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    Goal:: Nursing Interventions For Schizophrenia

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    Krystel Joy Auro
    The document outlines nursing interventions for clients with schizophrenia. It provides interventions for clients who withdraw, show regressive behavior, have unclear communication, are suspicious or rude, experience hallucinations or delusions, and experience social isolation. It recommends setting realistic goals, maintaining consistent communication, providing social skills training and structured activities, validating clients' experiences, and addressing underlying emotional needs. It also summarizes common medical treatments for schizophrenia including antipsychotic medications, antidepressants, psychotherapy, and alternative treatments such as supplements.

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    Goal:: Nursing Interventions For Schizophrenia

    Uploaded by

    Krystel Joy Auro
    93 views3 pages
    The document outlines nursing interventions for clients with schizophrenia. It provides interventions for clients who withdraw, show regressive behavior, have unclear communication, are suspicious or rude, experience hallucinations or delusions, and experience social isolation. It recommends setting realistic goals, maintaining consistent communication, providing social skills training and structured activities, validating clients' experiences, and addressing underlying emotional needs. It also summarizes common medical treatments for schizophrenia including antipsychotic medications, antidepressants, psychotherapy, and alternative treatments such as supplements.

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    The document outlines nursing interventions for clients with schizophrenia. It provides interventions for clients who withdraw, show regressive behavior, have unclear communication, are suspicious or rude, experience hallucinations or delusions, and experience social isolation. It recommends setting realistic goals, maintaining consistent communication, providing social skills training and structured activities, validating clients' experiences, and addressing underlying emotional needs. It also summarizes common medical treatments for schizophrenia including antipsychotic medications, antidepressants, psychotherapy, and alternative treatments such as supplements.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    93 views3 pages

    Goal:: Nursing Interventions For Schizophrenia

    Uploaded by

    Krystel Joy Auro
    The document outlines nursing interventions for clients with schizophrenia. It provides interventions for clients who withdraw, show regressive behavior, have unclear communication, are suspicious or rude, experience hallucinations or delusions, and experience social isolation. It recommends setting realistic goals, maintaining consistent communication, providing social skills training and structured activities, validating clients' experiences, and addressing underlying emotional needs. It also summarizes common medical treatments for schizophrenia including antipsychotic medications, antidepressants, psychotherapy, and alternative treatments such as supplements.

    Copyright:

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

    Nursing Interventions for Schizophrenia Goal: 1. 2. 3. Set realistic goals with clients.

    Set the desired outcomes for clients with schizophrenia. Set the desired criteria for the families that have family members with schizophrenia.

    Nursing Interventions for Schizophrenia Clients who withdrew and isolation Use a self-therapeutic. Perform a planned interaction, brief, frequent, and not demanding. Plan simple activities one-on-one. Maintain consistency and honesty in interactions. Gradually encourage clients to interact with their peers in a non-threatening situation Provide social skills training. Perform a variety of actions to improve self-esteem.

    Clients show regressive behavior or unfair Do approach, it is strange behavior (do not reinforce this behavior). Treat the client as an adult, even though the client regresses. Monitor the client's diet, and give support and assistance when necessary. Assist the client in terms of hygiene and dress up, only when the client cannot do it alone. Be careful with the touch because it can be considered a threat Create a regular schedule of activities of daily living. Give a simple choice of two things for clients who experience ambivalence.

    Clients with no clear pattern of communication Keep your own communication to keep it clear and unambiguous. Maintain consistency of your verbal and nonverbal communication. Clarification of any meaning ambiguous or not clearly related to client communication

    Clients who are suspicious and rude Form professional relationships; too friendly to bet the threat. Be careful with the touch because it can be considered a threat. Give as much control and autonomy to the client within the therapeutic limits. Create a sense of trust through brief interactions that communicate caring and respect. Describe any treatment, medication and laboratory tests before the start. Do not focus or strengthen the suspicion or delusional ideas. Identify and provide a response to the underlying emotional needs of suspicion or delusional Intervene when the client shows signs of increasing anxiety and potentially express an unconscious behavior.

    Clients with hallucinations or delusions Do not focus on hallucinations or delusions. Perform an interrupt to initiate interaction with the client's hallucinatory one-on-one based on reality. Tell them that you do not agree with the perception of the client, but the validation that you believe that the hallucinations are real to the client. Do not argue with the client about the hallucinations or delusions. Respond to the feelings that are communicated to the client when he was having hallucinations or delusions. Switch and the client focus on a structured activity or task-based reality.

