country
$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket? Book Your Assignment at The Lowest Price Now!

CNA742 Nursing Interventions For Paranoid Schizophrenia For Mental Status

tag 0 Download6 Pages / 1,411 Words tag Add in library Click this icon and make it bookmark in your library to refer it later. GOT IT
  • Course Code: CNA742
  • University: University Of Tasmania
  • Country: Australia

Questions:

1. Identify relevant symptoms/manifestations of schizophrenia; 
2. Classify the presenting symptoms in accordance with the criteria of recognized psychiatric classification system;
3. Formulate appropriate strategies which may be used by nurses and other health professionals to facilitate Julie’s establishing and maintaining a state of mental health and recovery;
4. Provide a rationale for the pharmacological agents and treatment strategies adopted in relation to Julie’s condition;
5. Identify the associated behavioural and psychological manifestations which often accompany schizophrenia;
6. Outline ethical and legal issues that relate to Julie’s compliance with treatment;
7. Outline appropriate strategies for community care and identify possible sources of community support; and
8. Discuss the possible lifestyle impact that a diagnosis of schizophrenia has on the  individual, their family and/or carers and support networks.
 
 

Answer:

The Mental Status Examination conducted on Julie led to the conclusion that the patient under consideration is psychotic. The fact that Julie depicts the attributes of being anxious and guarded plays a role in demystifying the fact that she is suffering from paranoid schizophrenia. Based on this analysis, the current study seeks to suggest the most effective interventions, the rationale for these interventions, an intervention plan, and a discharge plan for Julie.

Interventions and Rationale

Julie presents visual sensory perceptions. The patient confesses that she sees people following her in cars and even imagines that they could be following her at the healthcare facility.  According to McDougal and  Sanderson (2016 p.165) visual sensory impressions among patients with paranoid schizophrenia are as a result of psychological stresses, changes in the neurological setup of the patient, biochemical factors and altered sensory perceptions.  The first nursing intervention for Julie will be aimed at acknowledging the reality of the sightings on the side of the patient while stating that such visualizations do not exist. Tham et al.  (2016 p.798) explain that such an approach is aimed at ensuring that the patient becomes uncertain of the soundness of what she purports to see. To achieve this intervention, Giunta et al. (2018 p.27) explain that there is need for the caregiver to he/she does not sense the said visualizations.

Second, McDougal and  Sanderson (2016 p.165) propose that when dealing with patients with paranoid schizophrenia, the caregiver is faced with the obligation of ensuring that the conversations embrace a simplistic fashion, are basic and based on realities. As such, any move to bombard the patient with multiple ideas must always be avoided. Instead, the caregiver must aim at ensuring that the client concentrates on a single idea at a time. The rationale for this intervention is to avoid all factors that may disorganize Julie’s thought processes. According to Rus-Calafell et al.  (2018 p.364), incorporation of reality-based conversations plays a critical role in enhancing the patient’s ability to concentrate.

Julie presents some aspects of interrupted family processes. According to Mubin et al. (2018 p.2), interrupted family processes among patients with paranoid schizophrenia could be as a consequence of developmental crises, situational crises and shifts in the family role. On the other hand, Bighelli et al. (2018 p.317) explain that this symptom is evidenced by lack of mutual support and knowledge deficits on the condition and community support. To intervene, Julie’s father will be taken through a counseling session as a way of determining his coping abilities while discouraging him from using demeanor terms such as “useless” when addressing his daughter. The rationale for this intervention is to help in the processes of stabilizing the patient’s family unit. Further, the counseling process will help Julie’s father to appreciate the efficacy of using positive phrases in preventing relapses and minimizing paranoia on the side of the patient.

Intervention Plan

Upon C.T brain examination, Julie did not reveal extra axial, parenchymal, or ventricular abnormalities. Further, no form of abnormality was evident in Julie’s renal, thyroid and liver functions. The patient’s mean corpuscular volume was slightly elevated even though nothing abnormal was detected. Similarly, the client’s full blood count was within the normal limits. Considering the symptoms presented by Julie, the treatment plan will constitute pharmacotherapy and supportive psychological interventions.

