Professional Documents
Culture Documents
MINISTRY OF HEALTH
DIRECTORATE GENERAL OF EDUCATION & TRAINING
AL-DHAHIRA NURSING INISTITUTE
2.Chief complaint:
He complains hallucinations, also he is fear that he is
seeing him especially father and teacher reading his
thoughts, isolation, little or no interest social activity,
impaired grooming, and hygiene, sexual fantasy, also he
thought the dream come into reality. Also he left home to
sit in their own farm or at mosque in non prayers time. He
thought people’s eyes looking at him reading at him
reading his thought he stop breathing to stop palpitation
.and thought disturbance
:Psychiatric signs/symptoms .3
A) - Physical: poor hygiene and impaired grooming, his
.facial expression is tired
B) - Psychosocial: isolation, Also he left home to sit
in their own farm or at mosque in non prayers time
C) - Psychiatric: hallucination (hearing voice),
delusions (Also he left home to sit in their own farm or at
.mosque in non prayers time)
:Past History .5
2.Psychiatric Diagnosis:
.Diagnosis is schizophrenia
III. Review of literature of present mental
:illness and the treatment received
FAMILY FACTORS:
.Repressed unhappiness-
3
.Double- bind patterns -
.Marital problems between parents - My patient
Destructive, expressed emotion - has family
.communication pattern factor
problem
CULTURAL & ENVIRONMENTAL
FACTORS: (double-bind
4 .Low socio- economic status - .patterns)
.Lessened social support -
LEARNING THEORIES:
Irrational problems-solving methods, -
5 .distorted thinking
Deficient communication pattern -
.learned from parents
Serio According to books In my patient
l .No
.I
:POSITIVE SYMPTOMS
1 HALLUCINATION: The patient has -
Auditory ( most frequent) auditory and visual
Visual hallucination. He
Olfactory .hears some voices
Gustatory
Tactile
DELUSIONS:
Persecution
2 Grandeur he thought people -
Reference can read or know his
Control or influence .thought
Somatic
DISORGANIZED
There was poor eye -
THINKING:
Resulting in speech contact during the
3 Loose association .interview
Incoherence
Clang association
Word salad The patient prefers to-
Neologism isolate himself to
Concrete thinking
prevent him from
Echolalia
people who can read
DISORGANIZED .or know his thought
BEHAVIOUR:
Disheveled appearance
Inappropriate sexual
4 behavior
Restless, agitated
Waxy flexibility.
:NEGATIVE SYMPTOMS
.II
:AFFECTIVE SYMPTOMS
5 Unchanging facial expression
Poor eye contact
Reduced body language
Inappropriate affect
Diminished emotional expression
Antipsychotic medications
Antipsychotic medications have been available since the
mid-1950's. The older types are called conventional or
"typical" antipsychotics. Some of the more commonly used
typical medications include:
Chlorpromazine (Thorazine)
Haloperidol (Haldol)
Perphenazine (Etrafon, Trilafon)
Fluphenazine (Prolixin).
Risperidone (Risperdal)
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Ziprasidone (Geodon)
Aripiprazole (Abilify)
Paliperidone (Invega).
Drowsiness
Dizziness when changing positions
Blurred vision
Rapid heartbeat
Sensitivity to the sun
Skin rashes
Menstrual problems for women.
Rigidity
Persistent muscle spasms
Tremors
Restlessness.
Patient:
Family:
:Prognosis
:Self Evaluation
I get many benefits from this case study. I learned what is the
schizophrenia, its sings & symptoms, causes & treatments. Also, I learn
how I can care of the schizophrenics’ patients and what certain health
education I should gave them/their family. Also, my fear to give care to
these types of psychiatric patients is reduced, because while I interviewed
my patient I understand that they are as any medical/surgical patients if
.we treat them in humanity and on the right way
:Nursing Diagnosis