Schizophrenia_Case_Study Cindy Snider - Nurse 752.docx -...

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SCHIZOPRENIA CASE STUDY1Case Study Analysis: SchizophreniaCynthia N SniderLiberty University
SCHIZOPRENIA CASE STUDY2CC:“I don’t belong here.I didn’t bother anyone.”HPI:JC is a 33-year-old man who was brought to the emergency department (ED) overnight bypolice.He lives in a group home, but hasn’t gone back there for 6 days because “my roommateis a demon and he put a curse on my pillow to take my thoughts.”JC was arrested fortrespassing when he wouldn’t leave a shed where he’d been squatting for about a week.Prior tohis visit to the shed, he had been on his way to a doctor’s appointment when a voice spoke tohim at the bus stop, telling him to “go, go, get away now.”He wandered across the city andfound an unlocked shed.JC is afraid that his roommate wants to harm him, and became soagitated when the police tried to drop him off at the group home that he was brought to thehospital.He spent all the money he had in his pockets on food the first couple of days whilestaying in the shed, and presents to the hospital as unkempt, malodorous, and hungry.He isupset about being hospitalized.When contacted, the group home supervisor stated that JC’sroommate is a mild-mannered older gentleman and there have been no behavioral orinterpersonal complaints about him from any staff or other residents.PMH:JC was diagnosed with schizophrenia at the age of 24 while attempting to join the U.S. Army.Hissymptoms resulted in his first psychiatric hospitalization before he could start basic training.Hehas been hospitalized 6 times since this first hospitalization for recurrent symptoms ofschizophrenia.The last hospitalization was for a period of 7 months, after which he was acceptedinto the group home approximately 5 months ago.Per the hospital report, JC had responded wellto asenapine and his symptoms were greatly diminished, however, he has not been doing well
SCHIZOPRENIA CASE STUDY3since a few weeks after the discharge.He continues to have a prescription for asenapine, but hasalso had taken quetiapine and haloperidol in the past.Prior to leaving the group home, staffmembers state that Jerry had been adherent to the asenapine, stating “He always pops it right inhis mouth and swallows it right away with a big gulp of orange juice.I wish all our clients tooktheir meds that easy!”FH:JC reports no known family history of mental illness; however, he is estranged from his parents sothey are unavailable for collection of family history.JC is allegedly an only child.SH:JC is a single, never-married man who lives in a group home.He reports being a good studentup through middle school before “going a different way” in high school.He started havingdifficulty with schoolwork, and had trouble getting along with his parents.He eventually saw aschool psychologist due to parental concerns.He reports a past history of having a girlfriend inhis early 20’s, but they broke up during his first episode of psychotic symptoms and he reports no

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