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    Psyche

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    Chlodette Eizl M. Laurente
    A nursing care plan is created to address Jino's self-care deficit, with the goal

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    © All Rights Reserved
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    Psyche

    Uploaded by

    Chlodette Eizl M. Laurente
    150 views3 pages
    A nursing care plan is created to address Jino's self-care deficit, with the goal

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    Psyche.docx

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    A nursing care plan is created to address Jino's self-care deficit, with the goal

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    150 views3 pages

    Psyche

    Uploaded by

    Chlodette Eizl M. Laurente
    A nursing care plan is created to address Jino's self-care deficit, with the goal

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    NAME: CHLODETTE EIZL M.

    LAURENTE
    COURSE TASK: APPLICATION OF THE NURSING PROCESS in the CARE OF
    CLIENT with SCHIZOPHRENIA

    INDIVIDUAL TASK CASE VIGNETTE:


    JIno, 35 years old, has been admitted to the hospital for the third time with a diagnosis
    of Schizophrenia. Jino had been taking Haloperidol (Haldol) but stopped taking it 2
    weeks ago, telling his case manager it was, and “The poison that is making me sick”
    Yesterday Jino was brought to the hospital after neighbors called the police because he
    had been up all night yelling loudly in his apartment. Neighbors reported him saying, “I
    can’t do it. They don’t deserve to die!” And similar statements. Jino appears guarded
    and suspicious and has very little to say to anyone. His hair is matted, he has a strong
    body odor, and he is dressed in several layers of heavy clothing even though the
    temperature is warm. So far, Jino has been refusing any offers of food and fluids. When
    the nurse approached John with a dose of Haloperidol, he said “Do you want me to die?
    “

    1. Discuss the positive and negative symptoms of Schizophrenia

    The positive symptoms of Schizophrenia includes:

    Delusion or the false belief which is inconsistent with reality.


    Hallucination or the false sensory perception in the absence of external stimuli.
    Catatonic or the abnormal behavior.
    Disorganized schizophrenia or the bizarre behavior in which the person cannot
    maintain her orderliness.

    The negative symptoms of Schizophrenia on the other hand is all of the A's, such as:

    Association looseness or extreme word salad, unrelated and unassociated topic


    hifting.
    Apathy or the lack of feeling, emotion, interest
    Affect is flat
    Anhedonia or the lack or absence of pleasure
    Avolition or the lack of motivation or ability to do tasks
    Alogia or the tendency to speak little due to brain impairment
    Anergia or the lack or absence of energy.

    2. Evaluate the effectiveness of antipsychotic medications and other treatment


    modalities in managing clients with schizophrenia

    Types of Antipsychotic Medications


    There are two groups of antipsychotics. Doctors call the older group of medications
    “first-generation,” “typical,” or “conventional” antipsychotics. Some common ones are:
    Chlorpromazine (Thorazine)
    Fluphenazine (Prolixin)
    Haloperidol (Haldol)
    Perphenazine (Trilafon)
    Thioridazine (Mellaril)
    Thiothixene (Navane)
    Trifluoperazine (Stelazine)

    The newer ones are called “second-generation,” or “atypical” antipsychotics. Examples


    of these medicines are:

    Aripiprazole (Abilify)
    Aripiprazole lauroxil (Aristada)
    Asenapine (Saphris)
    Brexpiprazole (Rexulti)
    Cariprazine (Vraylar)
    Clozapine (Clozaril)

    Side Effects of Antipsychotics


    First-generation, older meds usually cost less, they can have different side effects than
    the newer antipsychotics. Some can cause higher levels of the hormone prolactin. This
    can affect sex drive, mood, menstrual cycles, low white blood cell count, low bp and
    growth of breast tissue in both men and women. One of the common side effects of
    many of the newer antipsychotics is weight gain. One of the more serious side effects
    from long-term use of both the older and newer medications is a movement disorder
    called tardive dyskinesia. It makes your facial, tongue, and neck muscles move
    uncontrollably and can be permanent. While both older and newer antipsychotics can
    cause tardive dyskinesia, researchers believe that the odds are higher with the older
    antipsychotics.
    2. Create a NURSING CARE PLAN based from the case.
    ASSESSMENT DIAGNOSIS PLANNING INTEVENTION RATIONALE EVALUATION
    Self-care Within 30-
    deficit minutes to 1
    hour of
    nursing
    intervention,
    the client will
    exhibit
    atleast partial
    amount of
    self care
    deficit
    manifested
    by:

    >Shower or
    bathe, wash
    hair, and
    clean clothes
    every other
    day

    >Client will
    wear
    appropriate
    clothing for
    the weather
    or activity.

    >Client will
    atleast show
    signs of
    partial self
    care.

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