Schizo
Philippine General Hospital
The National University Hospital
SCHIZOPHRENIA by Rowalt C. Alibudbud STABILIZATION PHASE
Goals of Treatment
Minimize stress
Enhance the patient’s adaptation
Continued reduction of symptoms and consolidation of remission
1. Monitor respons for the next 6 months if with adequate therapeutic respons and minimal side effects
2. Assess adverse effects from the acute phase and adjust medications to minimize them
3. Supportive psychotherapeutic interventions
4. Arrange for linkage of service between hospital and community
5. Arrange an appointment with an outpatient psychiatrist
6. Help adjust life in the community through realistic goals
7. Educate patient about the: Course and outcome of the illness and Importance of treatment adherence
STABLE PHASE
10 Components of Recovery:
1. Self Direction
2. Individualized and Person-centered
3. Empowerment
4. Holistic
5. Non-Linear
6. Strenghts-based
7. Peer Support
8. Respect
9. Reponsibility
10. Hope
Goals of treatment
Ensure that symptom remission or control is sustained
Maintain or improve the patient’s level of functioning
Treat increases in symptoms or relapses
Monitor for adverse treatment effects
Assessment
To determine whether the patient might benefit from the alterations in the treatment program
Assess for extrapyramidal symtoms at each clinical visit
Clinically assess for involuntary movements every 6 months for 1st-gen and 12 months for 2nd-gen Antipsychotics (if at increased risk, perform every 3 months and 6 months, respectively)
Monitor weight and BMI at each visit for 6 months and quarterly thereafter
Monitor FBS or HbA1c at 4 months and annually thereafter
Maintain strong ties with individuals who are likely to notice any resurgence of symptoms
Clinically indicated ancillary examinations: Electrolytes, renal, liver and thyroid function tests, vital signs, CBC, ECG, screening for hyperprolactinemia and ocular examination
The National University Hospital
SCHIZOPHRENIA by Rowalt C. Alibudbud STABILIZATION PHASE
Goals of Treatment
Minimize stress
Enhance the patient’s adaptation
Continued reduction of symptoms and consolidation of remission
1. Monitor respons for the next 6 months if with adequate therapeutic respons and minimal side effects
2. Assess adverse effects from the acute phase and adjust medications to minimize them
3. Supportive psychotherapeutic interventions
4. Arrange for linkage of service between hospital and community
5. Arrange an appointment with an outpatient psychiatrist
6. Help adjust life in the community through realistic goals
7. Educate patient about the: Course and outcome of the illness and Importance of treatment adherence
STABLE PHASE
10 Components of Recovery:
1. Self Direction
2. Individualized and Person-centered
3. Empowerment
4. Holistic
5. Non-Linear
6. Strenghts-based
7. Peer Support
8. Respect
9. Reponsibility
10. Hope
Goals of treatment
Ensure that symptom remission or control is sustained
Maintain or improve the patient’s level of functioning
Treat increases in symptoms or relapses
Monitor for adverse treatment effects
Assessment
To determine whether the patient might benefit from the alterations in the treatment program
Assess for extrapyramidal symtoms at each clinical visit
Clinically assess for involuntary movements every 6 months for 1st-gen and 12 months for 2nd-gen Antipsychotics (if at increased risk, perform every 3 months and 6 months, respectively)
Monitor weight and BMI at each visit for 6 months and quarterly thereafter
Monitor FBS or HbA1c at 4 months and annually thereafter
Maintain strong ties with individuals who are likely to notice any resurgence of symptoms
Clinically indicated ancillary examinations: Electrolytes, renal, liver and thyroid function tests, vital signs, CBC, ECG, screening for hyperprolactinemia and ocular examination