Schizophrenia Chapter 12 p 200 COMPLETE 100 NCLEX

Schizophrenia Chapter 12 p. 200 COMPLETE 100 NCLEX QUESTIONS MINIMUM ON SCHIZOPHRENIA Split-Mind

Key Terms p. 200 Very important !!!!!!!!!!!!!!1

3. 5 MILLION SCHIZOPHRENICS in the United States WHO GETS IT ? ? ? ? MORE THAN ½ OF PATIENTS IN MENTAL HOSPITALS HOMELESS 8% OF THE JAIL POPULATION CRIME VICTIMS

FAMOUS SCHIZOPHRENICS COMPOSER BEETOVEN 1770 -1827

Beethoven Demeanor The mature Beethoven was a short, well built man. His dark grey hair, then white, but was always thick and unruly. Reports differ as to the color of this eyes. His mouth, which had been a little petulant in youth, later became fixed in a grim, down-curving line, as if in a permanent expression of truculent determination. He seldom took care of his appearance, and, as he strode through the streets of Vienna with hair escaping from beneath his top hat, his hands clasped behind his back and his coat cross-buttoned he was the picture of eccentricity. His moods changed constantly, keeping his acquaintances guessing. They could never be sure that a chance remark might be misconstrued or displease the master in some way, for his powerful will would admit of no alternative view once he had made a judgment.

By nature, Beethoven was impatient, impulsive, unreasonable and intolerant; deafness added suspicion and paranoia to these attributes. He would often misunderstand the meaning of a facial expression and accuse faithful friends of disloyalty or conspiracy. He would fly into a rage at the slightest provocation, and he would turn on friends, dismissing them curtly as being unworthy of his friendship. But, likely as not, he would write a letter the next day or so, telling them how noble and good they were and how he had misjudged them.

Psychotic Disorders other than Schizophrenia p. 201 Schizoaffective Disorder

Factors P. 202 -203

Etiology p. 202 • • Genetics Neurobiological Brain Structure Abnormalities And POSSIBLY MANY other factors

High DOPAMINE Levels WE GIVE………. . ? HALDOL TO LOWERE DOPAMINE LEVELS. HERE IS WHERE YOUR PHARM QUESTIONS COME FROM What are some others ? ? ? ?

Dopamine antagonists are traditionally used to treat schizophrenia and related mental disorders. A person with schizophrenia may have an overactive dopamine system. Dopamine antagonists can help regulate this system by "turning down" dopamine activity.

Autopsy photo Increased number of dopamine receptors…

Consider the course of the disorder • . . …like diabetes and heart disease it can be managed but rarely cured

BIZARRE IDEAS

General Assessment • Positive symptoms- p. 205 • Delusions, Hallucinations, Paranoia. Negative symptoms-p. 207 Apathy, Anhedonia, Poor thought process

SCHIZOPHRENIA Delusions p. 205 False fixed beliefs Concrete thinking p. 205

Delusions-p. 205 -206 • • • Persecution Grandeur Reference Nilhilistic Religiosity • • • Form of thought Neologisms Associative looseness Clang Word salad Tangentiality

Hallucinations p. 207 Hears, feels , sees, tastes, things that are not there.

HALLUCINATIONS Perception is wrong

st 1 Symptoms • Delusions • Hallucinations • Disorganized speech • Catatonic • Flat affect • Alogia---no speaking

Additional Symptoms • Social/occupational dysfunction • Duration • Schizoaffective/mood exclusion • No substance/med condition • No autism

Treatment p. 211 -214 Therapy Medications p. 215 -220. Watch for the many side effects

Questions