schizophrenia hesi case study mr harris

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3-15-22 Week 9 Module Psychosis MHCS

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N121 week 3, concepts: psychosis and health care system.

Description of class period: The focus of this class is on clients who experience schizophrenia and other psychotic disorders. These brain-based illnesses affect all aspects of the individual’s functioning. Central to a diagnosis of schizophrenia or other psychotic illnesses is either periodic or, in some cases, a continuous break from reality. The treatment of these individuals is one of the greatest challenges for the psychiatric nurse.

Definition of concepts: Psychosis: A change in the brain that disrupts a person’s interpretation and/or experience of the world. Exemplar: Schizophrenia Health Care System: Collaboration in the delivery of resources in order to ensure access to health care for all. Exemplar: Mental Health Care System

Assignment: HESI Case Study – Schizophrenia (Sam Harris)

Class Learning Objectives: Schizophrenia: Outcomes 1 - 7

Identify evidence-based data that supports the premise that schizophrenia is a neurological disease. Delineate ways that neurocognitive impairments impact a person with schizophrenia, including prognosis and quality of life.
Discuss the various disorders in which psychosis is present.
Discuss the early onset and course of Schizophrenia.
Compare and contrast positive and negative symptoms of schizophrenia. Include: thoughts, perception, emotional, cognitive, behavioral and social symptoms that interfere with the patient’s ability to function.
Differentiate among the three phases of schizophrenia in terms of symptoms, focus of care and interventions.
Discuss evidenced based psychosocial therapies for patients with schizophrenia and their families.
Discuss the importance of psycho-pharmacological management of schizophrenia.
Identify extra-pyramidal side effects (EPS) including tardive dyskinesia, acute dystonic

reaction and akathisia that may result from psychotropic medications.

Mental Healthcare System: Outcomes 1, 5, 7 9. Identify specific times when teamwork and collaboration with other health care professionals are paramount for the implementation of safe and effective care for a patient with schizophrenia.

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Discuss the shift to community-based treatment for patients with schizophrenia and compare/contrast inpatient and outpatient environments in which psychiatric care is provided.
Identify barriers to clients obtaining mental health treatment.
Discuss the financing of mental health care and parity in healthcare.

Required Reading:

Ackley, Ladwig, and Flynn Makic: Confusion, Identity, Loneliness Giddens: Concept 34 Psychosis Varcarolis: Chapter 5 Settings for Psychiatric Care Chapter 17 Schizophrenia Spectrum Disorders and Other Psychotic Disorders

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