Olanzapine and diazepam will be adopted as the primary antipsychotics for Julie. Bighelli et al.  (2018 p.317) identify olanzapine and diazepam as the standard treatments for paranoid schizophrenia based on their greater capabilities in fostering effective management of the symptoms associated with this condition. Further, González-Pando and Alonso-Pérez  (2018 p.374) explain that antipsychotic medications play a significant role in restoring the natural chemical functioning of the affected patient’s brain, minimizing psychotic symptoms, and reducing drug addiction. A review of Julie’s medical profile reveals critical psychiatric issues such as social isolation, paranoid ideas, reluctance when leaving the house, smoking, accessional alcoholism, and low self esteem. As a consequence, olanzapine (10 mgs Stat in ED) and diazepam (5 mgs Stat in ED) will be adopted.

Cognitive behavioral therapy (CBT) will be implemented as the primary psychosocial intervention for Julie. According to Lang et al.  (2016 p.78), CBT is a psychological intervention that is implemented with the aim of fostering proper acknowledgement of the behavioral changes depicted by the patient under consideration. As such, the intervention aims at recognizing the warning signs and escalating symptoms depicted by the patient, normalizing the lapses associated with drug addiction, coping up with personal cravings and incorporating healthy alternatives through cognitive restructuring and counteraction of positive viewpoints concerning drug use and abuse. Based on the initial intervention plan, Julie will attend counseling meetings with the primary nurse, her grandmother and registrar with the aim of instilling an environment that fosters motivation, positive mood change, cognitive repair, and enhancement of the patient’s social skills. Further, Julie will be allowed the opportunities of watching favorite television shows with her peers in the lounge area, being part of group counseling programs and using about an hour off leave on a daily basis in the hospital’s grounds. Such activities will be of critical significance in alienating attention deficits while boosting Julie’s ability to concentrate on personal activities and foster abstract thought processes. 

 

Discharge Plan

The institutionalization of Julie’s discharge plan commenced during hospital admission. The caregiver played an essential role in creating a strong alliance between Julie’s grandmother, the patient and other members of staff that were directly involved with this case. Table 1 gives a summary of the discharge plan adopted for Julie.

Discharge plan for: Julie

Date:

At hospital discharge

 

Living arrangements

· Julie’s housing will be provided by her grandmother.

· Other basic requirements such as food, clothing, and transportation will be provided by Julies family members (father and grandmother)

Financial needs

· Considering Julie’s position as a minor, all her financial needs will be met by her father and grandmother.

· The patient will be provided with social support contacts to seek assistance.

Daily activities

· In her position as a minor and a delicate person, the patient’s grandmother and father will face the obligation of meeting her daily activities such as cooking, cleaning, and budgeting. However, the patient will be counseled on the importance of coping with these chores.

Medication plan

· Olanzapine (10 mgs Stat in ED)

· Diazepam (5 mgs Stat in ED)

Community treatment plan

· Julie will be accorded 1/7 appointments with the case manager.

· Follow-up psychiatric and rehabilitation programs will be accorded for Julie when necessary.

 

 

References

Bighelli, I., Salanti, G., Huhn, M., Schneider?Thoma, J., Krause, M., Reitmeir, C., Wallis, S., Schwermann, F., Pitschel?Walz, G., Barbui, C. and Furukawa, T.A., 2018. Psychological interventions to reduce positive symptoms in schizophrenia: systematic review and network meta?analysis. World psychiatry, 17(3), pp.316-329.

Giunta, S., La Fiura, G., Mannino, G. and Russo, S., 2018. Stigma and mental health: the perception of the health professionals of the future and the feasible interventions. International Journal of Psychoanalysis and Education, 10(1), pp.25-31.

González-Pando, D. and Alonso-Pérez, F., 2018. Integrated Care–‘Schizophrenia’: A Challenge for Psychiatric/Mental Health Nursing. In European Psychiatric/Mental Health Nursing in the 21st Century (pp. 371-383). Springer, Cham.

Lang, F.U., Müller-Stierlin, A.S., Walther, S., Schulze, T.G., Becker, T. and Jäger, M., 2016. Psychopathological symptoms assessed by a system-specific approach are related to global functioning in schizophrenic disorders. Psychopathology, 49(2), pp.77-82.

