35940114-Schizophrenia

8/7/2019 35940114-Schizophrenia

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INTRODUCTION

Schizophrenia comes from Greek words meaning, Split mind.It causes

distorted and bizarre thoughts, perceptions, movements, emotions and

behaviors. It cannot be defined as a single illness; rather schizophrenia is

thought of as syndrome or disease process with many different varieties and

symptoms. It is usually diagnosed in late adolescence or early adulthood.

Rarely does it manifest in childhood. The peak incidence of onset is 15 to 25

years of age for men and 25 to 35 years of age for women.

Symptoms of Schizophrenia:

Positive or Hard Symptoms Negative or Soft Symptoms

AmbivalenceAssociate looseness

DelusionsEchopraxia

Flight of ideasHallucinations

Ideas of referencePerseveration

AlogiaAnhedonia

ApathyBlunted affect

CatatoniaFlat affect

Lack of volition

The types of Schizophrenia according to DSM-IV-TR;

Undifferentiated Type: demonstrates delusions, hallucinations,

disorganized speech, disorganized behavior, and does not demonstrate

behaviors usually observed in paranoid, disorganized or catatonic types.

Catatonic Type: features marked psychomotor disturbance that may

involve motor immobility (waxy flexibility), excessive motor activity, extreme

negativism, mutism, posturing, echolalia or echopraxia.

Disorganized Type: uses disorganized speech and behavior and exhibits

flat or inappropriate behavior: does not exhibit catatonic behaviors

(psychomotor or language mimic).

Paranoid Type: uses delusions of persecutory or grandiosity, or both, less

often noted are delusional themes of jealousy, religiosity, or somatization.

Residual Type: criteria for schizophrenia and subtypes listed above are not

met; there is continuing evidence of negative symptoms and two or more of

these characteristic symptoms (delusions, hallucinations, disorganized

speech, and gross disorganization).

Although there is no cure for schizophrenia, effective treatment exist that

can improve the long term course of the illness. With many years of

treatment and rehabilitation, significant numbers of people with


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schizophrenia experience partial or full remission of their symptoms.

Treatment of schizophrenia usually involves a combination of medication,

rehabilitation, and treatment of other problems the person may have.

Antipsychotics medications are prescribed primarily for their efficacy in

decreasing psychotic symptoms. They do not cure schizophrenia; they are

used to manage the symptoms of the disease. The drugs reduce or eliminate

psychotic symptoms such as hallucinations and delusions. The medications

can also help prevent these symptoms from returning. Common

antipsychotic drugs include respiridone (Risperdal), olanzapine (Zyprexa),

clozapine (Clozaril), quetiapine (Seroquel), haloperidol (Haldol), thioridaxine

(Mellaril), chlorpromazine (Thorazine), fluphenazine (Prolixin), and

trifluoperazine (Stelazine).

Because many patients with schizophrenia continue to experience difficultiesdespite taking medication, psychological and social rehabilitation is often

necessary. A variety of methods can be effective.Behavioral training

methods can also help them learn self-care skills such as personal hygiene,

money management, and proper nutrition.In addition, cognitive-behavioral

therapy, a type of psychotherapy, can help reduce persistent symptoms such

as hallucinations, delusions, and social withdrawal.

a. Individual and group therapy: It is supportive in nature, giving the

client an opportunity for social contact and meaning relationships.

Groups that focus on topics of concern such as medication

management, use of community supports and family concerns.

b. Family therapy: Family intervention programs can also benefit

people with schizophrenia. These programs focus on helping family

members understand the nature and treatment of schizophrenia, how

to monitor the illness, and how to help the patient make progress

toward personal goals and greater independence. They can also lower

the stress experienced by everyone in the family and help prevent the

patient relapsing or being re hospitalized.

c. Social skills training: Social skills training helps people with

schizophrenia learn specific behaviors for functioning in society, such

as making friends, purchasing items at a store, or initiating

conversations.

