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  • Schizophrenia 2-06-07

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    When a patient first presents with signs of mental illness, nurses should conduct a full medical workup to rule out other causes, assess the patient's beliefs and family dynamics, and evaluate social and occupational functioning. During the acute phase, the priorities are ensuring safety, starting medication, and establishing a consistent routine. After stabilization, the maintenance phase involves educating the patient about their illness, medication, and providing training to promote independence and prevent relapse into risky behaviors.

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    When a patient first presents with signs of mental illness, nurses should conduct a full medical workup to rule out other causes, assess the patient's beliefs and family dynamics, and evaluate social and occupational functioning. During the acute phase, the priorities are ensuring safety, starting medication, and establishing a consistent routine. After stabilization, the maintenance phase involves educating the patient about their illness, medication, and providing training to promote independence and prevent relapse into risky behaviors.

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    49 views2 pages

    Schizophrenia 2-06-07

    Uploaded by

    api-3822433
    When a patient first presents with signs of mental illness, nurses should conduct a full medical workup to rule out other causes, assess the patient's beliefs and family dynamics, and evaluate social and occupational functioning. During the acute phase, the priorities are ensuring safety, starting medication, and establishing a consistent routine. After stabilization, the maintenance phase involves educating the patient about their illness, medication, and providing training to promote independence and prevent relapse into risky behaviors.

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    of 2

    Mental Illness

    Assessment

    • When a pt. first comes in experiencing signs of mental illness it is important


    to do a full medical workup to rule out a medical diagnosis or medication
    toxicity

    • Assess belief systems and cultural preference

    • Assess family dynamics

    o Financial

    o Humiliation

    o Coping

    • Assess social and occupational functioning

    o Can they hold a job

    Acute Phase

    • Provide safety

    • Medicate

    • Let the rest until the acute phase subsides

    • Need a structured routine

    • Consistent environment

    • Set limits

    • Address inappropriate behavior

    • Open and honest communication

    Phase II (Maintenance Phase)

    • Educate about meds

    • Should be participating in groups

    • Educate about illness


    • May need vocation training

    • May need self care training

    • Social skills groups

    • Relapse prevention- the more they relapse the more difficult it is to treat

    • Health teaching/ health promotion

    • Teach about avoidance or risky behaviors (safe sex)

    • Alcohol and drugs and recovery

    Nursing Care

    • Promoting safety

    • Milieu Therapy

    • Establishing a therapeutic relationship

    • Teach positive thinking

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