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Paranoid Schizophrenia: A Scientific Case Study

Milcah Prasad

College or university of Maryland, Baltimore


Schizophrenia can be described as complex mental illness that may be characterized by having psychotic symptoms such as delusions, hallucinations, disconnect with fact, and not logical thinking patterns for at least one month and creating a major effects in the lives of the people, their friends and family (American Psychiatric Association, 2000). According to the statistics, " 1 in 100 people develop schizophrenia. In the United States, 2- 3 , 000, 000 people have the illness” (Mueser & Gingerich, 2006). The purpose of this case study is to show an specific understanding of schizophrenia and to consider various proved based treatment plans in psychiatric nursing.

Brief Description in the Client

CARRY OUT is a 36 year old African-American woman who was admitted upon February one particular, 2011, for the Psychiatric Product of Howard County Basic Hospital. The girl was delivered to the hospital involuntarily by her mother through the emergency division. The reason for the present psychiatric hospitalization is non-compliance to medications, a potential risk of safety to get self and more, and delusional thinking. The girl denies having any mental illness and therefore she flushes her medications down the toilet. DO ended complying with her medicine regimen when she was pregnant with her baby because the lady believed the fact that medication could harm the growing fetus. Two months following she provided her baby, she took the baby and locked the baby in a area without nourishing her child. Her mother began to observe that the symptoms were having worse and brought PERFORM to the clinic in desolation.

DO is convinced that Jason derulo, a popular R& B/Pop singer, can be her fiancé and that he is usually planning their very own wedding. In addition, she believes that he is her high school partner, dedicated a song on her, made a great announcement within the radio praying his like for her, and bought her a nice house in Baltimore. She stated that both Usher and God told her that she is pregnant again with baby twins and is incredibly excited about the upcoming marriage and addition of new created babies in the near future – implying visual and auditory distortions. She denies hearing noises and is without history of drug abuse. She is at present in the medical center with a associated with paranoid schizophrenia. She has persecutory delusions in believing that her mother and sibling want to harm her and consider her baby away from her. She also reviews that her mother makes unhealthy foods to harm her and is cautious before ingesting.

My first interaction with all the client was at the day place, of Howard County General Hospital, during occupational group therapy where she was interacting with different patients plus the occupational therapist. My first sight of her was that she actually is talkative and aggressive. By the end of the group conference, I presented myself being a nursing college student and agreed to assist her filling out the menu. The girl responded with a smile and asked for assistance in completing the menu. Afterwards, all of us sat around the sofa to get an interview where she responded attentively. We observed that she was wearing regular street clothing, looked notify, relaxed, and felt cozy talking openly. My inquiries were regarding the reason for her visit, and she honestly expressed almost all her problems and challenges. DO was very pleasurable to talk to and interacted with other fellow pupils as well. My interview with her was very brief, since she had to show up at a meeting with her doctor, but I spoke with her quickly each time I actually went to a healthcare facility. DO and I held a therapeutic romance. I implemented many beneficial techniques, just like listening, providing respecting, and supporting the individual, throughout the encounter.

DO currently lives with her mother and sister in a single family home, and has large extended relatives in New York. She has hardly ever been hitched but has a daughter who will be 4 several weeks old. The girl with currently...

Bibliography: American Psychiatric Association [APA]. (2000). Major depressive episode. In Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Affiliation.

Boyd, M. A. (2008). Psychiatric nursing jobs (4th ed. ). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins.

Chien, W. T., & Wong, T. F. (2007). A family psychoeducation group program for China people with schizophrenia in Hong Kong. Psychiatric providers, 58 (7), 1003-1006.

DeLisi, L. Elizabeth. (2006). 95 questions & answers about schizophrenia: painful minds. Sudbury, Massachusetts: Roberts and Bartlett publishers.

Lumby, B. (2007). Guide schizophrenia patients to raised physical overall health. The Nurse Practitioner: The American Journal of Primary Medical care, 32(7), 30-37.

McLeod, Capital t., Morris, M., Birchwood, Meters., Dovey, A. (2007). Intellectual behavioural remedy group assist voice hearers. Part I. British Log of Medical, 16 (4), 248-52.

Mueser, K. Big t., & Gingerich, S. (2006). The complete friends and family guide to schizophrenia. New York: Guilford Press.

Skidmore-Roth, L., (2009). Mosby's Breastfeeding Drug Reference point. St . Paillette, MO: Mosby Elsevier.

Trower, P., Birchwood, M., Bryne, S., Nelson, A., Meaden, A., Ross, K. (2004). Cognitive therapy for order hallucinations: randomized controlled trial. J Psychiatry, 184. Gathered from http://www.ncbi.nlm.nih.gov/pubmed/15056575?dopt=Abstract



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