According to the record of CVMC psychiatry department as of Jan. - Dec. of

2009 there were 95 male patients admitted in the psychiatric and among

those patients there were 36 cases of schizophrenia and its prognosis ismuch higher as of todays because as of now from Jan. - July of 2010 there

were 71 patients admitted and among them there were 53 cases of

schizophrenia. And its prognosis is increasing in number. In female ward as

of Jan. Dec. of 2009, there were 38 patients admitted and among those

patients, there were 21 cases of schizophrenia. From Jan. July of 2010,


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there were 43 patients admitted in female ward, and among those patients

there were 26 cases of schizophrenia. There are 697,543 cases of

schizophrenia in the Philippines, 75% are males and the rest are females.

And 51 million people worldwide suffer from schizophrenia in which males

have the most number of percent.

This statistics shows that males have the greater risk to develop psychiatric

disorder such as schizophrenia because of their lifestyle and keeping their

emotions.

We have chosen this case for the reason that we want to gain more

knowledge about the disorder and also to enhance the knowledge we

learned in Psychiatry Nursing in relation to its application in actual setting.

MENTAL STATUS EXAMINATION AND

PSYCHIATRIC NURSING ASSESSMENT

A. Appearance

The patient dressed neatly and appropriately for his age. She is

very active and maintains eye contact whenever possible. He

experienced shaking of legs as a side effect of haloperidol.

Generally she is well-nourished.

B. Speech

C.He talks in moderate and loud, his words are clear but sometimes

stuttered. He skips from 1 topic to another, when he answered the

question marunong kang magsulat kuya? he answered opo maam,

kumakanta at sumasayaw pa ako maam ah. He talks non-stop, his

responses are not minimal by yes or no, and rather he elaborates

answers to questions asked. Most of the time the content of his words

is relevant. He doesnt manifest neologism.

D. Level of Consciousness

E.He is responsive and not confused. He was able to sustain attention but

sometimes distracted with other patients when they talk very loud. He

answers questions accurately and can follow simple instructions such

as to sit down and carry the chair.


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F.Emotional Status

G.Most of the time he is happy but sometimes he cries in silent because

he always remember her sister E. he verbalized that sana andito siya,para kunin na niya ako dito.

H. Cognitive Functioning

I. He is oriented with person, place and time. He knows his full name, and

his sisters name. He is aware of the present day, month and year. He

knows his birthday. He was able to spell children, can count 1-100 and

can name days of the week and months of the year correctly. And also

do simple calculation.

J. Abstract Thinking

K. When he was asked to interpret the common proverb Kung mayroong

itinago, May madudukot he provides a little explanation which is Nu

indulin mu ti kwarta, adda maalam. He also explained Aanhin pa ang

damo kung patay na ang kabayo with Awanen a maam, natay met

diay kabayo nga mangan kuma.

During the working phase we also asked him to explain themassage of the song kanlungan, he answered Para sa akinpo, ang ibig sabihin ng kantang yan ay, isang buhay lang angmeron tayo at dapat nating pahalagahan ito dahil kapag tayoynamatay, mga ala-ala nalang ang maiiwan.He cant interpretthe meaning thus concrete thinking is present.

L.Insight and Judgment

M. When we asked Nu adda ti mapidut mu nga pera anya ti aramidam?

He answered isublik a maam ngem nu singko haanen panggatung ku

latta ti sigarilyo kun. While in the ward, he still engages in smoking

and even exchanges his things with cigarette. Hence, he has a poor

judgment.

N.He manifests good insight since he accepts the responsibility for his

actions. He verbalized Napabarkada kasi ako noon maam,

naninigarilyo ako at umii,om ako ng hard liquor un bang gin maam. Healso verbalized Behave na ako maam, kapag nakalabas na ako

maam di na ako maninigarilyo at iinom ng alak.

O. Memory


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Recent: when he said nagluto ako ng nilagang saging noon

maam, nung si maam Alona pa ang student nurse ko eh.

Immediate: when he immediate knew his student nurses

name, he stated that si maam Alona Foronda ang student

nurse ko maam.

Remote: when he said naalala ko maam nung natanggal si

Estrada bilang Pangulo, naimpitch pa nga siya eh, ang pumalit si

GMA pero nandaya naman siya dahil dun sa Hello Garsi!

I. Physiologic and Self Care Considerations

The patient stated that he eats 3 times a day with 2 snacks, takes

a bath everyday, changes his clothes daily and brushes his teeththrice a day. He usually sleeps for 8 hours and takes a nap at

daytime as a side effect of the drug. He takes his medicine at

morning and night. The patient knows proper hygiene and

complies with the medications.