    Move the client to a more quiet, less stimulating. Wait until the client does not have hallucinations or delusions before starting the counseling session about it. Explain that hallucinations or delusions are symptoms of psychiatric disorders. Say that the anxiety or increased stimulus from the environment, to stimulate the onset of hallucinations. Help clients to control hallucinations by focusing on reality and take medication as prescribed. If hallucinations persist, Bantu clients ignore it and continue acting remedy properly despite a hallucination. Teach a variety of cognitive strategies and tell the client to use self talk ("voices that makes no sense") and the cessation of the mind ("I will not think about it").

    Social Isolation Convey accepting attitude by making brief, frequent contacts. Show unconditional positive regard Offer to be with client during group activities that he/she finds frightening Give recognition and positive reinforcement for client voluntary interactions with others Spend time with the patient even if hes mute and unresponsive, to promote reassurance a nd support. Remember that, despite appearances, the patient is acutely aware of his environment, assume the patient can hear speak to him directly and dont talk about him in his presence. Emphasize reality during all patient contacts, to reduce distorted perceptions (for example, say, The leaves on the trees are turning colors and the air is cooler, Its fall) Verbalize for the patient the message that his behavior seems to convey, encourage him to do the same. Tell the patient directly, specifically, and concisely what needs to be done; dont give him choice (for example, say, Its time to go for a walk, lets go.) Assess for signs and symptoms of physical illness; keep in mind that if hes mute he wont complain of pain or physical symptoms. Remember that if hes in bizarre posture, he may be at risk for pressure ulcers or decreased circulation. Provide range-of-motion exercises. Encourage to ambulate every 2 hours. During periods of hyperactivity, try to prevent him from experiencing physical exhaustion and injury. As appropriate, meet his needs for adequate food, fluid, exercise, and elimination; follow orders with respect to nutrition, urinary catheterization, and enema use. Stay alert for violent outbursts; if these occur, get help promptly to intervene safely for yourself, the patient, and others.

    MEDICAL MANAGEMENT
    Treatments for Schizophrenia Though there is no cure for schizophrenia, a wide variety of treatment options are available to sufferers with the disorder. Schizophrenia treatment is now quite effective in most cases, and can suppress symptoms and prevent relapse in the majority of schizophrenics. However, treatments are ongoing and usually lifelong. Antipsychotics: The most common medical treatment for schizophrenia is the use of antipsychotic medication. 70% of people using medications for schizophrenia improve, and medicine can also cut the relapse rate for the disorder by half, reducing it to 40%. Classic schizophrenia medication includes Thorazine, Fluanxol, and Haloperidol. These medications are very effective in treating the positive symptoms of schizophrenia. Newer "atypical" medications include Risperdal, Clozaril, and Aripiprazole. These medications are recommended for first-line treatment and are also good at reducing positive symptoms. Most medications are less effective at treating negative symptoms. Antidepressants: Antidepressants are recommended for those suffering from schizoaffective disorder. Antidepressants can successfully reduce the symptoms of depression in these patients.

    Psychotherapy: Psychotherapy of some type is highly recommended for people suffering from schizophrenia. By adding behavioral treatments for schizophrenia to a medical treatment regimen, the rate of relapse is further reduced, to only 25%. A variety of types of psychotherapy are available to schizophrenics. Cognitive therapy, psychoeducation, and family therapy can all help schizophrenics deal with their symptoms and learn to operate in society. Social skills training is of great importance, in order to teach the patient specific ways to manage themselves in social situations. Alternative Treatments Alternative treatments for schizophrenia are available, although they are never recommended without first seeking medical treatment. They are most effective when paired with antipsychotics and administered under doctor supervision. In particular, dietary supplements have proven to have dramatic effects on the symptoms of schizophrenia. Glycine Supplements: Glycine, an amino acid, is shown to help alleviate negative symptoms in schizophrenics by up to 24%. Omega-3 Fatty Acids: Found in fish oils, Omega-3 fatty acids high in EPA can help to reduce positive and negative symptoms associated with schizophrenia. Antioxidants: The antioxidants Vitamin E, Vitamin C, and Alpha Lipoic Acid show a 5 to 10% improvement in symptoms of the disorder.

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