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SCHIZOPHRENI
A
▪ PRESENTED BY: MEGHESH
TOMAR G.N.M 2nd YEAR
INSTITUTE OF NURSING AND
PARAMEDICAL
SCIENCE MANGALAYATAN
UNIVERSITY [ALIGARH U.P]
CONTENT
• INTRODUCTION
• DEFINITION
• ETIOLOGY FACTORS
• PREVALENCE
• TYPES
• SIGN &SYMPTOMS
• DIAGNOSTIC EVALUATION
• TREATMENT
• ROLE OF NURSING
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
DEFINITION
• SCHIZOPHRENIA IS A GROUPOF
MENTAL DISORDER CHARACTERIZEBY
PSYCHOTIC FEATURES SUCH AS
HALLUCINATION,DELUSION DISORDER
THOUGHT PROCESS & DISRUPTED
INTERPERSONALRELATIONSHIP.
ETIOLOGY
FACTORS
• THE EXACT CAUSES OF
SCHIZOPHRENIA AREKNOWN
RESEARCH SUGGEST A
COMBINATION OF
• PHYSICAL FACTORS
• BIOLOGICALFACTORS
• GENETICS FACTORS
• ENVIRNOMENTAL FACTORS
PREVELANCE
• SCHIZOPHRENIA IS FUNCTIONAL
PSYCHOTIC DISORDER MAINLY
EFFECTED AGE GROUP OF .MALE 15-
25YEAR AND FEMALE 25-35 YEAR
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 ]
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.
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
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.
CATATONIC
SCHIZOPHRENIA
• DISTURBANCEOF MOTARACTIVITY
• THERE ARE TWO TYPES
• 1. EXCITED CATATONIC 2. STUPORCATATONIC
• INCREASEPSYCHOMOTORACTIVITY . MUTISM
• RESTLESSNESS . RIGIDITY
• EXCITEMENT . NEGATIVISM
• AGGRESSIVENESS . ECHOLALIA
• INCREASESPEECH . STUPOR
UNDIFFERENCIATED
SCHIZOPHRENIA
• PATIENT HAVE TWO TYPE OF
SCHIZOPHRENIA
• FEATURES MORE THAN two TYPES OF
SCHIZOPHRENIA DOESNOT DEFINE
WHICH TYPE OF SCHIZOPHRENIA
RESIDUAL
SCHIZOPHRENIA
• IT IS CHRONICFORM
• PATIENT HAVE TAKEN TREATMENT
PREVIOUSLY BUT SOME
SYMPTOMS PRESENT.
• EG: SOCIAL
ISOLATION UNABLE TO MANAGE
PERSONAL HYGINE
SIGN &
SYMPTOMS
• POSITIVESYMPTOMS
• THEY INCREASEBEHAVIOUR
• HALLUCINATION
• DELUSION
• BIZARREBEHAVIOUR
• DISORGANIZED SPEECH
• NEGATIVESYMPTOMS
• THEY DECREASED BEHAVIOUR
• APATHYBLUNTED AFFECT
• POOVERTYOF THOUGHT [ALOGIA]
• LOSS OF MOTIVATION
DIAGNOSTIC
EVALUATION
• HISTORY COLLECTION
• PHYSICAL EXAMINATION
• MENTAL STATUS EXAMINATION
• MINI MENTAL STATUS EXAMINATION
• M R I
• C T SCAN
TREATMENT
• MEDICATION
• ANTIPSYCHOTIC
• REDUCE OR IMPROVE THE SYMPTOMS
OF CERTAIN PSYCHIATRICCONDITION
• ANTI ANXIETY MEDICATION
• ALPRAZOLAM
• DIAZEPAM
• CLONAZEPAM
PSYCHO
THERAPIES
• GROUP THERAPY
• PSYCHO THERAPY
• FAMILY THERAPY
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
THANK YOU
Schizophrenia

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Schizophrenia

  • 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