College of Allied Medicine
In Partial Fulfillment
Of the Requirements for the Subject
Related Learning Experience
Prof. Lorna Cano
COAM- Clinical Instructor
Bianca May B. Matignas
After establishing a nurse patient interaction and providing care to the clients and by thorough assessment and careful study of the client’s condition, students will gain knowledge and develop skills and enhance attitude through the utilization of the nursing process on the care and management of patient with Undifferentiated Schizophrenia.
1. Define what Undifferentiated Schizophrenia is.
2. Identify its clinical manifestation, diagnostic evaluation, its classification, management and complications. 3. Enumerate the clinical complications manifested by the patient. 4. Establish a therapeutic communication to the patient. 5. Determine the client’s status through
a. General and Demographic data
b. Present History of the Illness
c. Family Health History
d. Personal and Social History
e. Physical Assessment
6. Participate in the preventive, promotive, curative, and rehabilitive activities for the patient. 7. Familiarize self with the diagnostic procedures done to the patient in determining the present illness 8. Identify and understand the pharmacological management for the patient – discuss the specific action, mechanism of action, indication, contraindication, adverse reaction and nursing responsibilities of the drugs 9. Render continuous nursing care through implementation of nursing care plan 10. Evaluate the effectiveness of the nursing care plan and medical management
OVERVIEW OF THE DISEASE
Schizophrenia causes distorted and bizarre thoughts, perceptions, emotions, movements, and behavior. It cannot be defined as a single illness; rather, schizophrenia is thought of as a syndrome or disease process with many different varieties and symptoms, much like the varieties of cancer. Schizophrenic patients are typically unable to filter sensory stimuli and may have enhanced perceptions of sounds, colors, and other features of their environment. Most schizophrenics, if untreated, gradually withdraw from interactions with other people, and lose their ability to take care of personal needs and grooming.
The prevalence of schizophrenia is thought to be about 1% of the population around the world; it is thus more common than diabetes, Alzheimer's disease, or multiple sclerosis. In the United States and Canada, patients with schizophrenia fill about 25% of all hospital beds. The disorder is considered to be one of the top ten causes of long-term disability worldwide. Undifferentiated
Patients in this category have the characteristic positive and negative symptoms of schizophrenia but do not meet the specific criteria for the paranoid, disorganized, or catatonic subtypes. Undifferentiated-type schizophrenia is characterized by some symptoms seen in all of the above types but not enough of any one of them to define it as another particular type of schizophrenia.
The course of schizophrenia in adults can be divided into three phases or stages. In the acute phase, the patient has an overt loss of contact with reality (psychotic episode) that requires intervention and treatment. In the second or stabilization phase, the initial psychotic symptoms have been brought under control but the patient is at risk for relapse if treatment is interrupted. In the third or maintenance phase, the patient is relatively stable and can be kept indefinitely on antipsychotic medications. Even in the maintenance phase, however, relapses are not unusual and patients do not always return to full functioning.
The English term...