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Schizophrenia1

Schizophrenia is a severe mental illness characterized by a variety of symptoms, including loss of contact with reality, bizarre behavior, disorganized thinking and speech, decreased emotional expressiveness, and social withdrawal. This illness affects those parts of the mind that are fundamental to a person's sense of self. It changes a person's perception of reality, through hallucinations and delusions. This mental illness is diagnosed in about one person in every 100. Schizophrenia has been categorized into two specific classes and has possible causes for each class. We will also focus on the roles of the nurse and the family and the importance of medication. (Anonymous, 1996a, 1996b, Fontaine & Fletcher, 1999). A psychiatrist's classical categories of schizophrenia once included undifferentiated, catatonic, paranoid, and disorganized subtypes. A new classifying system which is widely used has replaced the former categories. This system includes two categories which are positive characteristics and negative characteristics. There are five sub-characteristics which can be described as positive and negative. These are behavioral, affective, perceptual, cognitive and social (Fontaine & Fletcher, 19


This is when the nurse has a major role to educate these clients about the medication and it's importance. For the drug to be most effective it has to be taken consistently as a relapse of symptoms is common when medication is discontinued. These medications are the most useful in helping intervention with these clients suffering from Schizophrenia. There are a number of possible causes to this disorder. A nurse must dedicate herself to this specific field and have excellent talent in observing patients and promoting support with the families. It takes a special kind of person to establish a working relationship with clients diagnosed with Schizophrenia. These patients often have feelings of worthlessness and some eventually commit suicide. Any of these factors and many more can have a trigger action that leads to insane behavior (Anonymous, 1996a). They experience feelings of guilt and try to punish themselves and others with aggression (Fontaine & Fletcher, 1999). A nurse's greatest contribution to mental disorders is the development of clinical interventions that target in on families and system needs. Essentials of mental health nursing (4th ed. Nurses who go into the field of Schizophrenia need to be very sociable and have plenty of patience. These clients feel as if people are harassing them and they cannot do anything about it.

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