Question

A 25-yo man with chronic Schizophrenia was living in a single room in a downtown hotel. He has always had difficulty managing his disability check and often runs out of money before the next check. He has difficulty consistently paying for transportation, food, and medications. The client has a fixed delusion that involves the manager of his hotel stealing money from his check and occasionally becomes verbally and rarely even physically threatening to the manager. When this occurs, the manager calls the police, who bring the client to the local emergency department where he is evaluated and typically admitted to the psychiatric unit at the hospital. After a brief inpatient stabilization, the client is usually discharged back to the hotel, where the cycle repeats itself every few months.

• To what services should the nurse attempt to link the client?
• What educational needs does this client have, and how would the nurse provide this?

• How would the nurse approach involving the client’s family and/o significant others in care?

Answer 1

Chronic schizophrenia patient needs proper treatment to deal with their mental illness. Individual psychotherapy can manage their symptoms. cognitive behavior therapy change person thinking and behavior. CBT with medication help manages their delusions. Cognitive enhancement therapy helps people to recognize their problem and help to be more attentive. Social support services provide a quality life for patients and families.
Professional education for the patient changes their attitude. It also empowers the family and patient. social interaction is important when providing education for the patient to improve their knowledge. assess the patient knowledge about their mental condition and involve the family in this teaching process. Education should have a goal to improve patient understanding of their illness and should encourage health promotion behavior.
Provide psychoeducational interventions and support groups for the family and patient it meets the cultural needs of them, it improves psychosocial health and reduce the patient risk of readmission and improves family knowledge about coping with the illness.