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A Case Study on
Schizophrenia
-----------------------------------------------------------------
In Partial Fulfillment of the Requirement
In Psychiatric Nursing
-----------------------------------------------------------------
Presented to the Faculty of the
College of Nursing
--------------------------------------------------------------------
Submitted by:
Rico Miguel Louis V. Tamala
Pamela Irene D. Tampos
Omicron K
24 March 2006
TABLE OF CONTENTS
1

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I. Introduction ----------------------------------------------------------------------------------------------------------------------- 3
II. Objectives ------------------------------------------------------------------------------------------------------------------------5
III. Nursing Assessment
1. Personal History
1.1 Patient’s Profile ------------------------------------------------------------------------------------------6
1.1.1 Mental Status Exam------------------------------------------------------------------------7
1.2 Level of Growth and Development------------------------------------------------------------------9
1.2.1 Normal Development of the Young Adults-------------------------------------------9
2. Diagnostic Results -------------------------------------------------------------------------------------------------12
3. Pathophysiology and Rationale
3.1 Normal Anatomy and Physiology-------------------------------------------------------------------13
3.2 Classical and Clinical Symptoms of Schizophrenia------------------------------------------- 20
3.3 Psychopathology---------------------------------------------------------------------------------------24
3.4 Schematic Diagram on the Psychopathology of the Disease-------------------------------28
3.5 Psychodynamics----------------------------------------------------------------------------------------30
!V. Nursing Intervention---------------------------------------------------------------------------------------------------------32
1. Care guide------------------------------------------------------------------------------------------------------------34
2. Actual Patient Care-------------------------------------------------------------------------------------------------35
2.1 Brunswick Lens Model--------------------------------------------------------------------------------35
2.2 Nursing Care Plan--------------------------------------------------------------------------------------36
2.3 Drug Therapeutic Record----------------------------------------------------------------------------43
2.4 SOAPIE Chart-------------------------------------------------------------------------------------------44
2.5 Process Recording-------------------------------------------------------------------------------------46
2.6 Health Teaching Plan---------------------------------------------------------------------------------66
V. Evaluation and Recommendation-----------------------------------------------------------------------------------------68
VI. Evaluation and Implication------------------------------------------------------------------------------------------------ 70
VIII. Bibliography -----------------------------------------------------------------------------------------------------------------72
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A Case Study on Schizophrenia ----------------------------------------------------------------- In Partial Fulfillment of the Requirement In Psychiatric Nursing ----------------------------------------------------------------- Presented to the Faculty of the College of Nursing -------------------------------------------------------------------- Submitted by: Rico Miguel Louis V. Tamala Pamela Irene D. Tampos Omicron K 24 March 2006 TABLE OF CONTENTS I. Introduction ----------------------------------------------------------------------------------------------------------------------- 3 II. Objectives ------------------------------------------------------------------------------------------------------------------------5 III. Nursing Assessment 1. Personal History 1.1 Patient's Profile ------------------------------------------------------------------------------------------6 1.1.1 Mental Status Exam------------------------------------------------------------------------7 1.2 Level of Growth and Development------------------------------------------------------------------9 1.2.1 Normal Development of the Young Adults-------------------------------------------9 2. Diagnostic Results -------------------------------------------------------------------------------------------------12 3. Pathophysiology and Rationale 3.1 Normal Anatomy and Physiology-------------------------------------------------------------------13 3.2 Classical and C ...
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