Question

diagnosis.

Paranoid schizophrenia

Physiological condition

1. What stressors contribute to worsen the behavioral disorder?

2. What coping /behavioral strategies help the resident to cope with the disorder?
3. What medication/treatments are ordered and used for this diagnosis? Are they effective? How?

• levetiracetam
• risperidone.

4. Is the resident able to see himself or herself into the future? If yes, what are some short-term and long-term goals that the resident shared with you?
5. What will you take away from working with this resident?

Answer 1

Paranoid schizophrenia categorized under psychosis. The person with schizophrenia doesn't agree with reality.Delusion of persecution a common symptom of paranoid disorder. The most important stressors are family history of schizophrenia, post traumatic stress, childhood history of physical abuse, postpartum psychosis after child birth. Environmental triggers includes prolonged exposure to stressful situations, drug abuse, exposure to viral infection that damages brain function.

Coping strategies includes making individual to accept the disease is treatable, encourage patient to be actively participating in the treatment protocol, to ask doubts regarding the disease process and treatment strategies. Involve family members and trustful friends in treatment plan and get adequate support. Make a stress free environment and make it safe and peaceful. Follow relaxation techniques like meditation, deep breathing exercises, guided imagery, progressive muscle relaxation techniques to reduce stress. Encourage to eat healthy and balanced diet. Try to get adequate sleep and promote active exercises. Never skip medication dosage at any cause.

Levetiracetam is an anti epileptic drug administered to treat seizure disorders.

Risperidone is second generation antipsychotics used to treat schizophrenia. It acts by reducing dopamine and serotonin pathway in the brain