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OBJECTIVES

GENERAL OBJECTIVES:

At the end of the case presentation, we the presenters aim to share to our

audience the knowledge that we have gained about schizophrenia, the skills

required to manage the patient and the attitude that we must obtain to

become an effective and efficient nurse to the patient that we may

encounter in the future.

SPECIFIC OBJECTIVES:

Specifically, we aim to:

Define what is schizophrenia disorder

Enumerate the different types and the signs and symptoms manifested

in the disorder.

Determine the patient s psychiatric health history

Discuss the patients mental status

Review the Anatomy and physiology of the disorder

Trace the psychopathology of the disorder

Interpret the laboratory result of the patient

Formulate Nursing care Plan utilizing the nursing process

Discuss the medication of the patient

Interplay the nurse patient interaction


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PSYCHIATRIC NURSING HISTORY

A.GENERAL INFORMATION

Patients initial: A.DG

Age: 39 years old

Gender: Male

Marital Status: Single

Address: Magapit, Lallo Cagayan

Birthday: October 16, 1969

Birthplace: Lallo, Cagayan

Religion: Roman Catholic

Dialect: Tagalong, Iloko, English

Educational Attainment: High School Graduate

Occupation: Vendor

Date of Admission: March 9, 2009

Chief complaints: He claimed that sinira ko yung parlor ng ate ko, sa

pagwawala ko,pinagpapatay ko ang manok namin,

di ako makatulog ng ilang araw. And lagi syang

nagsasalita mag-isa as been added by his sisterw/c is his companion when he was admitted.

Final Diagnosis: Schizophrenia UT, In relapse

Attending physician: Dr. Jerry Sagabaen

Dr. Leonara Juliana

Source of information: Patient, Patients chart and Staff


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B. PSYCHIATRIC HEALTH HISTORY

1. PSYCHIATRIC HISTORY

Patient ADG stated that he had experienced episodes of depression when their

parents left them and he was still in elementary level. He stated that may balak

akong magbigti, uminom ng acetone, maglaslas at magpasagasa sa dami ng iniisipkong problema. Pero hindi ko nagawa ang mga yun dahil sa ate ko, sobra kasi ang

pag aalaga nya samin. He also stated that may time na nagbabago ang ugali ko

hindi ako nambubugbog pero pumapatay ako ng manok kung saan saan ko

tinatapon, minsan sinusunog ko na lang, minsan tumawa ako mag isa, nagsasalita

ako mag isa.

A week before patient ADG was admitted he claims that sinira ko yung parlor ng

ate ko sa pag wa wala ko, pinagpapatay ko ang manok namin, at di ako makatulog

ng ilang araw.and his sister added lagi syang nagsasalita mag isa, in w/c his

companion when he was admitted.

MEDICAL HISTORY

According to patient ADG when was still a child he experienced colds, cough and

fever. He stated that kwento ng ate ko, naglalagay ang nanay ko ng dahon ng

oregano sa noo ko noon, pati yung dahon ng saging sa may tiyan ko pag may

lagnat ako eh. Pero pag malalana ang sakit ko gamot nlang ang binibigay nila sa

akin gaya ng Biogesic. He added that he had not incurred any type of surgery. He

only sustained superficial wound on the temporal area of his face and his left and

right eyebrow after he made his co- patients (R.P., S. V., M. F., and R. F.) get mad

because of his being talkative.

2. PERSONAL AND SOCIOECOMIC HISTORY

According to patient ADG, he only finished secondary level with the age of

20. He stated that mabarkada kasi ako noon. Naninigarilyo ako( Malboro

and Philip 3sticks/day) at umiinom ako ng alak (Gin) pag may occasion lalo

na pag birthday ng barkada ko. He also said that he had been in live-in

relationship with Ms. P for 5 yrs. and Ms. L for 3 yrs. He stated that ayaw na

ayaw kong magpakasal, mas gusto kong ibahay nalang ang babae.

