Bob Tyler, a year-old male, is brought to the emergency department by the police after being violent with his father. Bob has multiple past hospitalizations and treatment for schizophrenia. Bob believes that the healthcare providers are FBI agents and his apartment is a site for slave trading. Based on this assessment, what is the most important nursing intervention?
These sample case studies are for illustration only. They should not be used to make a diagnosis. If the symptoms sound similar to those that you or a loved one are experiencing, please contact your primary physician or a mental health professional for an evaluation as soon as possible.
Case Study 1 Jessica is a 28 year-old married female. She has a very demanding, high stress job as a second year medical resident in a large hospital.
Jessica has always been a high achiever. She graduated with top honors in both college and medical school. She has very high standards for herself and can be very self-critical when she fails to meet them.
Lately, she has struggled with significant feelings of worthlessness and shame due to her inability to perform as well as she always has in the past. For the past few weeks Jessica has felt unusually fatigued and found it increasingly difficult to concentrate at work.
Her coworkers have noticed that she is often irritable and withdrawn, which is quite different from her typically upbeat and friendly disposition.
She has called in sick on several occasions, which is completely unlike her. On those days she stays in bed all day, watching TV or sleeping.
Her insomnia has been keeping him awake as she tosses and turns for an hour or two after they go to bed. She has had a successful, well-paying career for the past several years in upper-level management.
This worry has been troubling her for the past 8 months.
Ever since the worry started, Kristen has found herself feeling restless, tired, and tense. She finds herself mentally rehearsing all the worse-case scenarios regarding losing her job, including ending up homeless. He raced to her side, embracing her crumpled, bloody body as she died in his arms in the middle of the crosswalk.
No matter how hard he tries to forget, he frequently finds himself reliving the entire incident as if it was happening all over. Since the accident, Josh has been plagued with nightmares about the accident almost every night. The few times he attempted to return to work were unbearable for him.
He has since avoided that entire area of town. Over the past few weeks his family and friends have noticed increasingly bizarre behaviors. Lately, he has refused to answer or make calls on his cell phone, claiming that if he does it will activate a deadly chip that was implanted in his brain by evil aliens.
His parents have tried to get him to go with them to a psychiatrist for an evaluation, but he refuses. He has accused them on several occasions of conspiring with the aliens to have him killed so they can remove his brain and put it inside one of their own.
He has stopped attended classes altogether. He does, however, have an estranged aunt who has been in and out of psychiatric hospitals over the years due to erratic and bizarre behavior.Clinical Case Study: Paranoid Schizophrenia 1.
Introduction Schizophrenia is a serious and chronic mental health disorder, primaril. The assignment is about case study for a client with schizophrenia and has had three admissions to hospital the last one five years ago,he.
A Case Study on Schizophrenia. Paranoid Schizophrenia Case Study. Schizophrenia Case Study. CKD2. Loose associations. but continues to answer questions only when asked. Answers to questions are simple. CORRECT: A client who demonstrates poverty of speech demonstrates simple one.
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Carlin Cognitive Disabilities 12/6/15 Schizophrenia Case Study and Early Onset Signs Experts agree that Schizophrenia is a syndrome with signs and symptoms that are thought to co-occur in ways that distinguish it from other syndromes and from normal thoughts and behaviors.
The case subject described above was selected for this case study to highlight complexities and commitment required to effectively integrate and manage a client with chronic schizophrenia .
Jun 12, · She believes that she is God, making a new world.