phase, which usually occurs within the year prior to hospitalization. This is when the patient starts to clearly have a decline in functioning, and may withdraw from relatives and friends, next
is the active phase, often precipitated by a stressful event. This is where the patient manifest acute psychotic symptoms. Such as delusions, hallucinations, incoherence, or even catatonia. Treatment for Schizophrenia includes antipsychotic medications, electroconvulsive therapy or other treatments such as cognitive Behavioral therapy. This lecture was extremely helpful to me as nurses because this is a disease I deal with almost daily when working. Tabangcora, D. (2016, August 1). Schizophrenia Nursing Care and Management - Nurseslabs. Retrieved from Wk 2, Practicum hours 10, total 20 Since I had attended a lecture last week on Schizophrenia, and did a little research in that area, I decided this week I thought it would be a great idea to investigate disparities in mental health treatment and care. Moreover, I am doing my practicum in a psychiatric facility, so this works well with the population of patients we are treating. I decide to do some research and learn about and if there are disparities in the care of treatment of patients with schizophrenia. Here are some of my findings: African Americans and Hispanics are more likely to be diagnosed at admission with schizophrenia, (Hamilton, Heads, Meyer, Desai, Olouwa, Okusaga & Cho, Science Direct, 2018). According to Hamilton, Heads, Meyer, Desai, Olouwa, Okusaga & Cho, Patients who are diagnosed with schizophrenia are mostly single men who are unmarried and homeless. I often see this at my place of work, which is where I am doing my practicum. In a study conducted by Hamilton, Heads, Meyer, Desai, Olouwa, Okusaga & Cho, a study of electronic health record data from an psychiatric facility which were admitted between 2010 through 2013 revealed that compared to non-white Hispanics, are most likely to receive a diagnosis of schizophrenia at admission. Other findings from the study were that those diagnosed with schizophrenia were most likely unmarried, homeless males, who were involuntarily hospitalized due to exhibiting symptoms of functional impairment and social withdrawal. These patients also had a high amount of inpatient admissions. While the journal article I read stated ethnic differences in the diagnosis of schizophrenia and mood disorders of patients admitted to a psychiatric hospital, it did not explain the reasons for these disparities, so I felt that to make this journal addition and scholarly activity well rounded and complete, I felt further investigation was needed. I know that some of the patients that I assess who are positive for drugs tell me that the drugs help them to think more clearly.
Hamilton, J. E., Heads, A. M., Meyer, T. D., Desai, P. V., Okusaga, O. O., & Cho, R. Y. (2018). Ethnic differences in the diagnosis of schizophrenia and mood disorders during admission to an academic safety-net psychiatric hospital. Psychiatry Research , 267 , 160–167. doi: 10.1016/j.psychres.2018.05.043 Week 3 Journal entry, Practicum hours completed 10, total 30
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- Tammy Gray