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symptom has decreased. Hallucination, delusion and other symptom may still be present. Residual
symptoms may be include:-
Social isolation
Impairment in personal hygiene
Apathy
Illogical thinking
Loosening of association
Blunted or inappropriate affects
A. Pharmacological treatment:-
Antipsychotic drugs such as haloperidol, Risperidone, Chlorpromazine.
Antiparkinsonism drugs may be given to reduce the risks of extra pyramidal symptoms(side
effect of antipsychotic drugs- Levodopa).
Anxiolytic/sedatives:- Lorazepam, Clonazepam, Alprazolam.
C. Psychotherapy:- To enhance self esteem and to provide comfort to the client, therapist has to
utilize different psychological therapies:-
Individual psychotherapy:-
Insight oriented psychotherapy.
Supportive therapy that is reality oriented.
Methods for improving interpersonal communication and emotional expression.
Group therapy:- Group therapy is to improve skills and to improve interpersonal communication
and relationship.
Behaviour therapy:- Behaviour modification is a history of qualified success in reducing the
frequency of bizarre, disturbing and deviant behaviour and increasing appropriate behaviour.
Family therapy:- Family therapy is a well proven therapy that focuses on educating the family
and reducing amount of high expressed emotions in the household. Even when families appear
to cope well, where is notable impact on the mental health status of relatives when a family
member has the illness.
Milieu therapy:- Milieu therapy provides non-threatening democratic environment to the
client’s they will feel free to express their feelings through talking and relearn certain social
skills, decision making skills, managing skills, and a sense of responsibility are enhanced slowly
declines to learn to adapt to the living situations.
Nursing diagnosis:-
1. Altered thought process evidence by perceptual disturbance like hallucinations, delusions, loss
of reality, autism and associated problems.
Goals:- The client will be able to improve his thought process, live in reality and enjoys productive life.
Interventions:-
Interventions:-
Interventions:-
Explain the routines, procedures to the client.
Remove the client from the group, when he is having bizarre behaviour.
Protect the client from harming either to himself or to others.
Avoid increased stimuli in the environment.
Accept the client as he is.
Provide safe, non stimulating environment to the client.
Develop one to one interaction.
Never give support for misperceptions.
Assist the client in desirable activities.
Avoid to keep sharp instruments nearer to the client,to prevent self harm by the client, provide
safety measures.
4. Self care deficit related to withdrawal and cognitive impairment and perceptual disturbances.
Interventions:-
Client will develop independent living skills, daily care living activities.
Meet the total needs of the client.
Structured schedule and creative approaches can be adopted meeting his daily needs like
elimination,rest, sleep and nutritional needs. for example regular sleeping, bowel and bladder
habits.
Avoiding frequent naps in the noon time.
Provide a clean environment and serve the food in neat ,attractive and appealing manner.
Switch off main lights at 10:00 p.m. keeping dim light,soft music, serving a glass of warm milk
before going to bed.
5. Need for discharge advice, ready to go home and adjust to family environment.
Goals:- Gain family support and able to adjust with family and its environment.
Interventions:-
Interventions:-
Interventions:-
Goals:- Able to perform the activities without any difficulties related to perception.
Interventions:-
4. Impaired communication, social isolation related to low coping skills and unsatisfactory
environment.
Interventions:-
5. Knowledge deficit related to follow up care and continuity of care and treatment.
Interventions:-
Assess the self care abilities, interaction pattern, family support, situational guidance,etc.
If permitted, send the client for trial visit to family environment, observe his adaptation to the
situation.
Arrange for family gathering and spiritual meeting.
Educate the client and his family members regarding follow up visits; continuation medications,
care at home.
Create conductive and joyfull environment.
Never laugh at the client.
Structure the schedules of activities to be implemented.