Schizophrenia__lLou_Ellen

Schizophrenia__lLou_Ellen - Schizophrenia & Other...

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1 Schizophrenia & Other Psychotic Disorders Impact of Schizophrenia Psychosis Predisposing Factors Precipitating Stressors Behavioral Strategies Nursing Care
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2 Impact of Schizophrenia 1 in every 100 people suffers from schizophrenia. 2.5 million Americans suffer from schizophrenia. 3 out of 4 cases begins between ages 17 and 25 years. Of those with schizophrenia, 95% have the disorder for their life time. Annual cost of expenditures as the result of schizophrenia in the US is 40 billion dollars. One-third to one-half of homeless persons in the US have schizophrenia.
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3 Impact of Schizophrenia, continued More than 75% of taxpayer dollars spent on mental illness are spent on schizophrenia. Persons with schizophrenia occupy 25% of all inpatient hospital beds. Schizophrenia is ranked 4 th worldwide in terms of burden illness. Suicide is attempted by 20% to 50 % of persons with schizophrenia, 9% to 13% succeed.
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4 Schizophrenia is a chronic disorder 5 X more common than multiple sclerosis 6 X more common than insulin-dependent diabetes 60 X more common than muscular dystrophy 80 X more common than Huntington’s disease
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5 Psychosis Mental state different from the reality of others. During an episode the person does not realize others are not experiencing the same things and wonders why others are not reacting in a similar manner. Overall goals for nursing care are to try to understand, protect and support the patient through the acute psychosis. When the persons symptoms have subsided, nurses help persons recognize psychosis and develop strategies to manage symptoms.
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6 Persons who Experience Psychosis Often frightened by their experiences. Have difficulty forming close relationships. Are severely disabled. Alienated by society.
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7 Understanding Psychosis “ My name is John Nash! I’m being held against my will! Someone call the Department of Defense!” Russell Crowe’s character in A Beautiful Mind (2001)
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8 Bleuler’s Fundamental Symptoms Autism: detachment from external reality and withdrawal into self Associative disturbance: thought disorder Ambivalence: simultaneous existence of opposing feelings, thoughts and desires Affective disorder: flat or blunted affect or affect inappropriate or incongruous to the thought or situation
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9 Characteristic Symptoms of Schizophrenia Diagnostic & Statistical Manual of Mental Disorders (DSM-IV-TR) (2000) ________________________________ Positive Symptoms: Reflect an excess or distortion of normal functions. Usually responsive to antipsychotic medications Negative Symptoms: Reflect a diminution or loss of normal functions. Usually unresponsive to traditional antipsychotic medications and more responsive to atypical antipsychotic medications
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Positive Symptoms Psychotic Disorders of Thinking Delusions: Paranoid, somatic, grandiose, religious, nihilistic, or persecutory themes; thought insertion, thought broadcasting, or control. Hallucinations: Auditory, Visual, Tactile, Gustatory.
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Schizophrenia__lLou_Ellen - Schizophrenia & Other...

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