- Provide supportive care
- Strengthen patient’s self-esteem
- Treat patients as adults
- Prevent failure/ embarrassment
- Respect individuality - unique
- Reinforce reality
- Handle hostility calmly & matter-of-factly
Issues related to Schizophrenia - Family ⇔ the patient
- communication, overprotection, blaming
- Non-compliance with medical regimen
- Caregiver’s needs - cope with strange and frightening behaviors ie. apathy, poor personal hygiene, violence
Issues related to Schizophrenia (II) - Depression - part of the symptoms, be masked during acute stage
- Relapse - stressors, noncompliance
- Stress & coping -
- Substance abuse -30% have dual Dx., cause (-) effect on the treatment & poor outcomes
- Work - no work, inability, no motivation
Depression and Suicide in Schizo Delusion & Nursing Intervention - presenting reality, orient pts to time, person & place
- avoid argument, touch, competitive activities,
- reinforce positive behaviors
- encourage verbalization
Disruptive Behavior - Set limit
- decrease environmental stimuli
- intervention before acting out
- close observation
- safety environment - minimize potential weapons
- making contract with the client
- using restraints
Withdrawn Patients - arrange nonthreatening activities
- encourage participation - seating
- provide remotivation and resocialization group experience
- reinforce appropriate grooming and hygiene
- provide psychosocial rehabilitation - social skill training, ...
Suspicious Patients - Be matter-of-fact; (ie DST for depression)
- avoid close physical contact - no touch
- be consistent in activities
- offer special food
- avoid whisper
- Maintain eye contact
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