McDougall, Tim, and Sally Sanderson. "Nursing children and young people with psychosis and schizophrenia." Children and Young People's Mental Health: Essentials for Nurses and Other Professionals (2016): 165.

Mubin, M.F., Riwanto, I., Sakti, H. and Erawati, E., 2019. Psychoeducational therapy with families of paranoid schizophrenia patients. Enfermería Clínica.

Rus-Calafell, M., Garety, P., Sason, E., Craig, T.J. and Valmaggia, L.R., 2018. Virtual reality in the assessment and treatment of psychosis: a systematic review of its utility, acceptability and effectiveness. Psychological medicine, 48(3), pp.362-391.

Tham, X.C., Xie, H., Chng, C.M.L., Seah, X.Y., Lopez, V. and Klainin-Yobas, P., 2016. Factors affecting medication adherence among adults with schizophrenia: a literature review. Archives of psychiatric nursing, 30(6), pp.797-809.

OR

Cite This Work

To export a reference to this article please select a referencing stye below:

My Assignment Help. (2020). Nursing Interventions For Paranoid Schizophrenia For Mental Status. Retrieved from https://myassignmenthelp.com/free-samples/cna742-nursing-interventions-for-paranoid-schizophrenia-for-mental-status.

"Nursing Interventions For Paranoid Schizophrenia For Mental Status." My Assignment Help, 2020, https://myassignmenthelp.com/free-samples/cna742-nursing-interventions-for-paranoid-schizophrenia-for-mental-status.

My Assignment Help (2020) Nursing Interventions For Paranoid Schizophrenia For Mental Status [Online]. Available from: https://myassignmenthelp.com/free-samples/cna742-nursing-interventions-for-paranoid-schizophrenia-for-mental-status
[Accessed 26 May 2020].

My Assignment Help. 'Nursing Interventions For Paranoid Schizophrenia For Mental Status' (My Assignment Help, 2020) <https://myassignmenthelp.com/free-samples/cna742-nursing-interventions-for-paranoid-schizophrenia-for-mental-status> accessed 26 May 2020.

My Assignment Help. Nursing Interventions For Paranoid Schizophrenia For Mental Status [Internet]. My Assignment Help. 2020 [cited 26 May 2020]. Available from: https://myassignmenthelp.com/free-samples/cna742-nursing-interventions-for-paranoid-schizophrenia-for-mental-status.


MyAssignmenthelp.com offers an all-inclusive academic paper writing service online. Students in search of a one-stop solution to their paper writing stringencies will find this portal extremely useful. Our in-house writers are well-aware of the conventions needed to be followed while drafting academic lab reports, CPM homework papers, dissertations on clinical reasoning cycle, rhetorical analysis and more. The dedicated team of writers is committed to providing each solution on time, and at the cheapest industry price.

Latest Nursing Samples

NSG426 Integrity In Practice: Ethic And Legal Considerations

Download : 0 | Pages : 2
  • Course Code: NSG426
  • University: University Of Phoenix
  • Country: United States

Answer: Nursing E-portfolio Legal issues and frameworks in competent nursing In my academic course of nursing I have faced with many ethical dilemmas and am looking forward to many such ethical dilemmas. I believe that as a nurse I should be aware of my legal and the ethical duties as a nurse. One of the legal aspects is the responsibility and the accountability of the registered nurses. A nurse is committed to provide a safe care to t...

Read More arrow

NRS 490 Nursing Capstone Assignment

Download : 0 | Pages : 6
  • Course Code: NRS 490
  • University: Grand Canyon University
  • Country: United States

Answer:   Area Awareness New practice approaches I have realized that evidence based medicine encompasses a systematic approach that helps to solve a clinical problem. For this purpose we are required to integrate best available research evidences with our clinical expertise. We should also give due respect to the preferences and individual needs of a patient before implementing any such intervention (Melnyk et...

Read More arrow

SITXWHS003 Implement And Monitor Work Health And Safety Practices

Download : 0 | Pages : 6
  • Course Code: SITXWHS003
  • University: Victoria University
  • Country: Australia

Answer: Introduction: Accident prevention is the single most important operation. To ensure that this succeeds, the policy advocates for a substance free environment. The use of alcohol or narcotics is strictly forbidden in the workplace. In the event that an employee is injured in the line of work, the institution will cater for medical expenses and rehabilitation so that the employee can return to work as soon as possible. To maintain safet...

