide d_______
Encourage activity
SAFETY
DISTRACTION
Patients whose manifestation cannot be easily fitted into one or the other type
UNDIFFERENTIATED
SCHIZOPHRENIA
General Nursing Interventions:
Establish a trusting relationship and provide _________________
ACCEPTANCE
SCHIZOPHRENIA
General Nursing Interventions:
a clear, consistent and O_____ C__________N
Set limits
OPEN COMMUNICATION
SCHIZOPHRENIA
General Nursing Interventions:
Decrease environmental _________________
STIMULI
SCHIZOPHRENIA
General Nursing Interventions:
Observe for s_________
Administer medications, as ordered.
SUICIDAL IDEATION