According to him, he had been a vendor of mani and juices like buko juice

for 4 yrs infort of the schools. This is to help his sister E to earn money. He

stated that pagmay sobra sa binebenta ko yung hindi nabili binibigay ko

lahat sa mga pamangkin ko at mga apo.


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According to him, they were left by his parents when he was in elementary

level. He stated that mas malapit ako sa ate ko kasi siya na ang nag alaga

samin, kaya ayaw na ayaw ko siyang saktan, kung pwede lang gagawin ko

ang lahat para sa kanya.

3. HISTORY OF PRESENT ILLNESS

According to patient ADG one week before he was admitted, he stated that

nasira ko ang parlor ng ate ko sa pagwawala ko, hindi rin ako makatulog

siguro mga limang araw na,pinag papatay ko din ang mga manok, tinatapon

ko pa nga ang mga yun ,minsan sinusunog ko na lang at nagsasalita ako

mag isa kung anu ano pinagsasabi ko. He added that mas lagi ko itong

ginagawa simula noong binagbintangan akong nirape ko ang anak ng ka live-

in ko noon, hindi nila alam na wala akong ginawa dahil tinuring ko din naman

tunay na anak yun.

According to him, maybe because of these things and concern his sister E

accompanied him to be admitted in CVMV Psychiatric ward. In there, he was

admitted last March 9, 2009 with a diagnosis of Schizophrenia, UT In relapse.

4. DEVELOPMENTAL HISTORY

According to patient ADG, his sister told him that when he was an

infant he was been breastfed, he also stated that kung anu ano daw

ang sinusubo ko noon. He learned how to walk before he reaches his

first year of life. He also added that marunong na daw akong mag

hawak ng kutsara at tinidor kaso nagkakalat naman ang mga pagkain

ko kaya yun lagi akong pinapagalitan daw ni nanay, yun ang sabi ni

ate E____.

When he was 3 yr. Old, he was trained to urinate with the use of

arenola. But when he defecate, he just defecate anywhere at theirbackyard at daytime and use arenola during night time, he said that

ang sabi ni ate noong nagkekwento siya, ginigising ko ang nanay

pagnatatae ako ng gabi noon, umiiyak pa daw ako ng malakas pag di

nila ako pinapansin.

When he was 5 yr. old, he said that tinutiruan akong magbilang noon

gamit ang tingting at mais,nagdodrawing ako ng linya noon, mga

bahay tapos kinukulayan ko, kahit ABC tinuturo sa akin. He also

added that namimili daw ako ng kalaro ko noon, mas gusto ko daw na

kalaro ang mga lalake noon,yun ang sabi nila, bihira pa nga daw akongmagshort noon kaya yun nilalaro ang ari ko noon.

During his elementary life, he said that sumasali nak ti sala ken

kinnantaan nu adda ti program ti iskwela mi. He also added that

nagkaroon ako ng puppy love, mas matanda sa akin. Naalala ko pa nga

noon inaabangan ko siya lagi, nagbibigay ako ng sulat.


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During his High school life, he stated that nagkaroon na ako ng

Girlfriend pero nagbreak din kami kasi palaaway ako noon. Dito ako

natutong manigarilyo, uminom ng alak at bumarkada. Nagtagal ako sa

high school pero dahil sa ate ko tinuloy kong mag aral at mabuti na

lang nakatapos parin ako. According to him, he was circumsized

during his high school life. He also added that when he was in high

school, he had his first sex at the age of 18. He has never had

homosexual experiences.

At the age of 26, he stated that nagkaroon ako ng ka live-in noon si

P_____ at si L___ may mga dati na silang asawa. Si P_____ mahigit

limang taon na kami pero mas gusto nyang maglagi at magtrabaho sa

manila kaya yun iniwan niya ako. Tapos si L__ mahigit tatlong ataon

kami noon, may dalawa siyang anak tinuring ko na din mga anak yun

kahit hindi galing skin, nagkahiwalay lang kami noong pinagbintanaganakong rereypin ko ang ank niya na saktong nadatnan niyang

naghuhubad sa harap ko. He also added that nagtitinda ako ng mani

at mga juice sa harap ng skul noon, yung hindi ko nabenta

pinamimigay ko sa mga pamangkin at apo ko.

According to the client, he never has any weight problems or any

inferiority problems.

