Nursing Care Plan For A Person With Schizophrenia

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

NURSING CARE PLAN FOR A PERSON WITH SCHIZOPHRENIA

The Person with Schizophrenia


Arnold is a 53-year-old male with a history of schizophrenia with multiple hospitalizations. He was admitted per mental health court
order to the inpatient mental health unit accompanied by the county sheriff. Arnold was given an antipsychotic and antianxiety medication in the
emergency room for the safety of himself and others after he attempted to strike an emergency room nurse. Arnold had become agitated and
threatening while being removed from his family’s farm where he lived with his elderly mother for the past 30 years. Arnold refused to
acknowledge that his parents had died.

Setting: Psychiatric Intensive Care Unit


Baseline Assessment: Arnold is dressed in a suit and dress shirt. On admission he was also wearing a tie, which is his habit whenever
he leaves his home. His tie, shoes, and belt were removed after arriving on the unit from the emergency room for safety reasons. Arnold wears
his hair short and he has been completing activities of daily living. Arnold is watchful with a worried and anxious expression. He has a small
stack of slightly used paper napkins stored between his shirt and suit jacket and holds a small stack of flattened single serving milk cartons in his
hand. Arnold does not believe that he has schizophrenia and that his previous hospitalizations were attempts by multinational corporations to
NCM180
keep him from following his false beliefs regarding his parent’s wishes. Arnold is 5 ft 11 in, weighs 117 lb,Related
BMI 25, BPLearning
140/80, PExperience
78, R 16.
Denies suicidal thoughts. Denies using alcohol or illegal drugs. Even though he attended both parents’ funerals, he continues to say they are
merely away for a while. He has been taking his prescribed medications sporadically. Laboratory values are normal.

Diagnosis:
Schizophrenia, multiple episode, currently in acute episode

Medications:
1. Risperidone (Risperdal) 2 mg BID
2. Lorazepam (Ativan) 2 mg PO for agitation PRN

Nursing Diagnoses:
1. Disturbed thought processes related to uncompensated alterations in brain activity as characterized by:
a. Delusional thinking (believes there is conspiracy against family multinational corporation, and parents not really
deceased)
b. Auditory hallucination (parents talking to him)
c. Suspiciousness (refuses to use telephone or other technology)
2. Ineffective Denial related to Anxiety about leaving home as characterized by displacement fear of impact of losing parents and
home
3. Ineffective Denial related to Lack of control of life situation as characterized by not perceiving personal relevance to behavior
4. Ineffective Denial related to threat of unpleasant reality as characterized by inability to admit impact of schizophrenia on life
pattern.

Activity
1. Based on above nursing diagnoses, formulate minimum of two (2) Nursing Care Plans for our patient.
2. Create a Drug Study for the prescribed medications for the patient.
3. Using the defining characteristics of each nursing diagnosis, write an appropriate Nurses’ Notes using F-DAR format.

All information contained in this module are property of UCU and provided solely for educational purposes. Reproduction, storing in a retrieval system, distributing, uploading or posting online, or
transmitting in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise of any part of this document, without the prior written permission of UCU, is strictly prohibited.
1

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy