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PSYCHOSIS
Out line Objective
Introduction
Definition Of Psychosis
Causes Of Psychosis
Signs And Symptoms Of Psychosis
Diagnosis For Psychosis
Treatment For Psychosis
Nursing Management For Psychosis
Summary
References
OBJECTIVE Explain What The Meaning Of Psychosis . Explain What The Causes & Types & Signs
And Symptoms . Explain What The Diagnosis & treatment. Explain Nursing Care Plan.
INTRODUCTIONTrue psychosis usually involves severe
symptoms such as delusions and/or paranoia. The common belief that anyone who goes crazy or is aggressive must be psychotic is not strictly correct in medical terminology. Psychotic disorders focus mainly on the symptoms where the person is detached from reality, and the main such symptoms are delusions and paranoia
DEFINITION Psychosis refers to an abnormal condition of the
mind described as involving a "loss of contact with reality ". People experiencing psychosis may exhibit some personality changes and thought disorder. Depending on its severity, this may be accompanied by unusual or bizarre behavior, as well as difficulty with social interaction and impairment in carrying out daily life activities
CausesGeneticsTraumaPsychiatric disorderMedical conditionsPsychoactive drugs (alcohol )Medication
Types of Psychotic Disorders
SchizophreniaBipolar DisorderPsychotic DepressionSchizoaffective DisorderDrug-Induced Psychosis
Signs and symptomsHallucinationsDelusionsThought Disorders'Loss of contact with reality' Depression Emotional Changes Personality Changes Behavior Changes
Diagnosis An initial assessment includes a comprehensive history and physical examination by
a physician, psychiatrist, psychiatric nurse practitioner or psychiatric physician assistant. Biological tests should be performed to exclude psychosis associated with or caused by substance use, medication, toxins, surgical complications, or other medical illnesses.
Thyroid-stimulating hormone to exclude hypo- or hyperthyroidism, Basic electrolytes and serum calcium to rule out a metabolic disturbance, Full blood count including ESR to rule out a systemic infection or chronic
disease, and Serology to exclude syphilis or HIV infection. Other investigations include: EEG to exclude epilepsy, and an MRI or CT scan of the head to exclude brain lesions
TREATMENTTraditional and atypical anti-
psychotic drugsAcute and preventative
treatmentMood-stabilising medication(Antidepressants and minor
tranquillisers)Side effects and discontinuation
problems
Nursing ManagementUnderstanding in context.Management of disturbance may require
Mental Health Act.Psychosocial interventions, support and
facilitation of recovery.Specific psychological treatments and family
interventions.Rehabilitation.
Nursing Care Plan EVALUATION RATIONALE INTERVENTION GOAL NURSING
DIAGNOSIS
Be free from injury
1-the client physical safety a priority2-prevents exhaustion.
3-to prevent client from accidentally falling or pulling out tubes
1-protect the client from harming herself by removing the items.2-provide frequent rest periods.3-Ask family to stay with client
To protect the patient from risk
Risk for injury
EVALUATION Rationale INTERVENTION GOAL NURSING DIAGNOSIS
Complete necessary daily activates
1. The client is better able to talk about bas complexity is more difficult.
2. The client ability to deal in abstractions is diminished.
3. The client cope with problems caused by hallucination.
1. Maintain simple topics of conversation
To provide a base in reality.2-use concrete specificVerbal communication with the cline .3-encourege the client to tell staff members about hallucinations.
Seek out help to maintain health
Ineffective health maintenance
Rational INTERVENTION GOAL NURSING DIAGNOSIS
1To minimize the feelings of isolation and provide an atmosphere where positive feedback 2-To promote a healthier and more realistic self-image3-Low self-esteem individuals often have feelings of unworthiness
1-Encourage the client to participate in a group therapy where the members2-. Teach visualization techniques that can help the client replace negative self-images 3-Evaluate client’s need for assertiveness training tools to pursue things he or she wants or needs in life.-
Normal person Chronic Low Self-Esteem
SUMMARY Psychosis is a neurological syndrome. Symptoms develop
when a threshold level of damage is reached or changes occur in these areas of the brain. People with psychosis may experience hallucinations, delusions, and disorganised thoughts and actions and may have personality changes. Psychosis can be due to primary disorders or may have secondary causes. [1] Primary psychotic disorders include schizophrenia, delusional disorder, schizoaffective disorder, schizophreniform disorder, and brief psychotic disorder. Secondary psychosis has many causes, including psychoactive drugs and general medical conditions. It may also accompany another psychiatric condition.
Referenceshttps://en.wikipedia.org/wiki/
Psychosis#Diagnosis