S.G.

L COLLEGE OF NURSING, SEMI JALANDHAR

(MANAGED BY BABA KASMIRA SINGH JAN SEWA TRUST)

LESSON PLAN ON
SCHIZOPHRENIA
(GNM IIND year)

Submitted To:
Ms. LALITA JANGWAL
PROF CUM PRINCIPAL
SGL COLLEGE OF NURSING

SUBMITTED BY:
Ms. MONIKA JOSEPH
ASSTT.PROF.
MENTAL HEALTH NURSING
SGL COLLEGE OF NURSING
 LESSON PLAN

TEACHER NAME : Ms. MONIKA JOSEPH

SUBJECT : PSYCHIATRIC NURSING

TOPIC : SCHIZOPHRENIA

GROUP : GNM 2ND YEAR

TIME : 50 MINS

PLACE : SGL NURSING COLLEGE

METHOD OF TEACHING : LECTURE CUM DISCUSSION

A.V AIDS : BLACKBOARD, OHP, CHARTS AND

LCD

GENERAL OBJECTIVES: After completion of teaching the student will the gain the knowledge

about schizophrenia and nursing management.

SEPECIFIC OBJECTIVE: On completion of the topic, the students will be able to know about:

o Introduction and definition of schizophrenia.

o Types of schizophrenia

o Causes and sign & symptoms of schizophrenia

o Management of schizophrenia

o Nursing management of schizophrenia

S.no Time Specific objective Content Teacher Activity Learning A.V Aids Evaluation
Activity

1 1 Introducing the INTRODUCTION Lecture Listening Orally The

topic The word schizophrenia is coined by swiss students are
psychiatrist Eugen Bleuler in 1908. It is derived able to
from the greek word Skhizo (split) and phren know about
(Mind). the
frustration.
2 2 Describe the DEFINITION Lecture cum Listening and OHP Written test
definition Schizophrenia is a psychotic condition discussion active
characterized by a disturbance in thinking, participation
emotion, volition and faculties in the presence
of clear consciousness, which usually leads to
social withdrawal.
3 5 Explain the types CAUSES OF SCHIZOPHRENIA : Lecture cum Listening Blackboard Quiz
of frustration - Genetics factor discussion
- Chemical factor
- Brain abnormality
- Psychological factor
- Environmental factor
4. 10 Describe the TYPES OF SCHIZOPHRENIA Lecture cum Listening Orally Short
nature of - Paranoid schizophrenia discussion answer
frustration - Disorganized schizophrenia
- Catatonic schizophrenia
- Undifferentiated schizophrenia
- Residual schizophrenia
 - Post schizophrenic depression
- Simple schizophrenia
5 10 Enumerate the SYMPTOMS OF SCHIZOPHRENIA Lecture cum Listening Orally Short
measures to A) POSITIVE SYMPTOMS discussion answer
overcome - Delusions
frustration - Hallucinations
- Aggression
- Bizzare behavior
- Aggression
- Grandiosity
B) NEGATIVE SYMPTOMS
- Lack of emotions
- Withdrawal from family and friends
- Reduced energy
- Lack of motivation
- Loss of pleasure
- Moodiness
C) BLUELER’S 4 A’s
- Loosening of association
- Affect disturbance
- Ambivalence
- Autistic thinking
D) FIRST RANK SYMPTOMS
- Audible thoughts
- Voices heard arguing
- Voices heard commenting on one’s action
 - Experience of influences playing on the
body
- Thought withdrawal
- Thought insertion
- Thought diffusion
E) FIRST RANK SYMPTOMS
- Sudden delusional disorder
- Perplexity
- Euphoric mood
6 10 Discuss MANAGEMENT OF SCHIZOPHRENIA Lecture Listening Orally Questioning
management of 1. MEDICAL MANGEMENT
schizophrenia - Antipsychotics: older medications-
Thorazine, prolixin, Haldol, mellaril. Newer
medication: Risperdal, clozaril.
2. PSYCHOSOCIAL THERAPY
- Rehabilitation
- Individual psychotherapy
- Family therapy
- Group therapy
3. HOSPITILIZATION: People with
schizophrenia may be treated as outpatient.
People with severe symptoms require
hospitalization to stabilize their condition.
4. ECT: It may be useful when all medications
fails and in severe depression:
- Catatonic stupor
 - Acute exacerbation
- Severe side effect with drugs
5. PSYCHOSURGERY
- Lobotomy, surgery used to correct certain
nerve pathway in the brain.
7. 5 Discuss Nursing NURSING MANAGEMENT Lecture Listening Orally Quiz and
management of NURSING DIAGNOSIS short
schizophrenia - Disturbed thought process answer type
- Disturbed sensory perception questions
- Disturbed personal identity
- Impaired social interaction
- Impaired verbal interaction
- Potential for violence
- Self - care deficit
- Altered nutrition less than body
requirement
- Sleep disturbances
- Ineffective individual coping
8. 2 Explain the home HOME CARE Lecture cum Listening Orally Questioning
care about - Being non- judgmental to the client. discussion
patient - Provide emotional support to the client.
- Provide assistance in maintaining personal
hygiene of the client.
- Show empathy regarding client feeling.
- Do not converse with voices.
- Decrease excessive stimuli in the
 environment.
- Protect the client from harming himself.
- Assess the client for side effects of
medication
9 1 Summarization of SUMMARIZATION Lecture Listening Orally
the topic Today I have discussed about:
- Introduction of schizophrenia
- Definition of schizophrenia
- Types of schizophrenia
- Sign and symptoms of schizophrenia
- Medical management of schizophrenia
- Nursing management of schizophrenia
- Home care
10 2 Recaptulization RECAPTULIZATION Lecture Listening Orally Questioning
- Define schizophrenia
- Types of schizophrenia
- Sign and symptoms of schizophrenia
- Nursing management of schizophrenia
11 2 References REFERENCES
- Gupta KR. “A textbook of mental health
and psychiatric nursing”. Published by PV
edition 2011. Page no: 142-151.
- Sreevani R. “ A guide to mental health &
psychiatric nursing”. Published by Jaypee.
Edition 3rd. Page no: 137-148.