Purpose: To help patients focus on their steps towards wellnessObjectives: Patient will establish and set daily goals Patient will be able to identity and implement actions they can take towards achieving their goals.Time Frame: 15-20 minutesSpecific Discipline: Interdisciplinary TeamRole of the Leader: Facilitate group discussion Provide a comfortable environmentTeaching Tools: Visual aids Question and answer discussionTeaching Structure: Patient will discuss and share feelings and goals to the group.Evaluation Method: At the end of the day, the patient’s degree of goal attainmentwill be evaluated
Definition: Antipsychotic drugs are a class of medicines used to treat psychosisand other mental and emotional conditions.PurposePsychosis is defined as "a serious mental condition” characterized by a lost contactwith reality often with hallucinations or delusions. Anti-psychotic drugs control thesymptoms of psychosis, and in many cases are effective in controlling thesymptoms of other disorders that may lead to psychosis.Typical Drugs are the oldest group, and include chlorpromazine (Thorazine) andHaloperidol (Haldol). They only treat positive signs which are hallucinations,delusions, disorganized speech and bizarre behavior. Both drugs are used to treatthe symptoms of schizophrenia and other psychotic disorders (conditions thatcause difficulty telling the difference between things or ideas that are real andthings or ideas that are not real)Side Effects: Extrapyramidal side effects such as restlessness (akathisia); absenceor difficulty of movement (akinesia); Muscle spams (dystonias); involuntarymovement and abnormal movement of the mouth, tongue and face (tardivedyskinesia); and fever and tremors (NMS)Atypical: are known as the second generation antipsychotics and they treat bothpositive and negative symptoms (such as loss of motivation, inability to experiencepleasure or joy, impaired grooming and hygiene) and have fewer motor sideeffects. Atypical drugs include: Clozapine (Clozaril), Risperidone (Risperdal),Quetiapine (Seroquel), and Aripiprazole (Abilify).Side Effects: dizziness upon standing (orthostatic hypotension); weight gain;sexual dysfunction; and dysrhythmias.
Anti-parkinsonism/anticholinergic: used to treat the negative symptoms ofschizophrenia and used to prevent and treat the side effects of typical medications.These drugs include: Benztropine (Cogentin) and Diphenhydramine (Benadryl).Side Effects: Dry mouth; constipation; nasal congestion; blurred vision; eye painand sensitivity to light.Summary:A lot of people stop taking their meds for different reasons. Some being:1. You dont like the way the meds make your feel2. You think the medications are working and you no longer need them, becauseyou haven’t experience an episode of illness in a long time3. Substituting medications for drugs and alcoholHow you feel is important and you should tell a member of the staff here, becausethere are ways to deal with some of the troubling effects of these drugs.Here are some ways you can treat your symptoms:1. Dry mouth - you can drink water or chew gum2. Problems using the bath room- try placing a warm towel on your stomach,running water, or you can be given stool softener3. Sensitive to light - wear long sleeves, hats, and sunglasses and you can limityour time in sun4. Sexual dysfunction- alert doctor because your medication may need to bechange5. Orthostatic hypotension (dizziness upon standing) - alert nurse or a member ofstaff so this may be address6. Fever- can be treated with medications, but need to be brought to the attention ofthe staff immediately (fever is a serious side effect that only happens whensomething is really bad)The side effects are important and should be brought to the attention of your healthcare provider, but you have to tell someone in order to receive help.Questions: 1. What are some of the side effects of Typical medications? a. Sleepiness b. Restlessness
c. Pacing2. Which medication causes sensitivity to light? a. Cogentin b. Tylenol3. What is Psychosis? a. A condition characterized by a lost contact with reality often with hallucinations or delusions b. A type of food c. A type of medication4. What are some symptoms of Psychosis? a. Hallucinations and delusions b. Having to use bathroom c. Makes you hungry5. How can you treat dry mouth? a. Drink water b. Going to sleep c. Eating food6. What should you do if you don’t feel well because of medications? a. Tell your nurse b. Stop taking medications c. Ignore the problem