ANATOMY AND PHYSIOLOGY


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LABORATORY AND OTHER DISGNOSTIC

EXAMS

RADIOLOGIC EXAMINATION

04-11-09
http://nursingcrib.com/wp-content/uploads/anatomy-brain.jpg


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Interpretation:

Chest (PA)

Both lungs fields are clear and with normal vascular pattern. Heart and

great vessels are normal in size and configuration. Other chest structures

are unremarkable.

Impression:

No radiographic abnormality within the chest.

LABORATORY RESULT

RESULT

UNIVERSITY OF CAGAYAN VALLEY

COLLEGE OF HEALTH

TUGUEGARAO CITY

Grand case Presentation

On

Schizophrenia, UT In relapse

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In partial fulfillment of the requirements in NCM 104

Related Learning Experience

Presented by:

Cloyd P. Sagundo

Bong-bong A. Taguinod

Jelanie T. Calimag

Karelle Kilgerinn Q. Discipulo

Alona Jane T. Foronda

Angelica M. Morales

Angelie M. De Polonia

Jenevie C. Sabban

Group D; Cluster A

Presented to:

Mr. Lourish B. Conag RN, MSN

Clinical Coordinator

College of Health

Nurse-Patient Interaction


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the

ins

tru

ction

giv

en)

Opo

Ma

a


30/76

m.

Ma

hi

mb

ingng

apo

an

g

tul

og

ko.Na

na

gin

ip

ng

a

po

ako

eh.

Na

ka

uw

i

nara

w

po

ak

o

at

kas

ama

ko

nara

w

po

mg

aka

pat

id

ko.

Opo.

(Si


31/76

le

nc

e)

Para

saaki

n

po,

an

g

ibig

sab

ihi

n

ng

ka

ntangya

n

ay,

isa

ng

bu

ha

ylan

gan

gme

ron

tay

o

at

dapat

nat

ing

pa

hal

aga

ha

nito

da

hil

ka

pa

g

tay


32/76

oy

na

ma

tay

,mg

aala

-

ala

nla

ng

maiiw

an.

Jus

t

sm

iles

bac

k.

Hindi

na

ma

n

po

ma

a

m.(S

mil

esbac

k)

O

po

M

a

a

m

.(

S

m

i

l


33/76

e

s

b

a

ck

)

Si

g

e

p

o

Ma

a

m

as

a

h

a

nk

o

p

oul

it

k

a

y

om

a

m

h

a.

S

alam

at

di

n

(

S

m


34/76

il

es

b

a

ck)

Opo

Maa

m.

Opo

ma

m,

m

as

ay

a

po

kung

ga

nun.(

sm

ili

ng

)

Hi

nd

i


35/76

na

m

an

ga

ano

mar

a

mi

m

a

am.

(s

mi

lin

g)

Op

o.

Ma

say

a,

exc

ite

d

nang

a

po

ak

o

eh,

bu

kasna

lan

g

po

sab

ad

o

na.

Kaka

nta

po

ak

o

tap

os

sas

ayaw.

(la

ug

h)


36/76

Opo

maa

m,

pal

agi

ng

a

po

akon

g

nanal

o

eh.

Op

o.(laug

h)

Op

o

ma

am.

Op

o,

siy

em


37/76

pre

ma

a

m

(Smil

e)

M

a

g

a

n

d

a

n

gh

a

p

o

n

p

o

k

uy

a

B

ub

u

t,

ku

m

u

s

t

a

n

ap

o

?

(

S

m

il

e

)


38/76

H

a

li

n

a

po

k

a

y

o

,

upo

p

o

t

a

y

o

d

u

n.

(L

e

a

d

i

ng

t

o

a

p

l

a

ce

w

h

e

r

e

N

P

I

co

u

ld

t

a

k

ep

l


39/76

a

c

e

)

N

a

ka

ka

p

a

g

p

a

h

i

n

g

an

a

m

a

n

p

ob

a

k

a

y

ok

uy

a

n

g

m

a

i

g

i

?


40/76

An

o

n

a

m

a

n

po

n

a

p

an

a

gi

ni

p

a

n

n

y

o

?

