Schizophrenia Nursing Interventions

Family Counseling In Schizophrenia Patients
Schizophrenia is a mental disorder characterized by a disintegration of thought processes and of emotional responsiveness. It most commonly manifests itself as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is accompanied by significant social or occupational dysfunction. The onset of symptoms typically occurs in young adulthood, with a global lifetime prevalence of about 0.3–0.7%. Diagnosis is based on observed behavior and the patient's reported experiences.


 Schizophrenia Nursing Interventions

1. Clients who withdrew and isolation
  • Use a self-therapeutic.
  • Perform a planned interaction, brief, frequent and not demanding.
  • Plan simple activities one-on-one.
  • Maintain consistency and honesty in interactions.
  • Gradually encourage clients to interact with their friends in situations that do not threaten
  • Provide social skills training.
  • Perform various actions to improve self-esteem.

2. Clients show regressive behavior or unnatural
  • Do what the approach of strange behavior (do not reinforce this behavior).
  • Treat the client as an adult, walauapun regresses.
  • Monitor the client's diet, and give support and assistance when necessary.
  • Assist the client in terms of hygiene and dress up, only when he can not do it alone.
  • Be careful with the touch as it can be regarded as a threat
  • Create a regular schedule of activities of daily living.
  • Give a simple choice of two things for clients who experience ambivalence

3. Clients with no clear pattern of communication
  • Maintain your own communications in order to remain clear and unambiguous.
  • Maintain consistency of your verbal and nonverbal communication.
  • Setiapmakna clarification of ambiguous or not clearly related to client communication

4. Clients who are suspicious and rude
  • Form professional relationships; can be considered a threat too friendly.
  • Be careful with the touch as it can be regarded as a threat.
  • Give as much control and autonomy to clients within the therapeutic limits.
  • Create a sense of trust through brief interactions that communicate caring and respect.
  • Describe any treatment, medication and laboratory tests before the start.
  • Do not focus or strengthen the suspicion or delusional ideas.
  • Identify and respond to the emotional needs of the underlying suspicion or delusional
  • Intervene when the client shows signs of increasing anxiety and potentially express an unconscious behavior.
  • Be careful not to behave in a way that could be misinterpreted clients.

5. Clients with hallucinations or delusions
  • Do not focus on hallucinations or delusions. Do interruption to the client by initiating interaction hallucinations one-on-one based on reality.
  • Tell them that you do not agree with the perception of the client, but the validation that you believe that the hallucinations are real to the client.
  • Do not argue with the client about the hallucinations or delusions.
  • Respond to the feelings that the client communicated at the time he was having hallucinations or delusions.
  • Divert and focus the client on a structured activity or task-based reality.
  • Move the client to a more quiet, less stimulating.
  • Wait until the client does not have hallucinations or delusions before starting the counseling session about it.
  • Explain that hallucinations or delusions are symptoms of psychiatric disorders.
  • Say that the anxiety or increased stimulus from the environment, can stimulate the onset of hallucinations.
  • Help clients control the hallucinations by focusing on the reality and take medication as prescribed.
  • If hallucinations persist, Help clients to ignore it and keep acting remedy properly despite an hallucination.
  • Teach a variety of cognitive strategies and tell the client to use conversations themselves ("the voices that makes no sense") and the cessation of mind ("I will not think about it").

6. Clients with behavioral agitation and potential violence
  • Observation of the early signs of agitation; do intervention before she started expressing an unconscious behavior.
  • Provide a safe and quiet environment; reduce the stimulus when the client is experiencing agitation.
  • Do not reply to the client when the client said rudely; use a calm tone of voice. Give your personal space and avoid physical contact.
  • Encourage clients to talk about, and not vent his feelings.
  • Offer necessary drugs to clients who experience agitation.
  • Isolate the client from the client when the social environment agitation increased.
  • Set boundaries of unacceptable behavior and consistently follow institutional protocol remedy to take action.
  • Follow institutional protocol to deal with clients who express an unconscious behavior.
  • Ensure that all staff members in place while trying to defuse violence by clients. When required restrein, laukan safely and in a manner that does not punish, follow the protocol and provide a safe environment.

7. Families of clients with schizophrenia disorders
  • Encourage each family member to discuss their feelings and needs.
  • Bantu family defines the ground rules about respecting the privacy of others and live together.
  • Encourage each family member to interact with the wider social environment.
  • Encourage each family member to get involved in support groups.
  • Help each family member to identify situations that cause anxiety and develop a plan specific coping strategies.
  • Teach the family about the illness of schizophrenia and its management.

Schizophrenia Care Plan - Nursing Assessment, Diagnosis, Interventions and Implementation

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