Schizophrenia from the Patient’s Point of View

Schizophrenia from the Patient’s Point of View

During my preceptorship at the ER, I saw several patients with various mental illnesses that could only be diagnosed after a clinical evaluation. The most memorable patient was a man in his mid-30s who arrived naked and chained at the facility. His forearm was swollen after breaking into a window and threatening to kill his wife. “I cannot be wounded; I am god,” the patient insisted. We washed and placed him on the stretcher before speaking with his relatives. Meanwhile, the patient continued to refer to himself as a god.

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Symptoms, Both Positive and Negative

Positive symptoms of schizophrenia include some psychotic behaviors that are absent in healthy people. Illusions, hallucinations, and strange moto behavior of varying severity are examples of such indicators (Patel et al., 2014). In this situation, the patient hallucinated when he imagined himself as a god who could not be wounded. Reduced emotional expression and volition are negative symptoms (Patel et al., 2014). Negative indications are challenging to identify.

Struggles of the Patient

The patient has been treated three times, but the condition continues to reoccur. During interrogation, we discovered that the patient had stopped taking his medication. Alcoholism aggravates the situation. The patient’s family described him as desperate for life. Because the patient remained hostile, drug therapy reduced his hostility and returned him to average performance.

Informing the Nurse of Personal Needs and Fears

Given the patient’s difficulties, he must share his story with the nurse. Schizophrenia can be frightening and upsetting; the patient should allow nurses to understand his emotions to develop a suitable treatment plan. There is apprehension about hurting the feelings of loved ones. On the other hand, nurses should help the patient distinguish between actual life and the mental effects of schizophrenia.

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References

Patel, K., Cherian, J., Gohil, K., & Atkinson, D. (2014). Schizophrenia: Overview and Treatment Options. P&T, 39(9), 638–645. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4159061/pdf/ptj3909638.pdf

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Think about a client with schizophrenia that you know about from personal, work, clinical experience, news media, or other sources. Describe the individual.

• What are the positive and negative symptoms?
• What are the person’s struggles? What treatments have been tried and failed? What works?
• If you were that person, what would you like to tell your nurse about yourself, your needs, and your fears?

Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and hallucinations.

Posts with important details demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics, including proper language, friendship, grammar, and punctuation. Provide proper attribution and citation if you refer to any outside sources or reference materials.