Alarcon, Mikko Anthony P.

BSN406 Demographic Data My patient is RM, 59 years old, male, Filipino citizen, born on January 31, 1954. He was admitted in Mother Teresa with attending psychiatrist named Dr. Patas. His educational attainment is 3rd year Industrial Engineering. He lives alone along Quezon City. As the patient stated, he has a not so good relationship with his siblings, but it is hard to say in terms of academic purposes. He stated that his eldest sibling is a crazy person. The second sibling is a gay and he is the third one. The 4th one is the most close to me him and he is visited by her every week. The 5th one is the one he always bully he said she is a USRN. Before he was admitted he also drinks alcohol, he drinks 5 liters of softdrinks a day and smokes a lot. Patient stated he doesnt believe in God. Introduction Schizophrenia is a chronic illness requiring long-term management strategies and coping skills. Schizophrenia is a disease of the brain, a clinical syndrome that involves a persons thoughts, perceptions, emotions, movements, and behaviors. The effects of schizophrenia on the client may be profound, involving all aspects of the clients life: social interactions, emotional health, and ability to work and function in the community. Schizophrenia is conceptualized in terms of positive signs, such as delusions, hallucinations, and disordered thought process, and negative signs such as social isolation, apathy, anhedonia, and lack of motivation and volition. Psychodynamics Schizophrenia >a brain disease that interferes with perception, behavior and responsiveness

ETIOLOGY

Genetic Factors: >First degree relatives of persons w/ schizophrenia > If both parents have schizophrenia this Is the risk in their child dizygetic twins

Perinatal factors: >Women who are malnourished during their pregnancy. >Risk of giving birth to a baby who will later develop >risk for schizophrenia

PREDISPOSING FACTORS

Modifiable factors: >Maternal smoking >DM >Rubella infancy during pregnancy >Low Socioeconomic status

Non Modifiable Factors: >Family History >Older paternal age >Male > Female

Signs and symptoms

>Delusions >Hallucinations >disorganized behaviour >Loss of interest >lack of emotion Diagnostic tests

>Lack of motivation >Problems with making sense of information >Difficulty paying attention >Memory Problems

>Withdrawal >Trouble sleeping >Irritability

Categories

>CBC >Screening for alcohol and drugs >Imaging studies

>Paranoid >Catatonic >Disorganized

>Undifferentiated >Residua

Management

Drugs: >Thorazine >Haldol >Trilafen >Fluphenzine

Psychosocial > Rehabilitation > Family education >Cognitive behavioural therapy >Integrated treatment for co-occurring substance abuse.