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