SCHIZOAFFECTIVE DISORDER - SCHIZOAFFECTIVE DISORDER DSM-IV...

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SCHIZOAFFECTIVE DISORDER DSM-IV 295.70 Schizoaffective disorder This disorder emphasizes the temporal relationship of schizophrenic and mood symptoms and is used  for conditions that meet the criteria for both schizophrenia and a mood disorder with psychotic symptoms  lasting a minimum of 1 month. The clinical features must occur within a single uninterrupted period of  illness (for some, this may be years or even decades) that is judged to last until the individual is completely  recovered for a significant period of time, free of any significant symptoms of the disorder. In comparison  with schizophrenia, schizoaffective disorder occurs more commonly in women than in men. ETIOLOGICAL THEORIES Psychodynamics Refer to CPs: Schizophrenia, Major Depression, and Bipolar Disorder. Biological Refer to CPs: Schizophrenia, Major Depression, and Bipolar Disorder. Recent studies suggest that schizoaffective disorder is a distinct syndrome resulting from a high  genetic liability to both mood disorders and schizophrenia. Family Dynamics Refer to CPs: Schizophrenia, Major Depression, and Bipolar Disorder. CLIENT ASSESSMENT DATA BASE Neurosensory Depressed mood (at least 2 wks); manic or mixed mood (at least 1 wk) Pronounced manic and depressive features intermingled with schizophrenic features Delusions and hallucinations for at least 2 wks (in absence of prominent mood symptoms) Difficulty following a moving object with the eyes Teaching/Learning May report previous episode(s) and remission free of significant symptoms; usually begins in early  adulthood (generally earlier than mood disorders) Absence of substance use or general medical conditions that could account for symptoms DIAGNOSTIC STUDIES Refer to CPs: Schizophrenia, Major Depression, and Bipolar Disorder. NURSING PRIORITIES 1. Provide protective environment; prevent injury. 2. Assist with self-care. 3. Promote interaction with others. 4. Identify resources available for assistance. 5. Support family involvement in therapy.
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DISCHARGE GOALS 1. Signs of physical agitation are abating and no physical injury occurs. 2. Improved sense of self-esteem, lessened depression, and elevated mood are noted. 3. Approaches and socializes appropriately with others, individually and in group activities. 4. Adequate nutritional intake is achieved / maintained. 5. Client / family displays effective coping skills and appropriate use of resources. 6. Plan in place to meet needs after discharge.
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