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Case study schizophrenia

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Republic of the Philippines
DIVINE WORD COLLEGE OF BANGUED
Bangued, Abra
NURSING DEPARTMENT
A case study on
SCHIZOPHRENIA,
UNDIFFERENTIATED TYPE
In Partial Fulfillment of the Requirements in NCM 204 (RLE)
Leading to the Degree Bachelor of Science in Nursing
National Center for Mental Health
Mandaluyong, City
Pavilion 10
Submitted to:
Myra P. Locquiao, R.N., R.M., MAN.
Clinical Instructor
Submitted by:
Roderick C. Ancheta
July 26, 2009
SY 2009-2010
BATCH 2010

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I. BACKGROUND OF THE STUDY
A. INTRODUCTION
Schizophrenia is a group of psychotic reactions that affect multiple areas of an
individual’s functioning including thinking and communication, perceiving and
interpreting reality, feeling and demonstrating emotions and behaving in a socially
accepted manner. This condition causes distortion and bizarre behavior, thoughts,
movements, emotions and perceptions. This condition is usually diagnosed in late
adolescence or early adulthood and rarely manifest in childhood.
The symptoms of schizophrenia are divided into two major categories; the positive
and negative symptoms. The positive symptoms include delusions and its types,
hallucinations, loose associations and bizarre or disorganized behavior while the negative
symptoms includes restricted emotions, anhedonia, avolition, alogia, catatonia and social
withdrawal. Most clients with schizophrenia have a mixture of both types of symptoms.
The diagnosis of this condition usually is made when the person begins to display more
actively positive symptoms of delusions, hallucinations and disordered thinking. Onset
may be abrupt but most clients slowly and gradually develop signs and symptoms such as
social withdrawal, unusual behavior, loss of interest and neglected hygiene.
Schizophrenia is also classified into five types and diagnosed according to the
client’s predominant symptoms. Paranoid type is characterized by persecutory or grandiose
delusions, hallucinations and occasionally excessive religiosity hostility and aggressive
behavior. Disorganized type is characterized by inappropriate or flat affect, disorganized
speech and disorganized behavior. The catatonic is characterized by marked psychomotor
disturbance, either motionless or excessive motor activity. Motor immobility may be
manifested by waxy flexibility or stupor. Excessive motor activity is apparently
purposeless and not influenced by external stimuli. Other features include extreme
negativism, echolalia, echopraxia or even mutism. Undifferentiated type is characterized
by mixed schizophrenic symptoms of other types along with disturbances of affect and
behavior. The last type which is residual is characterized by the absence of prominent
delusions, hallucinations, disorganized speech and grossly disorganized or catatonic
behavior.
Our client was classified and diagnosed as schizophrenia, undifferentiated type.
Which means, that she demonstrated mixed schizophrenic symptoms of others but not
enough of them to define its particular type.

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Republic of the Philippines DIVINE WORD COLLEGE OF BANGUED Bangued, Abra NURSING DEPARTMENT A case study on SCHIZOPHRENIA, UNDIFFERENTIATED TYPE In Partial Fulfillment of the Requirements in NCM 204 (RLE) Leading to the Degree Bachelor of Science in Nursing National Center for Mental Health Mandaluyong, City Pavilion 10 Submitted to: Myra P. Locquiao, R.N., R.M., MAN. Clinical Instructor Submitted by: Roderick C. Ancheta July 26, 2009 SY 2009-2010 BATCH 2010 I. BACKGROUND OF THE STUDY A. INTRODUCTION Schizophrenia is a group of psychotic reactions that affect multiple areas of an individual’s functioning including thinking and communication, perceiving and interpreting reality, feeling and demonstrating emotions and behaving in a socially accepted manner. This condition causes distortion and bizarre behavior, thoughts, movements, emotions and perceptions. This condition is usually diagnosed in late adolescence or early adulthood and rarely manifest in childhood. The symptoms of schizophrenia are divided into two major categories; the positive and negative symptoms. The positive symptoms include delusions and its types, hallucinations, loose associations and bizarre or disorganized behavior while the negative symptoms includes restricted emotions, anhedonia, avolition, alogia, catatonia and social withdrawal. Most clients with schizophrenia have a mixture of both types of symptoms. The diagnosis of this condition usually is made when the person begins t ...
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