Schizophrenia Case Study Flashcards
What is psychosis ?
Associated with significant alterations to a persons perception, thoughts, mood and behaviours
What are the two categories of symptoms associated with someone experiencing psychosis ?
Positive symptoms
Negative symptoms
Give examples of positive symptoms
Disorganised behaviour
Disorganised speech
Thought disturbances
Delusions (fixed or falsely held beliefs)
Hallucinations (perceptions in the absence of stimulus)
Give examples of negative symptoms
Emotional blurting
Reduced speech
Loss of motion
Self neglect
Social withdrawal
What is the most common psychotic disorder ?
Schizophrenia
What can psychosis be caused by ?
Certain medication
Substance misuse
Sepsis
What complications can arise in psychotic disorders ?
Increased of premature death due to suicide, cardiovascular disease and type 2 diabetes
Difficulties in social functioning
Substance misuse
What is the classification system of schizophrenia called ?
ICD-10
What does ICD-10 stand for ?
International classification of Disease
10 because its the 10th version
it classify a range of diseases
What does the classification system allow for ?
The systematic recording, analysis, interpretation, and comparison of mortality and morbidity data collected in different countries or regions at different times
It also ensures the reusability of recorded data from the different use cases beyond mere health statistics, including decision support, resource allocations, reimbursement, guidelines and more
What is the 136 suite ?
Police are able to take you to a hospital or police station if you are in a public place and of serious risk of harming yourself or others
What is section 136 of the mental health act ?
The police can detain you under this section due to the concern that you have a mental health disorder and should be seen by a health care processional.
Police think that they need immediate care
How long can you be detained under the mental health act section 136 for ?
up to 24 hours
Extendable for up to 12 hours if you can not be assessed from clinical reasons
When are you free to leave if a doctor or health professional has not seen you ?
After 24 hours (or 36 hours) if a doctor has not seen you
What is first person auditory hallucinations ?
Patient hears their own thoughts spoken out load as they think them
What is second person auditory hallucinations ?
Patients hear voice, or voices, taking directly to them
Second person hallucinations can be persecutory, highly critical, complimentary or issue commands to the patient (command hallucination).
These kind of hallucinations can often be mood-congruent i.e. a patient with low mood will more often experience hallucinations of a persecutory or critical nature, and similarly a patient with an elevated mood will more often experience hallucinations of a complimentary nature.
What is third person auditory hallucinations ?
Patients hear a voice or voices speaking about them, referring to them in the third person.
This may take the form of two or more voices arguing or discussing the patient among themselves; or one or more voices giving a running commentary on the patient’s thoughts or actions.
What is procyclidine used for
Extrapyidamol side effects associated with antiphycotoc medicinal side effects
What are examples of extrapyridamol side effects
Pseudo-parkinsonism (tremour and/or rigidity)
Tardive dyskinesia (abnormal movements)
Akathisia (restlesssness)
Dystonia
When are long-acting antipsychotic injections (LAI) AKA depot considered and why?
LAI can be prescribed to ensure that a patient received their medication.
They are considered fro patients who relapse due to non-compliance to their medication
What are the two options for LAIs ?
Risperidone consta LAI
Paliperidone palmitate LAI
What is Risperidone consta LAI used ?
Risperdal Consta is intended for patients who are currently treated with oral (e.g. tablets, capsules)
antipsychotics.
When is Paliperidone used ?
Xeplion can help alleviate the symptoms of your disease and stop your symptoms from coming back.
What is schizophrenia ?
Schizophrenia is a disease with “positive” and “negative” symptoms. Positive means an excess of
symptoms that are not normally present. For example, a person with schizophrenia may hear voices or
see things that are not there (called hallucinations), believe things that are not true (called delusions),
or feel unusually suspicious of others. Negative means a lack of behaviours or feelings that are
normally present. For example, a person with schizophrenia may appear withdrawn and may not
respond at all emotionally or may have trouble speaking in a clear and logical way. People with this
disease may also feel depressed, anxious, guilty, or tense
