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Schizophrenia Concept Map

Schizophrenia is a disorder with biological and environmental risk factors. It causes positive symptoms like hallucinations and delusions, as well as negative symptoms like lack of motivation. Conventional antipsychotics treat positive symptoms while atypical antipsychotics treat both positive and negative symptoms. Nursing assessments evaluate symptoms in four categories - positive, negative, cognitive, and affective. The nursing diagnosis is often distorted thought processes and impaired self-control. Goals are for patients to maintain proper affect and interactions, report decreased hallucinations or delusions, and validate reality. Interventions include identifying risks, screening, managing symptoms, administering and monitoring medications, and reporting side effects. Evaluations determine if treatment goals were reached.
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86% found this document useful (7 votes)
17K views1 page

Schizophrenia Concept Map

Schizophrenia is a disorder with biological and environmental risk factors. It causes positive symptoms like hallucinations and delusions, as well as negative symptoms like lack of motivation. Conventional antipsychotics treat positive symptoms while atypical antipsychotics treat both positive and negative symptoms. Nursing assessments evaluate symptoms in four categories - positive, negative, cognitive, and affective. The nursing diagnosis is often distorted thought processes and impaired self-control. Goals are for patients to maintain proper affect and interactions, report decreased hallucinations or delusions, and validate reality. Interventions include identifying risks, screening, managing symptoms, administering and monitoring medications, and reporting side effects. Evaluations determine if treatment goals were reached.
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© Attribution Non-Commercial (BY-NC)
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  • Disorder/Dx: Schizophrenia Overview: Provides an overview of schizophrenia focusing on risks, the nursing process, and medications involved in management.

Disorder/Dx:

Schizophrenia
Risks
Biological Factors: genetic, neurobiological, brain structure abnormalities Psychological and Environmental factors: prenatal stressors, psychological stressors, and environmental stressors

Nursing Process
Assessment

Medications
Conventional antipsychotics treat positive symptoms only (i.e.) Chlorpromazine (Thorazine), Thioridazine (Mellaril), Loxapine (Loxitane), Thiothixene (Navene) Atypical antipsychotics treat positive and negative symptoms (i.e.) Aripiprazole (Abilify), Clozapine (Clozaril), Olanzapine (Zyprexa), Paliperidone (Invega), Quetiapine (Seroquel)

S/S:

positive, negative, cognitive, and affective symptoms --- signs include the four As, affect, associative looseness, autism, ambivalence
A B C T

S/S for Mgt


Positive symptoms: presence of something that is not normally present (hallucinations, delusions, bizarre behavior, paranoia Negative symptoms: absence of something that should be present but is not (lack of motivation, anhedonia, and poor thought processes) Cognitive symptoms: abnormalities in how a person thinks Affective symptoms: symptoms involving emotions and their expression

Nsg Dx Distorted Thought Self Control Pt Goals/Expected Outcomes


Maintains affect consistent with mood, interacts appropriately, reports decrease in hallucinations or delusions, asks for validation of reality

Nursing Interventions: ID Risks Screening Manage S/S Rx Administer and Monitor Meds Report S/E

Evaluation Goals/Expected Outcomes Reached?

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