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PSYCHIATRIC NURSING

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PSYCHIATRIC NURSING
Personalized Handout in NCM 205 for Finals by: Mark Anthony A. Demaguil BSN 3A
Schizophrenia & Other Psychosis

Schizophrenia – splitting of the mind & cant defined as a single illness
Diagnose during late adolescence
15 to 25 for males
25 to 35 in females

Categories of Schizophrenia

1. Hard / Negative Signs & Symptoms

1.1. Delusion – fixed false belief & has no basis
1.2. Hallucination – false sensory perception or perception experiences
1.3. Grossly disarrange behavior

2. Soft / Positive Signs & Symptoms

2.1. Flat affect – absence pf any facial expression that could indicate mood
2.2. Lack of Volition – absence of will, ambition or drive
2.3. Social withdrawal / discomfort

Type of Schizophrenia

1. Catatonic- psychomotor disturbance, either motionless / excessive motion activity
Motor immobility – catalepsy (waxy flexibility)
Maintenance of positive or position on one time event even it its on awkward position

Other Feature:

Extreme negativism
Mutism
Echolalia – repetition or imitation of movement & gesture
Fecularities of voluntary movement

2. Paranoid type- persecutory feeling, grandiose, delusion, hallucination & occasionally behavior

3. Undifferentiated type- mixed Schizophrenia symptoms along with disturbance through affect behavior

4. Disorganized type – grossly inappropriate of flat affect

5. Residual type- at least one previous through not a current episodes, social withdrawal flat affect & looseness of association

Eugene Blueler 4A’s

Affective blunting
Autism
Ambivalence
Association (loose)

How to deal to patient with Schizophrenia

Communication
Thinking
Perceiving
Feeling
Interpreting
Behavior

Other Psychosis Disorders:

1. Schizophreniform disorder – exhibits the symptoms of Schizophrenia but not less than 6 months

2. Schizophrenia Affective Disorder – Schizophrenia meets the criteria for major affective & mood disorder

3. Delusional Disorder – one or more non

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