Read More arrow

NS3118 Evidence-Based Practice

Download : 0 | Pages : 9
  • Course Code: NS3118
  • University: James Cook University
  • Country: Australia

Answer: Introduction: Evidence based practice (EBP) is one of the necessary professional standards for registered nurse. The NMBA registered nurse standards for practice values EBP and encourages nurse to use best available evidence in taking health care decisions and providing safe and quality care to patient (Nursing and Midwifery Board of Australia, 2016). The necessity for competencies in EBP has been realized for its potential to enhance...

Read More arrow Tags: Australia Dinmore Management forensics University of New South Wales 

NUR502 Theoretical Foundations For Nursing Roles And Practice

Download : 0 | Pages : 5
  • Course Code: NUR 502
  • University: Grand Canyon University
  • Country: United States

Answer: Introduction A master's degree in nursing under the certification of American Association of Colleges of Nursing (AACN) is core nursing education that enables advanced practice nurses to work as register nurse practitioners, certified clinical nurse specialists, certified nurse midwives, and certified nurse anesthetists. I have selected nurse practitioner as a career option of my interviewee. This is because; nurse practitioner i...

Read More arrow Tags: United States Miami Management University of Florida 
Next
watch

Save Time & improve Grade

Just share Requriment and get customize Solution.

question
We will use e-mail only for:

arrow Communication regarding your orders

arrow To send you invoices, and other billing info

arrow To provide you with information of offers and other benefits

1,318,775

Orders

4.9/5

Overall Rating

5,074

Experts

Our Amazing Features

delivery

On Time Delivery

Our writers make sure that all orders are submitted, prior to the deadline.

work

Plagiarism Free Work

Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.

time

24 X 7 Live Help

Feel free to contact our assignment writing services any time via phone, email or live chat.

subject

Services For All Subjects

Our writers can provide you professional writing assistance on any subject at any level.

price

Best Price Guarantee

Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.

Our Experts

Assignment writing guide
student rating student rating student rating student rating student rating 4/5

2594 Order Completed

95% Response Time

Michael Johnson

Masters of MSc in Economics

Washington, United States

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

265 Order Completed

97% Response Time

Ken Campbell

MSc in Electrical Engineering

Wellington, New Zealand

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

1758 Order Completed

99% Response Time

William Martinez

MS in Biology

Washington, United States

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

2109 Order Completed

99% Response Time

Emma Zhong

Ph.D in Project Management with Specialization in Project Communications Management

Singapore, Singapore

Hire Me

FREE Tools

plagiarism

Plagiarism Checker

Get all your documents checked for plagiarism or duplicacy with us.

essay

Essay Typer

Get different kinds of essays typed in minutes with clicks.

edit

GPA Calculator

Calculate your semester grades and cumulative GPa with our GPA Calculator.

referencing

Chemical Equation Balancer

Balance any chemical equation in minutes just by entering the formula.

calculator

Word Counter & Page Calculator

Calculate the number of words and number of pages of all your academic documents.

Refer Just 5 Friends to Earn More than $2000

Check your estimated earning as per your ability

1

1

1

Your Approx Earning

Live Review

Our Mission Client Satisfaction

Very well done. I\'m really happy with 5he result. I will be back for another assignment.

flag

User Id: 406321 - 26 May 2020

Australia

student rating student rating student rating student rating student rating

Expert did an awesome job. Assignment was organized, in-depth and filled with a wealth of information. Although, I had to correct a few errors, they did not cause a distration from the content while reading. Great Job!

flag

User Id: 413864 - 26 May 2020

Australia

student rating student rating student rating student rating student rating

pretty pleased with this assignment even though i had to add extra information and few edits grammatically

flag

User Id: 416694 - 26 May 2020

Australia

student rating student rating student rating student rating student rating

The tutor make the assignments best without plagiarism and on time. I like the work they did for students . All the assignments are best . Thankyou

flag

User Id: 417750 - 26 May 2020

Australia

student rating student rating student rating student rating student rating
callback request mobile
Have any Query?