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Published by Erick Vladd

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Published by: Erick Vladd on Jun 19, 2011
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02/14/2013

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Rationale
"Insanity is doing the same thing over and over again, but expecting differentresults,” Rita Mae Brown said.Schizophrenia is most likely not a single disease of the brain but aheterogeneous disorder with some common features, including thought disturbancesand preoccupation with frightening inner experiences like delusions and hallucinations,affect disturbances like flat or inappropriate affect, and behavioral or social disturbancessuch as unpredictable, bizarre behavior or social isolation (Kaplan & Sadock, 1996).The word schizophrenia originally referred to a “splitting off” of one’s thoughtsfrom one’s emotions. Thus, the word has become confused in the public’s mind with“split personality” or “multiple personality”. A more accurate interpretation of Schizophrenia is a “disconnected mind”. Such disconnection involves a lack of coherence in mental functioning, in which “thinking, feeling, perceiving, behaving, andexperiencing operate without the normal linkages that make mental life comprehensibleand effective (Nasrallah & Smeltzer, 2003).Currently, the DSM-IV-TR identifies five subtypes of schizophrenia: 1) paranoid,2) disorganized, 3) catatonic, 4) undifferentiated, and 5) residual.One percent of the population develops schizophrenia. Ninety-five percent suffer a lifetime, 33% of all homeless Americans suffer from it, 50% experience serious sideeffects from medications and 10% kill themselves. Approximately 2.2 million Americanadults and 697, 543 Filipinos suffer from Schizophrenia.Although the prevalence rate and symptom presentation for schizophrenia arefairly constant worldwide, inner city residents, those from lower socioeconomic classes,and individuals who experience prenatal difficulties (Bachmann et al, 2005; Opler et al.2004; Sadock and Sadock, 2003) are more likely to be affected (American PsychiatricAssociation [APA], 2001).This analysis is done not only for the purpose of merely passing a requirement inNCM 105 – RLE. It is conducted in the light of extracting new and important facts for theenhancement of new knowledge in the nursing practice, education, and research. Thiscase analysis may enhance the care to a client, and so may develop a more client-centered method in providing care. Assessment of client needs with schizophrenia maybe further enhanced the next time it is done. The students’ ability to perform mental
A Case Analysis | 1
 
health status exam and rendering of interventions will be sharpened and critical thinkingis utilized. Nursing care plans may also be improved in which the client is the greater focus, especially in the enhancement of the therapeutic approach and milieumanagement. This case analysis served as the practicing ground for nursing students.When the time they become professional nurse researchers, they can extract ideas andexperience from this study.The researchers involved in the analysis believe that research is an unendingprocess, and that it involves commitment to scientific, medical, and nursing discovery.The innovation of research must never stop, and must continue to scour the globe for new findings and knowledge to improve the life of humanity.Optimal health of the client should always be the top-rung of research, and that iswhy this case study was conducted.
A Case Analysis | 2
 
Goal and Objectives
Main Objectives:
In the 3 weeks of our Psychiatric Nursing experience in New Day RecoveryCenter, the researchers aim to perform a systematic way of analysis aboutSchizophrenia, Paranoid Type which would enable each of us, student nurses, toenhance our knowledge regarding the patient’s condition, diagnosis, and the differenttests and therapies he underwent, develop skills in the care for such disease andnourish good attitude in interacting with the client.
Specific Objectives:
At the end of our Psychiatric Nursing rotation, we will be able to specifically:a.establish rapport with the client;b.set a contract which contains the roles and responsibilities of the nurse andthe patient, and the purpose of the relationship;c.inform the client of the conditions of contract termination;
d.
obtain essential information about the patient to serve as a tool for thestudy;
e.
explain a little about schizophrenia, its prevalence internationally andnationally, and the significance of this study to nursing education, nursingresearch and nursing practicef.present the client’s personal data;g.discuss the brief history of the client in terms of his disease;h.present the initial mental status examination;i.write progress notes in each interaction; j.identify the series of diagnostic procedures undergone by the patient withits corresponding rationales, actual results, significance or interpretationsand nursing implications;
k.
discuss the medical and therapeutic management or therapies of thedisease;
A Case Analysis | 3

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