SCHIZOPHRENIA Schizophrenia is a psychotics disorder Schizophrenia is a chronic mental disorder

1. SCHIZOPHRENI
A
▪ PRESENTED BY: MEGHESH
TOMAR G.N.M 2nd YEAR
INSTITUTE OF NURSING AND
PARAMEDICAL
SCIENCE MANGALAYATAN
UNIVERSITY [ALIGARH U.P]

2. CONTENT
• INTRODUCTION
• DEFINITION
• ETIOLOGY FACTORS
• PREVALENCE
• TYPES
• SIGN &SYMPTOMS
• DIAGNOSTIC EVALUATION
• TREATMENT
• ROLE OF NURSING

3. INTRODUCTION
• SCHIZOPHRENIA IS DRIVEDFROM TWO GREEK WORDSSCHIZO ANDPHRENIA
• SCHIZO MEANS. SPLIT SPLITOF MIND
• PHRENIA MEANS.MIND
• THE WORDSCHIZOPHRENIA WASCOINEDBY THE SWISSPSYCHIATRIST
EUGEN BLULER.24. APRIL. 1908

4. DEFINITION
• SCHIZOPHRENIA IS A GROUPOF
MENTAL DISORDER CHARACTERIZEBY
PSYCHOTIC FEATURES SUCH AS
HALLUCINATION,DELUSION DISORDER
THOUGHT PROCESS & DISRUPTED
INTERPERSONALRELATIONSHIP.

5. ETIOLOGY
FACTORS
• THE EXACT CAUSES OF
SCHIZOPHRENIA AREKNOWN
RESEARCH SUGGEST A
COMBINATION OF
• PHYSICAL FACTORS
• BIOLOGICALFACTORS
• GENETICS FACTORS
• ENVIRNOMENTAL FACTORS

6. PREVELANCE
• SCHIZOPHRENIA IS FUNCTIONAL
PSYCHOTIC DISORDER MAINLY
EFFECTED AGE GROUP OF .MALE 15-
25YEAR AND FEMALE 25-35 YEAR

7. TYPES OF
SCHIZOPHRENIA
• THERE ARE MAINLY 5 TYPES OF
SCHIZOPHRENIA
• PARANOID SCHIZOPHRENIA[ F20 ]
• DISORGANIZEDSCHIZOPHRENIA[F20.1 ]
• CATATONIC SCHIZOPHRENIA [ F 20.2 ]
• UNDIFFERENCIATED
SCHIZOPHRENIA [ F 20.3 ]
• RESIDUAL SCHIZOPHRENIA [ F20.5 ]

8. 1. PARANOID
SCHIZOPHRENIA
• PARANOID SCHIZOPHRENIA IS THE MOST
COMMON TYPES OF SCHIZOPHRENIA
• FIXED FALSE BELIEF
• SUSPECIOUSNESS
• SYMPTOMS INCLUDED DELUSION AND
HALLUCINATION
A. DELUSION OF PERSECUTION
• INDIVIDUAL THINKS THAT HARM IS
OCCURING OR GOING TO OCCUR
• PERCEIVED PERSECUTAR HAS INTENTION TO
CAUSE HARM
• PERSON BELIEVS " HE AND SHE IS BEING
FOLLOWED SPIED ON OR THEIR FOOD IS
BEING POISIONED.

9. DELUSION OF
REFERENCES &
HALLUCINATION
• INDIVIDUALMAY FALSELY BELIEVE THAT
OTHERS ARE TAKING ABOUT HIM.
• HALLUCINATION
• UNSHAKEABLE BELIEF.
• IT IS A PERCEPTION IN THE ABSENCE OF
EXTERNAL STIMULUS THAT
HAS QUALITIES OF REAL PERCEPTION
• EG. A PERCEPTIONOF HAVING SEEN,
HEARD;TOUCH, TASTE ON SMEELED
SOMETHING THATH WAS N'T ACTUALLY
THERE

10. DISORGANISED
SCHIZOPHRENIA
• DISORGANISED SCHIZOPHRENIAIT IS
ALSO KNOWN AS HEBEPHRENIC
SCHIZOPHRENIA.
• DISORGANISED
THOUGHT,SPEECH ,EARTING, BATHING
,HAND WASH ETC.
• PATIENT WOUNDERING.
• EXTEREM SOCIAL WITHDRAWAL.
• PROGNOSIS POOR.

11. CATATONIC
SCHIZOPHRENIA
• DISTURBANCEOF MOTARACTIVITY
• THERE ARE TWO TYPES
• 1. EXCITED CATATONIC 2. STUPORCATATONIC
• INCREASEPSYCHOMOTORACTIVITY . MUTISM
• RESTLESSNESS . RIGIDITY
• EXCITEMENT . NEGATIVISM
• AGGRESSIVENESS . ECHOLALIA
• INCREASESPEECH . STUPOR

12. UNDIFFERENCIATED
SCHIZOPHRENIA
• PATIENT HAVE TWO TYPE OF
SCHIZOPHRENIA
• FEATURES MORE THAN two TYPES OF
SCHIZOPHRENIA DOESNOT DEFINE
WHICH TYPE OF SCHIZOPHRENIA

13. RESIDUAL
SCHIZOPHRENIA
• IT IS CHRONICFORM
• PATIENT HAVE TAKEN TREATMENT
PREVIOUSLY BUT SOME
SYMPTOMS PRESENT.
• EG: SOCIAL
ISOLATION UNABLE TO MANAGE
PERSONAL HYGINE

14. SIGN &
SYMPTOMS
• POSITIVESYMPTOMS
• THEY INCREASEBEHAVIOUR
• HALLUCINATION
• DELUSION
• BIZARREBEHAVIOUR
• DISORGANIZED SPEECH
• NEGATIVESYMPTOMS
• THEY DECREASED BEHAVIOUR
• APATHYBLUNTED AFFECT
• POOVERTYOF THOUGHT [ALOGIA]
• LOSS OF MOTIVATION

15. DIAGNOSTIC
EVALUATION
• HISTORY COLLECTION
• PHYSICAL EXAMINATION
• MENTAL STATUS EXAMINATION
• MINI MENTAL STATUS EXAMINATION
• M R I
• C T SCAN

16. TREATMENT
• MEDICATION
• ANTIPSYCHOTIC
• REDUCE OR IMPROVE THE SYMPTOMS
OF CERTAIN PSYCHIATRICCONDITION
• ANTI ANXIETY MEDICATION
• ALPRAZOLAM
• DIAZEPAM
• CLONAZEPAM

17. PSYCHO
THERAPIES
• GROUP THERAPY
• PSYCHO THERAPY
• FAMILY THERAPY

18. ROLE OF
NURSING
• NURSING ASSESSMENT
• HISTORYCOLLECTION –FAMILYMEMBERS OTHER
FAMILIARMEMBER OLD RECORD
• OBSERVEBEHAVIORPATTERNPOSTURING
PSYCHOMOTORDISTURBANCEAPPEARANCEHYGIENE
• IDENTIFYTHETYPE OF DISTURBANCETHEPATIENTIS
EXPERIENCING
• ASK THE PATIENTABOUTTHE FEELING WHILETHOUGHT
ALTERATIONAREEVIDENCE
• NOTETHE EFFECT AND EMOTIONAL TONEOF THE
PATIENTAND WHETHERTHEY ARE APPROPRIATEIN
RELATIONTO THE THOUGHTOR PRESENT SITUATION
• ASSESS FORTHEMEAND CONTENT OF DELUSION
THINKING

19. THANK YOU