Nursing 411-care of patients with psychotic disorders

Nursing 411-care of patients with psychotic disorders -...

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Click to edit Master subtitle style SAFETY Model developed 11
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SAFETY Model developed S AFETY – System Specific Physiology Diseases - Disease Etiology / Physiology Nursing Management Schizophrenia Disorganized Catatonic Paranoid Undifferentiated Residual A chronic condition associated with a high morbidity and mortality and results in disturbances in thought processes, perception, and affect. Causes more lengthy hospitalizations, chaos in family life, exorbitant costs to people, and fear. Requires comprehensive treatment including medication, therapy, social skills training. Schizoaffective disorder Presence of schizophrenic symptoms accompanied by a strong element associated with Similar to schizophrenia 22
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SAFETY Model developed S AFETY – System Specific Physiology Diseases - Disease Etiology / Physiology Nursing Management Brief psychotic disorder Sudden onset of psychotic symptoms following a severe psychosocial stressor; the symptoms persist less than 1 month; client returns to full premorbid level of functioning Delusional disorder Shared psychotic disorder (Folie a Deux) The existence of prominent, nonbizarre delusions e.g. erotomanic, jealous, somatic Delusional system develops in a second person as a result of a close relationship with 33
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SAFETY Model developed S AFETY – System Specific Physiology Diseases - Disease Etiology / Physiology Nursing Management Psychotic disorder due to a general medical condition Symptoms include prominent hallucinations or delusions that can be directly attributed to a general medical condition e.g. neoplasms, cerebrovascular disease Dealing with the causative illness Substance- induced psychotic disorder Presence of prominent hallucinations and delusions judged to be directly attributed to the physiological effects of a Dealing with the substance abused 44
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SAFETY Model developed S AFETY-System Specific Physiology-Nature of the Premorbid personality often indicates social maladjustment or schizoid or other personality disturbances. Premorbid behavior often a predictor in the pattern of development of schizophrenia and can be viewed in four phases Phase I: Premorbid Phase-marked by period of normal functioning Number of factors have been identified as premorbid indicators of psychosis Early precursors e.g. family history, perinatal and obstetrical complications, neurobehavioral deficits (poor motor coordination) Premorbid personality and behavioral measurements e.g. being very shy and withdrawn, having poor peer relationships, doing poorly in school, demonstrating antisocial behavior
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SAFETY Model developed S AFETY-System Specific Physiology-Nature of the Phase II: Prodromal Phase-these people are socially withdrawn and show evidence of peculiar or eccentric behavior; neglect personal hygiene and grooming; blunted or inappropriate affect; disturbances in communication; bizarre ideas; lack of initiative Average length of this phase is 2-5 years Phase III: Schizophrenia-in the active phase of the
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This note was uploaded on 02/17/2011 for the course NURS 411 taught by Professor Astle during the Spring '11 term at South Carolina.

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Nursing 411-care of patients with psychotic disorders -...

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