G

an

u

n

p

o

b

a

?(

S

il

e

nc

e

)


41/76

ctivit

y:singi

ng

the

song

kanl

unga

n

Ku

y

a

s

a

s

ar

il

i

n

y

op

o

n

gp

a

n

a

n

a

w

,

an

o

p

o

i

b

ig

i

p

a

h

i

w

a

ti

gn

a

k

a


42/76

n

t

a

n

gy

an

?

W

o

w

an

g

g

a

li

n

gpo

a

h

.

(

S

m

ile

)

A

A

ng

g

ali

n

g

n

yo

n

g


43/76

m

a

g

l

ar

ok

u

y

a

a

h,

n

a

p

a

g

o

dp

ob

a

k

a

y

o

?

(S

m

ile

)

S

a

l

u

n

e

s

po

u

li

t

b

a

g

o

n

am

i

ng

k

a

y

ok

u

k


44/76

u

n

i

n

sa

su

s

u

n

o

dn

a

l

u

n

e

s

po

da

p

a

t

n

a

k

ali

g

on

a

k

a

yo

,

n

a

k

a

t

oo

th

b

r

u

s

h

,

na

k

ap

a

li

t

ng

d

a


45/76

m

it

a

t

na

ka

i

n

o

m

n

a

p

o

k

a

y

on

gg

a

m

o

t

n

y

o.

M

ali

n

a

w

p

o

b

a

y

u

n

?(

Sm

il

e

)

S

ige

p

o

k

u

y

a


46/76

B

u

b

u

t,i

ha

h

a

ti

d

ko

n

a

p

o

k

a

yo

sa

l

o

o

b

.

S

al

u

ne

s

p

o

uli

t

?

M

a

r

a

mi

ng

s

a

l

a

m

a

tp

o

ku

y

a

B

ub

u

t,


47/76

s

a

o

r

as

.(

S

m

il

e

)

econ

dweek

activi

ty:

playi

ng

bingg

o

Di

b

a

po

k

u

y

a

B

u

b

ut

n

a

p

a

g

us

ap

a

n

na

ti

n

nu

n

g

i


48/76

s

a

n

g

lin

go

n

a

n

g

ay

o

n

t

a

y

o

ma

gl

a

l

a

r

o

n

gb

i

ng

o

.

B

a

l

e

po

a

n

g

l

a

ro

n

g

it

o

ay

m

a

yn

a

k

a


49/76

l

a

a

n

na

pr

e

m

y

o

ku

n

g

s

i

n

o

ma

na

n

g

m

a

n

a

na

l

o.

A

M

a

r

a

m

i

k

ay

o

n

g

na

k

u

h

an

g

p


50/76

r

e

m

y

ok

uy

a

a

h

?

Ba

l

e

p

o

m

a

gk

a

k

a

r

o

o

np

o

t

a

y

o

n

g

s

oc

i

ali

z

a

ti

on

s

a

m

i

y

e

rk

u

l

e

s

,

a

n


51/76

o

p

o

n

gn

ar

a

r

a

m

da

m

a

n

n

y

o

pa

ym

a

y

m

g

a

g

an

it

on

g

a

c

tiv

it

i

e

s

?

M

ah

il

i

gp

o

b

a

k

ay

o


52/76

n

g

m

a

ki

sa

li

s

a

m

ga

p

a

l

a

r

o

tu

wi

n

g

m

a

y

s

oc

i

ali

z

a

ti

on

?

W

o

w

g

a

lin

gp

o

ma

b

u

ti

na

m

a


53/76

n

p

o

k

un

gg

a

n

u

n

.

S

o

d

a

p

a

t

po

p

a

g

h

a

n

da

a

n

n

a

ti

n

p

a

ra

s

ag

a

n

u

nm

a

n

a

l

o

p

ot

a

y

o

u

li

t

s


54/76

a

m

g

a

pa

la

r

o

.

S

o

k

u

y

a

Bu

bu

t

n

a

p

a

g

-u

s

a

p

a

n

n

an

g

a

p

o

n

a

tin

n

am

a

g

k

a

k

ar


55/76

o

o

n

n

ga

ta

y

o

n

g

so

c

i

a

li

z

a

tio

na

t

m

a

r

a

m

ip

o

ta

y

o

n

ga

c

ti

v

it

i

e

sn

ag

a

g

a

w

i

n

,a

a

sa

h

a

n

ko

p

o


56/76

n

a

t

a

la

ga

n

g

m

a

ki

k

il

a

h

o

k

ka

ha

.

