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disorganized mental process, loss contact w/ reality
psyshosis
-
types of perceptual disturbances
hallucinations & illusion
-
no stimuli there
hallucinations
-
ghost is an example of
visual
-
hearing voices, screams, or laughs that aren't there
auditory
-
sense of smell
ex. smelling fire or gasses
olfactory
-
sensations of tapping or spiders
tactile
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taste sensation for example blood or poison
gustatory
-
something there but is misinterpreted
ex. a phone for a snake
the lumps in the white sheets are rats
illusion
-
disorganized thought, false idea or reasoning
delusion
-
types of delusion
- grandiose
- persecution
- reference
- thought broadcasting
- thought insertion
- thought withdrawl
-
person feels very powerful "special" they feel everyone should bow down to them when they enter the room
grandiose
-
ideas of endangerment
ex. all food is poison
persecution
-
iseas of getting a message through a magazine, TV, or computer
reference
-
person thinks everyone can hear or see their thoughts
thought broadcasting
-
" they can see my thoughts of escape"
thought broadcasting
-
person thinks that people can put thoughts in their head
thought insertion
-
"my mother told me to kill her"
"God told me to do it"
thought insertion
-
person thinks that people are stealing their thoughts
thought withdrawl
-
"someone stold my intelligence"
" someone stold my wisdom"
thought withdrawl
-
black pants, black hair, black dog.........
is an example of
loose association
-
lose train of thought
blocking
-
I like ice cream, look at that dog, my house is over there
flight of ideas
-
do you know where that hyptomite went?
neologism
-
types of behavior alteration
- aggresive catatonic
- child like waxy flexibility
- inappropriate
- silly
- unpredictable
- movement
-
behavior alteration
fear no one understands
aggressive
-
behavior alteration
child like
throw temptraums
-
behavior alterations
inappropriate
make sexual advances to people
-
behavior alterations
unpredictable
may not know what to expect
-
behavior alteration
movement
wild purposeless agitated, frenzied
-
behavior alteration
catatonic
sit and stare
-
behavior alteration
waxy flexibility
- will stay in that position until moved again
- this stage is very severe, rarely seen
-
positive s/s of schizophrenia
- delusions agitation
- language
- thoughts
- bizarre behavior
- catatonia
- autism
-
negative s/s of schizophrenia
- blunt or flat affect ( no facial expression)
- lack of energy
- decreased pleasure, motivation
- decreased self care, interaction
- decreased speech
- substance abuse, depression, or violenve
-
facts on schizophrenia
- 1% of world population
- in late teen to mild 30's
- different in men & women
- s/s are less severe in women
- will have for remainder of life/
- all races, genders, culture & socioeconomic
- increased risk in 1st generation relative
- increase risk to 1st generation relative/
-
tx for schizophrenia
no cure, but can manage with meds and counseling
-
1st generation antipsychotic drugs for schizophrenia
for decreased agitation, delusions & hallucinations
haldol or thorazine
-
s/e of 1st generation meds for schizophrenia
tardive dyskinesia
-
uncontrolled body movements, irreverseble
tardive dyskinesia
-
2nd generation antipsychotic drugs for schizophrenia
risperdal, zyprexia, & geodon
-
tx & s/s decrease the risk of what in schizophrenia
relapse
-
s/e of 2nd generation drugs of schizophrenia
water intox
-
nursing implications for schizophrenia
- monitor VS
- assess mental status, mood & orientation
- assure meds are swallowed
-
meds that regulate moods
lithobid, lithane, & esalith
-
meds that decrease anxiety & nervouseness
xanax & diazepam
-
relapse is related to
- use of alcohol or street drugs
- stopping rx
- avoid caffeine- chocoloate, tea, cokes
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