I.

INTRODUCTION

A. Overview Psychiatric nursing or mental health nursing is the specialty of nursing that cares for people of all ages with mental illness or mental distress, such as schizophrenia, bipolar disorder, psychosis, depression or dementia. Nurses in this area receive more training in psychological therapies, building a therapeutic alliance, dealing with challenging behavior, and the administration of psychiatric medication. Its primary concern is the behavior of human beings. It is concerned with assisting individuals, families, and community groups to achieve satisfying and productive patterns of living. Human beings have always been concerned about behavior that is different from what is usually encountered in their society. To practice psychiatric nursing effectively, the nurse must constantly adjust and readjust her approaches to clients and lengthen her patience to continuously strive to understand the clients behavior and the emotional needs expressed by that behavior. In Addition, psychiatric nurse is to maintain a positive therapeutic relationship with patients in a clinical setting. The fundamental elements of mental health care revolve around the interpersonal relations and interactions established between professionals and clients. Caring for people with mental illnesses demands an intensified presence and strong a desire to be supportive. The study of the illness Paranoid schizophrenia defined as tends to appear later in life, usually around the age of 25 to 30. The main features are a preoccupation with one or more delusions or frequent auditory hallucinations, but nothing prominent in terms of disorganized speech, flat or inappropriate emotions. The delusional content (the beliefs) of the person with paranoid schizophrenia is marked by grandiosity, or persecution, or both. Onset can be fairly rapid but may be difficult for others to recognize it for what it is. Anger, irritation or argumentative behavior may be the most prominent features, as is extreme jealousy.

The purpose of this study is to allow us to know and identify the various behaviors manifested by our chosen mentally ill patient and be able to understand and interpret their meanings. However, the data included in this psychiatric case study are authentic and limited only to the statements based on the observations of our informants. These informants include the patients families, relatives, and neighbors. The patient himself restricted the time spent with him for interview; therefore, we only gathered enough data from him as basis of this study.

B. Objectives and purpose of study At the end of our psychiatric nursing case study, we would be able to internalize and develop a better understanding on the mentally ill patients which we dont normally encounter. The objectives and the purpose of the study are as follows: 1. Gather reliable data and be able to produce a valuable and effective case study. 2. Know the behavior manifested by the patient and the contributing

factors leading to his mental problems. 3. Be able to apply the Therapeutic Nurse-Patient Communication skills that we learned from our class discussion.

4. Establish trust and cooperation with the client and his family. 5. Further achieve self-awareness in preparation for future encounters with mentally ill clients.

C. Scope and limitations In order to provide maximum care to our patient, a student nurse should understand not only the different disease condition and predisposing factors but also appreciate the normal parameters exhibited by the individual for a deeper understanding on the normal status that will help us detect abnormalities that is presented by the person. This study will show the observation about a particular psychiatric case in accordance to our curriculum, which aims to give utmost psychiatric care. The observations made in this study are based on our assessments during our hospital visits.

D. Spot Map

E. Patients Profile

Name: Age: Sex: Marital Status: Religion: Date of birth: Place of Birth: Educational Attainment: Address: Father: Occupation: Mother:

Mr. X 20 years old Male Single Roman Catholic June 04, 1990 Guianga, Davao City Grade School Level (Grade 5) P-8 Angalan, Davao City, Davao del Sur Mr. XF Nigo Maker Mr. XM

Occupation: Date of admission: Time of admission: Diagnosis: Type of Delivery: Siblings: 1st Child Name: Age: Marital status: Religion: Educational Attainment: Type of delivery: 3rd child Name: Age: Marital status: Religion: Educational Attainment: Type of Delivery: 4 child Name: Age: Marital status: Religion: Educational Attainment: Type of Delivery: 5th child
th

Nigo Maker February 18, 2011 03:00 pm Schizophrenia Paranoid Cephalic, Normal Spontaneous Vaginal Delivery

Mr. XB1 22 years old old Live in Roman Catholic High School Level Normal Spontaneous Vaginal Delivery

Ms. XB2 18 years old Single Roman Catholic Grade 5 level Normal Spontaneous Vaginal Delivery

Ms. XS1 14 years old Single Roman Catholic Graduating in elementary Normal Spontaneous Vaginal Delivery

Name: Age: Marital status: Religion: Educational Attainment: Type of Delivery: 6th child Name: Age: Marital status: Religion: Educational Attainment: Type of Delivery:

Ms. XS2 11 years old Single Roman Catholic Grade 3 level Normal Spontaneous Vaginal Delivery

Ms. XB3 8 years old Single Roman Catholic Grade 1 level Normal Spontaneous Vaginal Delivery