Nursing care for patients with psychotic disorders

Nursing care for patients with psychotic disordersCare of patients with schizophreniaNursing care for patients with schizophreniaEducational objectives: (to get to our goal of mental health)At the end of nurse training to be able to:
 § recognition of schizophrenia§ identify the initial symptoms of schizophrenia

§ recognize the symptoms and manifestations of schizophrenia§ patient care and follow-up of schizophrenia in the communityElements of the lesson:§ What is the definition of schizophrenia§ The initial symptoms of schizophrenia§ Symptoms of Schizophrenia§ care of patients with schizophrenia§ follow-up patients with schizophrenia in the communityPsychoses1 - SchizophreniaDiagnosis (to get to our goal of mental health)Schizophrenia is a mental illness characterized by the existence of an imbalance in the mental capacity, which leads to the breakdown in the natural ties that bind the parts of the human mind, a thinking (in terms of its content, form, effect) and mood (feeling, emotion, emotions) and also acts and deeds.From this we see that schizophrenia is not, as is common duplication of personal, where there is duplication in cases of personal transformative hysterical.Indicators of schizophrenia:Illness begins with the emergence of the behavior of an unusual patient, a marked change in his character is noticed parents that the patient has become the preferred isolation, sitting in his room alone for a long time is not involved in any relations with them, may have decreased school performance, or be subjected to failure and seems indifferent to many things which was interested in them.The patient also had abnormal behavior strange, Firtda clothes in a way that is appropriate and strange, may suddenly all his hair shaved or had a beard and his hair without any care or interest has been neglected in personal hygiene. Other times it becomes more personal and perhaps more explicitly and insolence as may talk openly and frankly on topics such as was ashamed of sex, for example, has been pushed in the opposite sex Mghazlh a crude manner.May harm the patient understand the attitudes and interpret the interpretation is wrong, making it vulnerable to the problems with others as a result of extreme sensitivity, and this makes him feel the tension and fear and a sense of insecurity and suspicion towards others.These symptoms may pass without attention or without treatment, it could be interpreted by parents as a temporary change, especially if associated with adolescence and the accompanying change.Symptoms of schizophrenia:Major symptoms:Diagnosis of symptoms (to get to our goal of mental health)1 - the presence of hallucinations, often auditory, which are either peremptory or pending.2 - Autism intellectual, a focus on self-isolation from reality, then the patient live in the world of another of its own, of imagination and configurations.3 - loss of ability to link the logical sense of ideas and words there are connection between the patient's ideas and events unrelated to each other or there are weak links.4 - numb feelings with the loss of responding to any stimuli to the emotions around it, or may respond in a superficial or inappropriate.Other symptoms:1 - the patient may use its own language, which is formed by and meaningful to the patient himself, not understood by others.2 - delusions of grandeur, such as going astray - persecution - the reference or control.3 - regression, which is that the patient back to childhood and act like children, Véml clean personal and depends on others to meet their needs.4 - social isolation.5 - loss of vision and inability to recognize that a patient myself.6 - It may be that the aggression of the same or to others.7 - loss of ability to make a decision.8 - Lack of interest and a sense of enjoyment and interaction with others.And to provide care for this patient: (to get to our goal of mental health)- The patient should be treated with honesty and integrity and not to deceive to build a relationship based on trust.- Reduce the external influences that cause increased symptoms in the patient.- Try to make contact with the patient in fact, engaging them in activities, his facts confirm the reality around him around him all the time.- When entering the patient's delusions must listen to him without the consent or opposition to his ideas, and then directed to the reality around him.- Focus on the feelings associated with the patient's delusions.- Note the signs of hallucinations to the patient, and interference with the patient at the time, noting the occurrence and duration of the apparent impact on the patient's reaction is ignored.- Trying to attract the attention of the patient away from hallucinations and place it in an atmosphere attracts attention by the activities of attractive colors with musical sounds.- Discuss the patient to see hallucinations and nature of the components, to protect the patient from any violent reaction may cause harm or do harm to others.- Help the patient in the personal care with the patient's flattering when a change in his behavior.- Directing the parents how to deal with the patient and note the emergence of any new symptoms or change in the patient's condition.- Focus on the importance of drug treatment and commitment Bmoaaidh and the dosage.- Periodic follow-up of the patient.- Try to avoid exposing the patient to any psychological pressure, which increases the symptoms.Follow-up patients with schizophrenia: (to get to our goal of mental health)- The nurse should explain the importance of continuing with treatment until symptoms are controlled, "because not taking the medication may occur setback."- The nurse must be the definition of the family and the onset of symptoms the patient again - no symptoms setback - with the warning on the speed of recourse to
           Specialists immediately of any change.- Try to avoid patient exposure to any psychological pressure- Definition of the family how to deal with the patient, such as allowing him to return to work - not to be treated in private - any non-Tdleilh - with an attempt to inspire confidence in the
           Same- Note the appearance of any side effects of drug treatment, and resorting to the doctor as soon as they occur.- Causing the patient any therapeutic rehabilitation center to help him cope with activities of daily living.

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