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Alarcon, Mikko Anthony P.
BSN406
Demographic Data
My patient is RM, 59 years old, male, Filipino citizen, born on
January 31, 1954. Hewas admitted in Mother Teresa with attending
psychiatrist named Dr. Patas. His educational
attainment is 3rd year Industrial Engineering. He lives alone
along Quezon City. As the
patient stated, he has a not so good relationship with his
siblings, but it is hard to say in terms
of academic purposes. He stated that his eldest sibling is a
crazy person. The second sibling is
a gay and he is the third one. The 4 th one is the most close to
me him and he is visited by her
every week. The 5th one is the one he always bully he said she
is a USRN. Before he was
admitted he also drinks alcohol, he drinks 5 liters of
softdrinks a day and smokes a lot.
Patient stated he doesnt believe in God.
Introduction
Schizophrenia is a chronic illness requiring long-term
management strategies andcoping skills. Schizophrenia is a disease
of the brain, a clinical syndrome that involves a
persons thoughts, perceptions, emotions, movements, and
behaviors. The effects of
schizophrenia on the client may be profound, involving all
aspects of the clients life: social
interactions, emotional health, and ability to work and function
in the community.
Schizophrenia is conceptualized in terms of positive signs, such
as delusions, hallucinations,
and disordered thought process, and negative signs such as
social isolation, apathy,
anhedonia, and lack of motivation and volition.
Psychodynamics
Schizophrenia
>a brain disease that interferes with perception, behavior
and responsiveness
ETIOLOGY
Genetic Factors: Perinatal factors:>First degree relatives of
persons >Women who are malnourished
w/ schizophrenia during their pregnancy.
> If both parents have schizophrenia this >Risk of giving
birth to a baby
Is the risk in their child who will later develop >risk
for
dizygetic twins schizophrenia
PREDISPOSING FACTORS
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Modifiable factors: Non Modifiable Factors:
>Maternal smoking >Family History
>DM >Older paternal age
>Rubella infancy during pregnancy >Male > Female
>Low Socioeconomic status
Signs and symptoms
>Delusions >Lack of motivation >Withdrawal
>Hallucinations >Problems with making sense >Trouble
sleeping
>disorganized behaviour of information >Irritability
>Loss of interest >Difficulty paying attention
>lack of emotion >Memory Problems
Diagnostic tests Categories
>CBC >Paranoid >Undifferentiated
>Screening for alcohol and drugs >Catatonic
>Residua
>Imaging studies >Disorganized
Management
Drugs: Psychosocial
>Thorazine > Rehabilitation
>Haldol > Family education
>Trilafen >Cognitive behavioural therapy
>Fluphenzine >Integrated treatment for co-occurring
substance abuse.