S

i

g

e

p

o

k

uy

a

B

u

b

u

th

a

n

g

g

an

g

b

uk

a

s

p

o

u

li

t.

(S

m

il

e

)

TE


57/76

R

MI

N

AT

IO

NP

H

A

SE

Greetingth

eclientindicatesthatsh

eisbeingrecognizedbyth

eSNasaperson.

Notingtheef


58/76

fortsthecli

enthasmadeallshowth

attheSNrecognizestheclientasaperson/individualthustheclientgivesafeelingofself-co


59/76

nfidence.

Suggestingcollaboration.

TheSNseekstooffe

rarelationshipinwhich

theclientcanidentifypr

oblemsinliving


60/76

withothers,gr

owemotionallyandimpr

oveabilitytoformsatisfactoryrelationships.

Offeringonesse

lfcouldlessenup


61/76

theanxiety

leveloftheclient.Withou

rknowledgethattheclientwearehandlinghavecertainpointsintheirliveswhereinthere


62/76

egowaswea

kandtheirself-esteem

werelow.Withthis,weshouldofferourselvesanddevotesomeofourtimetothemforth


63/76

emtofeelth

atpeoplearereadytoguid

ethemwhentheyneedguidance.

Seeking

informationregardingon

esstrengthwou


64/76

ldletthepa

tientrecognizethegood

partinhim.

Suggestingcollaboration

.TheSNseekstooffer

arelationshipin


65/76

whichthecli

entcanidentifyproblem

sinlivingwithothers,growemotionallyandimproveabilitytoformsatisfactoryrelationsh


66/76

ips.

Weshouldalsoconsidernonverbalcuesthepatientshowsforthiswouldhelp

usdeterminethecongruen

cyofdatathatthe


67/76

patientgive

sus.Observingalsothe

reactionsofthepatienttoacertainstimuliwouldletusdetermineifherespondsappropriat


68/76

elyornot.

Encouragingexpression.

TheSNaskstheclienttoconsiderpeopleand

eventsinlightofhisown

values.Doingso


69/76

encouragesth

eclienttomakehisow

nappraisalratheracceptingtheopinionofothers.

Givingthepatientth

enecessaryinfor


70/76

mationwou

ldletthepatienttoask

particularquestionsifthereareanyforhimtolessenanxietyandtoparticularlyfeedhim


71/76

theinformat

iononwhattoexpect.

Co

nsi

ste

ntap

pr

oa

ch

an

d

ap

pr

ais

al

of

po

siti

ve

res

ult

sshou

ld

be

ex

pr

ess

ed

for

the

cli

entto

fee

lwo

rth

y

an


72/76

d

to

gai

n

coop

eratio

n

in

the

su

cc

ee

di

ng

int

era

ction

s.

Ok lang po Maam. (Smile back)

Siyempre naman po maam.

Just followed instruction given.


73/76

Opo maam.

Kakanta po ako tapos sasayaw maam.

Opo maam para po mas masaya. (laugh)


74/76

Masaya po kasi marami na akong premyo, pero malungkot din kasi aalis nakayo.

Mabuti naman po kung ganun maam. Para makalabas po ulit kami. (Smilesback)

Maraming salamat din po maam. (Smile back)

Hello po kumusta na po kayo? (Smile)

Wow, ang ganda po ng damit mo ah, talagang pinaghandaan nyo po ang socialization natin ah.

Hali na po kayo ate, doon po tayo. (Leading to the socialization area.

Kuya galingan nyo po mamaya sa mga palaro natin ah, tutulungan ko po kayo. (Smile)


75/76


76/76

So sana po kuya may natutunan po kayo sa amin kahit papaano po maraming salamat din po na

naging parte po kayo ng buhay ko. At marami po akong natutunan po mula sa inyo. Maraming

salamat po kuya Bubut. (Smile)

35940114-Schizophrenia

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Transcript of 35940114-Schizophrenia