Nursing diagnosis for schizophrenia (A guide)

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The current blogspot will be focused on the question “what is nursing diagnosis for schizophrenia?”. We will discuss the nursing care plan in schizophrenia. We will also learn about the nursing diagnosis for schizophrenia patients. We will focus on the nursing care plans for schizophrenia patients.

What is the nursing care plan for schizophrenia?

The nursing care plan for schizophrenia is based on the following six diagnosis that can be used for developing a nursing care plan for schizophrenia patients :

  • Dysfunctional verbal communication
  • Dysfunctional social interaction
  • Impaired sensory perception including audio and visual perception
  • Distorted thought pattern
  • Unhealthy coping mechanisms
  • Distorted or conflictual family processes

Dysfunctional verbal communication

The schizophrenia patient’s impaired and dysfunctional communication that is below the expected developmental milestone and lags behind the chronological age is assessed by examining and analysing the patient’s speech content.

The schizophrenic patient’s communication patterns are also examined since  they have a limited or atypical speech content.

The nursing diagnosis of schizophrenia patients is based on the reduced ability to comprehend, process and reciprocate the symbols used for verbal communication. The schizophrenia patients have major symptoms of altered perceptions, distorted thinking patterns, disturbed levels of neurochemicals in the brain, lack of responses to stimuli and side effects of medications like Vraylar.

The various subjective and objective nursing cues serve as a baseline for nursing care plans for schizophrenia patients. The subjective and objective cues are as follows:

  • The schizophrenic patients experience difficulties in communicating verbally with others.
  • The schizophrenia patients seem to face difficulties in processing and understanding day to day communication patterns and symbols
  • The schizophrenia patients appear to have odd beliefs, irrational thoughts and distorted thinking patterns. 
  • The schizophrenia patients have a verbal communication pattern that lags behind their expected developmental levels.
  • The schizophrenia patients have a low comprehension for non verbal communication and are also unable to show gestures that are associated to non verbal communication

The nursing care plan for schizophrenia diagnosis of patients in the domain of verbal communication is based on the following goals:

  • The nursing care plan for schizophrenia patients will work on the patient so that he or she is able to express his thoughts and ideas in a logical and coherent manner.
  • The nursing plan facilitates the schizophrenia patients to formulate short term realistic goals and work towards achieving the desired outcomes from those goals
  • The schizophrenic patient as an outcome of nursing plan will connect his thoughts and ideas to his routine life communication
  • The schizophrenia patient will spend time in structured interactive activities as a result of the nursing plan
  • The schizophrenia patient will observe his natural surroundings and share his observations with the nurse every day for 2-3 minutes.
  • The schizophrenia patient will learn distraction to overcome routine anxiety and unpleasant feelings and thus would be better able to express his ideas and thoughts in a logical manner as an outcome of the nursing care plan.

Dysfunctional social interaction

The schizophrenia patients often have low socialization skills. They have inadequate social skills and have a tendency of isolation and withdrawal from their social circle. 

The nursing care plan for patients with schizophrenia’s impaired and dysfunctional social interaction includes observing the social behaviors of the schizophrenia patients and taking notes of their non verbal social interaction along with emotional regulation.

The impaired social interaction of schizophrenia patients has following characteristics:

  • Inability to display emotional reciprocity
  • Inability to form meaningful relationships
  • Inability to initiate social communication
  • Inability to focus on the topic being discussed in a social gathering
  • Inability to adjust mentaly to the decorum of a social gathering
  • Verbalized or observable social discomfort 
  • Inability to maintain adequate eye contact with people 
  • Often get nervous, fidget and irritated

The desired outcome from the nursing care plan for schizophrenia patients impaired social skills are:

  • To teach schizophrenia patients social etiquettes
  • To emphasize their non verbal social communication skills
  • To motivate them to get interactive
  • To enable them join a social gathering comfortably 
  • To interact with family members and friends
  • To learn coping skills for overcoming distressing situations

Impaired sensory perception including audio and visual perception

The impaired sensory perception both visual and auditory is a great concern area in nursing plans of schizophrenia patients.  The schizophrenia patients often go through visual and auditory hallucinations. The nursing care plan for schizophrenia patients works with schizophrenia symptoms of altered reality, hallucinations and delusions. 

The major sensory perceptions concern areas among schizophrenia patients that are of key importance for nursing care plans are:

  • Problem solving skills
  • Low comprehension
  • Analytical skills
  • Decision making skills
  • Incoherent speech
  • Self talk
  • Altered sensory acuity

The desired outcomes from the schizophrenia client’s nursing care plan will be :

  • The schizophrenia patient will have to verbalize three symptoms that he is able to his increasing level of stress
  • The schizophrenia patient will verbalize about the decreased or diffused value of the auditory hallucinations
  • The schizophrenia patient will maintain an active role in his life
  • The schizophrenia patient will keep a check of his anxiety symptoms and their intensity
  • The schizophrenia patient adopt a stress reduction strategy
  • The patient will adopt distraction activities to  get away with auditory and verbal hallucinations.

Distorted thought pattern

The impaired thought pattern of schizophrenia patients includes illogical thoughts, loosening association of thoughts, negative thoughts, paranoia and ideas of reference the distorted thought patterns of schizophrenia patients often get better through medications and psychotherapy.

The distorted thinking patterns of schizophrenia patients are often their odd and eccentric beliefs that are colored in their frame of distorted realities that are based on illusions and delusions.

The desired outcomes related to distorted thought patterns among schizophrenia patients in nursing care plan are :

  •  The schizophrenia patient will be facilitated to verbalize his delusional beliefs
  • The schizophrenia patient will be able to check his perceptions of environmental stimuli in close connection to reality
  • The schiphernia [patient will distract his delusions and get more involved with people around
  • The schizophrenia patient will maintain attention and sustain attention without being uncomfortable.
  • The schizophrenia patient will keep a record of their distorted thought patterns by sharing them with nursing care.

Conclusion

The current blogspot focused on the nursing diagnosis for schizophrenia. We focused on the diagnosis of schizophrenia patients in the nursing care plan. We discussed the various diagnostic criterias for nursing care diagnosis of schizophrenia patients and the desired outcomes of the nursing care plan of schizophrenia patients.

If you think you have these symptoms, do a brief Schizophrenia test before going to a mental health professional.

Frequently asked questions (FAQs): nursing diagnosis for schizophrenia

Why is it important for nurses to understand schizophrenia?

It is important for nurses to understand schizophrenia so that they are better able to provide care to the patients and formulate care plans that work on improving their well-being and quality of life.

What is a complete nursing diagnosis?

A nursing diagnosis is “a judgment based on a comprehensive nursing assessment.” The nursing diagnosis is based on the patient’s current situation and health assessment, allowing nurses and other healthcare providers to see a patient from a holistic perspective

Is disturbed sensory perception a nursing diagnosis?

impaired and disturbed sensory perception is “a change in the amount or patterning of incoming stimuli accompanies by a diminished, exaggerated, distorted, or impaired response to such stimuli

Citations

https://nurseslabs.com/schizophrenia-nursing-care-plans/

https://medcraveonline.com/NCOAJ/nursing-interventions-in-schizophrenia-the-importance-of-therapeutic-relationship.html

https://nurseslabs.com/schizophrenia/

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