Evaluation of Anti Psychotic Drugs

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Evaluation of Anti Psychotic Drugs
2014-04-28 07:02:23
Psychology Schizophrenia camturnbull

AQA PSYB3 Schizophrenia
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  1. How have drugs revolutionised schizophrenia management?
    • Before anti-psychotics, 50% of schizophrenic patients admitted into hospitals stayed for life 
    • Treatment of patients was brutal and ineffective (ECT, Psychosurgery)
    • Proper care was not given with patients controlled rather than treated (straight jackets)
    • Only 3% of Schizophrenics are in hospital today and only for a few weeks
  2. How is the minimal time spent in hospitals a good thing for Schizophrenics?
    • Reduces the social stigma of them being crazy and locked away
    • Allows them to live a more normal life, potentially socialising and getting a job 
    • Reduces the perceived effect of labelling theory 
    • Allows patients to spend more time with family and friends who can give them specific care and support 
    • Less taxing on NHS funding
  3. Why is the benefit of drugs only temporary?
    • Drug treatment does not cure schizophrenia, it merely delays relapse 
    • If the drugs are not taken, relapse occurs
  4. Why is it inadvisable to take very strong drugs for long periods of time?
    • Side effects such as Agranulocytosis are more likely to occur 
    • Cognitive function could be irreversibly damaged
    • Drugs are costly and financially ruining if taken for very long periods of time
  5. How is compliance an issue for drug treatment?
    • The treatment relies on patients sticking to a strict regime and taking pills regularly 
    • Patents can refuse to take drugs as they might be put off by the negative side effects
    • Some side effects include poor memory so the patient might simply forget to take their pills
  6. What is revolving door syndrome?
    • The patient gets stuck in a negative cycle due to drug therapy 
    • The patient is admitted to hospital, given drugs and discharged into the community upon symptomatic improvement 
    • If the patient stops taking the drugs whilst discharged, the symptoms recur quickly learning to readmission into hospital
  7. How might revolving door syndrome negatively affect a patient?
    • They might feel demoralised as nothing they can do will cure them 
    • They might hate taking drugs but feel dependant on them
    • These factors could increase suicide risk
  8. What is depot medication?
    • The medication is released slowly over weeks 
    • Can be administered via injection into a large muscle by a medical professional in hospital or at an outpatient clinic 
    • Reduces the risk of the patient refusing treatment as medication need not be taken daily 
    • There are other risks such as phobia of needles, however
  9. What ethical issues are raised by drug therapy?
    • Some consider it to be nothing more than a chemical straight jacket, dehumanising the individual by taking away personal responsibility and control
    • There is debate to whether the patient has the right to refuse treatment as they are often in a psychotic state and unable to make informed decisions
  10. What ethical issues surround the risk of drugs and the psychotic nature of schizophrenia?
    If the patient is often in a psychotic state and unable to make informed decisions, they might not be aware of the potential side effects of the drugs they are taking