Particularly after her PANSS test results, the client in this case has been diagnosed with schizophrenia, paranoid type, in which positive symptoms like delusions are prevalent. The purpose of this paper is to clarify three key psychopharmacological treatment decisions made on behalf of the client. Goals of all three decisions are symptom reduction and the promotion of the client's mental health and psychosocial functioning.
Decision
The decision was to give the patient Invega Sustenna (paliperidone palmitate) 234 mg intramuscular X1 followed by 156 mg intramuscular on day 4 and monthly thereafter, instead of either Zyprexa (olanzapine) or Abilify. The reasoning is based primarily on the fact that Invega Sustenna is a long-acting injectable with fewer compliance complications than orally administered drugs. Although Abilify has been available as a long-acting injectable, Invega Sustenna is recommended in this case because it presents fewer side effects than either Zyprexa or Abilify, particularly those the client has been concerned about such as weight gain (Khanna et al., 2016). Moreover, Invega Sustenna is a second-generation antipsychotic known to be "better tolerated and have fewer adverse neurological side effects" than first-generation
Schizophrenia When people think of what it means to 'go crazy,' quite often the common image that comes to mind is that of someone with schizophrenia. Schizophrenia is a serious mental health disorder that can be physically, socially, and personally destabilizing. "Schizophrenia affects men and women equally. It occurs at similar rates in all ethnic groups around the world. Symptoms such as hallucinations and delusions usually start between ages 16 and
There is usually a gap of one or two years between the appearance of vague symptoms and the patient's visit to a psychiatric clinic. Neurological examination may reveal a link between schizophrenia and Wilson's disease and Huntington's disease before treatment starts. The disorder has also been associated with left and mixed handedness, some physical abnormalities and mild neurological signs (Frankenburg). Mental status examination often reveals odd and poorly understood behaviors,
Psychopharmacological Approaches to Treat PsychopathologyNameProgram/Degree NameCourseInstructorDatePsychopharmacological Approaches to Treat PsychopathologySchizophrenia and its spectrum disorders are disruptive disorders that significantly impact the normal processes of the brain (Chien & Yip, 2013). These disruptive disorders are linked to significant abnormalities because they interfere with the ability to think. Patients may struggle to function normally when the symptoms of these disruptive disorders are not controlled or managed. However, proper diagnosis and treatment of
By educating patients on early warning signs of hepatotoxicity, this rare but potentially fatal consequence could be detected early to allow appropriate intervention." (Wright and Vandenberg, 2007) it is extremely critical to understand the nature of psychiatric nursing in today's clinical environment. IV. ROLE of NURSE PRACTITIONER in TRANSITION Specifically stated in the work of Kathryn R. Puskar entitled; "The Nurse Practitioner Role in Psychiatric Nursing" published in the Online Journal
Kringlen also published more extensive case records for his monozygotic twins than any other researcher had done (pp. 7-8)." The information gained by these studies was significant. One, in particular, conducted by William Pollin and his colleagues set out to disprove the biological or genetic factors, and to establish the basis for.".. psychodynamic, interpersonal phenomena that might have some significant etiologic role with respect to schizophrenia (Torrey, p. 9)." What
Grief Schiz Precautions and Procedures for the Prevention of Suicide and the Treatment of Depression in Recently Diagnosed Schizophrenics Any major chronic medical diagnosis can have psychological and emotional reverberations for the patient, as chronic conditions can often be perceived as a "life sentence" of sorts. The inescapability of symptoms and the long-term prognosis of many chronic disorders can cause patients to seriously question their future quality of life, the impact that
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