MEDICAL MANAGEMENT AND NURSING MANAGEMENT OF SCHIZOPRENIA

MEDICAL MANAGEMENT

Treatment often involves medication such as antipsychotic medication for the treatment of
hallucinations and delusions. Examples of antipsychotic drugs include:

● Olanzapine (Zyprexa)
● Risperidone (Risperdal)
● Quetiapine (Seroquel)
● Aripiprazole (Abilify)

One of the biggest concerns with many antipsychotic medications is non-compliance on a

person's behalf. This can relate to side effects that can be troubling for some people with
schizophrenia. Common side effects include:

● Increased appetite
● Severe dry mouth
● Severe weight gain
● Drowsiness
● Sleepiness
● Constipation
● Increased lipid (fat) levels in the blood
● An increase in blood sugar levels
● Sexual problems
● Dizziness
● Abnormal movements
● Restlessness

In addition to antipsychotic medications, other drugs that may be prescribed (depending on

symptoms) to a person with schizophrenia may include:

● Antidepressant medications
● Anti-anxiety medications
● Mood stabilizers
● Sleeping medication
● Drugs to combat side effects of antipsychotic medications

Cognitive Behavioral Therapy (CBT)

Cognitive behavioral therapy (CBT) is a type of psychological treatment shown to be

effective for a wide range of mental health problems, including:

● Depression
● Anxiety disorder
● Substance use disorder
● Eating disorders
 ● Severe mental illness

CBT is a type of treatment modality that can help people who have schizophrenia in many ways,
including helping a person:

● Identify unhealthy patterns of thought

● Change troublesome thoughts
● Employ a variety of various coping tools (such as journaling, mindfulness, and more)
● Utilize role-play to practice skills learned

Family Education and Support

Family education and support are aimed at helping family members and close friends of
those with schizophrenia cope with the many issues involved in living with or interacting with a
person with severe mental illness. This type of treatment can include many different types of
modalities including:

● Marital counseling
● Group therapy
● Educational groups
● Individual therapy
● Support groups

NURSING MANAGEMENT

● Observe behavior pattern, posturing, appearance, psychomotor, disturbance, hygiene

● Identify the type of disturbance the patient is experiencing
● Ask the patient about feeling while thought alterations are evident
● Note the effect & emotional tone of the patient whether they are appropriate situation
● Assess the speech patterns associated with the delusions
● Assess for the theme & content of delusional thinking. If the delusion is persecution
oriented, assess the nature of the threat & risk for violence
● Assess the ability to perform self care activity(sleep pattern & interaction with other
patients)
● Determine any suicidal intent or recent attempts that have been made

INFO WERE GATHERED FROM GOOGLE SITES