Objective and purpose

This study was conducted keeping in mind the general purpose of which w as that at the end of
atleast 3visitations, the nursing students will be able to gain knowledge about the different
Psychiatric problems learned from Psychiatric Nursing, develop skills in assessment and problem
identification in actual setting and enhance supportive role and attitude to psychiatric patients that
needs guidance and impart health teaching for the benefit of individuals with mental disorders.
Through the formulation of daily and weekly plans of activities the group will be able to meet the
following goals:  initially, to establish rapport with the patient and her family;  to conduct a
complete and thorough nursing assessments on the patient as well as to obtain her medical and
nursing history using both primary and secondary sources of information;  to use therapeutic
communication skills especially during Nurse-Patient Interactions so as to gain patient’s trust and
confidence and impart genuine interest, empathy, acceptance and positive regard;  to identify
maladaptive behaviours through the assessments done;  to plan courses of action and to perform
nursing interventions in bringing comfort and safety to patient with health teachings.

Scope and limitation

The group had chosen this specific case in order to better understand the factors that contribute to
the development of mental illness specifically schizophrenia, and how they affect all the aspects of
an individual’s personality, keeping in mind the application of the nursing process as well as nursing
management of the signs and symptoms of the disease. This case focused on “N.S” who admitted in
SPMC. 2 weeks, were spent for the Nurse-Patient Interaction phases. The feelings, emotions,
thoughts, behaviours, and actions were all taken into account. Pertinent data were obtained from
the hospital. The study was patient-centered. The patient may not manifest all of the signs and
symptoms that are expected from schizophrenia.
 I. Medical management

GENER BRAN CLASSIFIC DOSE/ MECHA SPECIFI CONTRAI SIDE NURSING

IC D ATION FREQU NISM C NDICATI EFFECTS/ PRECAUTI
NAME NAME E NCY/ OF INDICA ON TOXIC ON
OF ROUTE ACTION TI ON EFFECTS
ORDE
RE D
DRUG
chlorp Thoraz antipsycho 100mg Antipsy Manage Contrain >drowsin Assess
ro in e tic /O D ch otic ment of dic ated es s mental
mazin drugs manifes with >weakne status
e block ta tion hypersen ss >nasal prior to
the of si tivity congesti and
postsyn psycho to on periodicall
a ptic tic chlorpro >dyspne y during
dopami disorde ma zine, a >fever therapy. •
ne rs parkinso >sweatin Monitor
recepto n’s g BP and
rs in disease, pulse prior
the severe to and
brain: hypotens frequently
depress io n or during the
those hyperten period of
part of si on dosage
the adjustmen
brain t. May
involve cause QT
d with interval
wakeful changes on
n ess ECG. •
and Observe
emesis patient
carefully
when
administeri
ng
medication
, to ensure
that
medication
is actually
taken and
not
hoarded.
•Monitor
I&O ratios
and daily
eight.
Assess
patient for
signs and
symptoms
of
dehydratio
n.