Develop a comprehensive plan of care/treatment with short and long term goals and include safety needs, special considerations regarding personal needs, cultural/spiritual implications, and needed health restoration, maintenance, and promotion.
Disruptions in one’s standard patterns of thought, perception, emotion, language, and sense of self and behavior define schizophrenia, a long-lasting and plain mental condition that disturbs more than 21 million personalities universally. Hallucinations, most often including inquiry voices or seeing effects that be situated there, and misbeliefs, characterized by firm, incorrect beliefs, are common. A man in his 20s who sought help at a mental health facility said that he had lost weight and heard voices for the last ten months. He also said he wandered throughout the town and was occasionally violent against his mother and sister when he did come home. Treatment plan The patient elaborated that he also felt threatened and believed that others intended to hurt him. The patient said he called in sick to work and requested a replacement, but he never showed up for his shift again. His leave of absence began a month after he earned payment for tasks completed while on the job. He decided to try withdrawing money from many banks by hopping around to each one. After his third unsuccessful effort at a single branch, he was taken in for four days of arbitrary incarceration. He also claimed to have received death intimidations and finished phone calls from unidentified sources (Newbury, 2022). No actual words were verbal, but he understood it to be a sign that his life was about to be stolen. His family background described him as having grown up in the city with his mother and sister. His sweetheart lived in a separate city suburb. He had a history of paranoid delusions, according to his medical records. No family member has ever suffered from a mental or physical disorder. His introverted character existed prior to his sickness. Relevant symptoms also include the physician’s resulting in a reduction history of physical violence towards his mother and sister, as well as his complaints of sleeping problems, lack of food, roaming about town, and trips to the psychiatric unit. Upon admittance to the hospital, the patient was examined and found to be mentally unstable. Treatment plan He or she was also underdressed and seemed to be malnourished. He acted timidly, laughed irrationally, and was hesitant. Hearing hallucinations plagued the sufferer. He spoke to himself in the third person and claimed to be conversing with a male and female voice. The patient also said he had overheard individuals speaking negatively about him, including those he knew. As a result, he became wary of and uncomfortable with new people. Because of this, the patient said he had spent the night with an acquaintance and was scared to return to his parent’s home. He felt like he was the intended victim. Paranoid and referential delusions were evident in the substance of his thoughts. (According to the patient’s sister, he often expressed concern that he was in danger and would be attacked by others (Edwards, 2022). APA
Summary of laboratory diagnostic results related to the illness/condition and what they mean
As soon as he was hospitalized for his aggressive behavior, the patient was given 10 milligrams (mg) of both intramuscular (IM) haloperidol and intravenous (IV) diazepam for quick tranquilization. After 24 hours, injectable (IM) phenelzine 10 mg and injectable (IM) diazepam 10 mg were administered again, with the same results. Clinical pharmacists intervened, and he was subsequently moved to subcutaneous (IM) midazolam 7.5 mg and intramuscular (IM) haloperidol 5 mg. The patient’s hostile behavior was lessened after taking this combo on the second day at the hospital. On the day of admission, the person was also set olanzapine 10 mg tablets to manage their schizophrenia. The patient experienced mild tremors on the third day of the hospital due to the initiation of olanzapine medication. However, no medicine had been recommended to help with the patient’s little shakiness. Until recently, this has been seen as a non-curable symptom. As a result, under the advice of the clinical pharmacists, he was given a trihexyphenidyl 5 mg pill. The clinical pharmacists also suggested reducing the daily dosage of olanzapine to 5 mg, which was done. Four cycles of electroconvulsive treatment were administered, with 500 mg of IV ketamine and 10 mg of IV haloperidol (Luo, 2021). These were performed on days 2, 13, 16, and 18 of the hospital stay. After starting treatment, the patient showed remarkable improvements in their state of mind, outward demeanor, perceptions, and insights. Sometimes fidgety, but always helpful. The patient’s medicine was given by DOT guidelines. However, the nurses reported that he refused to take his olanzapine 5 mg pill for a few days when he was agitated and difficult. Clinical pharmacists urged nurses to keep patients on their recommended dose of 5 mg olanzapine tablets to reduce the risk of recurrence (Hoffmann, 2018). Treatment plan
Summary of a head-to-toe physical assessment
This is only a brief overview of possible diagnoses, treatments, and medications. The information above is not designed to serve as a substitute for professional medical advice but as a guide in evaluating possible diagnoses and treatments. It does NOT include every possible medical issue, therapy, drug, side effect, or danger in a given patient’s case. This information is not meant to replace the advice, diagnosis, or treatment provided by a physician after a thorough evaluation of a patient’s individual medical history and current condition. Patients should consult with their doctor if they have concerns about their health, symptoms, or treatment choices (including the potential hazards and benefits of any drugs). The patient reported fine tremors after starting olanzapine treatment. But no medicine for controlling the patient’s small tremors had been given. Until recently, this has been seen as a non-curable symptom (Danielson, 2019). Treatment plan
Your nursing diagnosis
In the field of psychiatry, schizophrenia is defined as a condition characterized by persistent or recurring psychosis. Impaired social and vocational functioning is a frequent symptom. According to the World Health Organization, it is one of the top 10 diseases that contribute to the global burden of disease, making it one of the most crippling and economically disastrous medical ailments. Positive symptoms, such as hallucinations or delusions; disordered speech; negative symptoms, such as a flat attitude or speech poverty; and cognitive deficits, including attention, memory, and executive skills, are characteristic of schizophrenia. Schizophrenia is diagnosed when these symptoms persist for at least six months with social or occupational impairment, and no other diagnosis is more appropriate. Schizophrenia’s clinical presentation, evaluation, and diagnosis, as well as the disease’s prognosis, are discussed here. Separate sections are devoted to explaining the causes and effects of schizophrenia, known as epidemiology and pathogenesis. Separate sections address the roles of anxiety, depression, and drug misuse in the development of schizophrenia. Treatment options for schizophrenia and other psychoses are examined independently. A second section examines the nuances of pediatric schizophrenia (Feldman, 2021). Treatment plan
