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{\*\generator Msftedit 5.41.15.1507;}\viewkind4\uc1\pard\b\f0\fs24 5 types of sc
hizophrenia:\par
\par
1.Paranoid type\b0 - characterized by persecutory (feeling victimized or spied o
n) or grandiose delusion, hallucination and occasionally, excessive religioustly
(religious delusional focus) or hostile and aggressive behavior.\par
\par
\b 2.Disorganized type\b0 - characterized by grossly inappropriate or flat affec
t, incoherence, loose association and extremely disorganized behavior.\par
\par
\b 3.Catatonic type\b0 - characterized by marked psychomotor disturbance, either
motionless or excessive motor activity. other manifestation may include negativ
ism, mutism, peculiarities of involuntary movement, echolalia, echopraxia.\par
\f1\fs20\par
\pard{\pntext\f2\'B7\tab}{\*\pn\pnlvlblt\pnf2\pnindent0{\pntxtb\'B7}}\fi-720\li7
20\f0\fs24 Motor immobility:\f1\fs20 Catalepsy (waxy flexibility) or stupor.\pa
r
{\pntext\f2\'B7\tab}Excessive motor activity: purposeless and is not trigger by
external stimuli.\par
\pard\b\par
4.Undifferentiated type\b0 - characterized by mixed schizophrenic syndrome (of o
ther types) along with disturbance of thought, affect, and behavior.\par
\par
\b 5.Residual type-\b0 characterized by at least one previous, thought not a cu
rrent, episode; social withdrawal; flat affect; and loose of association.\par
\par
\par
\b Nursing Intervention:\par
\par
\pard{\pntext\f2\'B7\tab}{\*\pn\pnlvlblt\pnf2\pnindent0{\pntxtb\'B7}}\fi-720\li7
20\b0 Promoting safety of client and others and right to privacy and dignity\par
{\pntext\f2\'B7\tab}Establishing therapeutic relationship by establishing trust\
par
{\pntext\f2\'B7\tab}Using therapeutic communication (Clarifying feelings and sta
tements when speech and thoughts are disorganized or confused)\par
{\pntext\f2\'B7\tab}Client and family teaching\par
{\pntext\f2\'B7\tab}Establishing community support system and care\par
\pard\par
\ul\b Symtomatic Nursing Intervention\ulnone\b0\par
\par
\b Delusion symptoms\par
\par
\pard{\pntext\f2\'B7\tab}{\*\pn\pnlvlblt\pnf2\pnindent0{\pntxtb\'B7}}\fi-720\li7
20\b0 Do not openly confront the delusion or argue with the client\par
{\pntext\f2\'B7\tab}Estrablish and maintain reality for the client\par
{\pntext\f2\'B7\tab}Use distracting techniques\par
{\pntext\f2\'B7\tab}Teach the client positive self-talk, positive thinking and t
o ignore delusion beliefs\par
\pard\par
\b Hallucination symptoms\par
\par
\pard{\pntext\f2\'B7\tab}{\*\pn\pnlvlblt\pnf2\pnindent0{\pntxtb\'B7}}\fi-720\li7
20\b0 Help present and maintain reality by frequent contact and communication w
ith client\par
{\pntext\f2\'B7\tab}Elicit description of hallucination to protect client and ot
hers. The nurse's understanding of the hallucination helps him or her how to cal
m or reassure the client\par
{\pntext\f2\'B7\tab}Engage client reality-based activities such as card playing,
 occupational therapy, or music therapy\par
\pard\par
\b Coping with socially inappropriate behaviors\par
\par
\pard{\pntext\f2\'B7\tab}{\*\pn\pnlvlblt\pnf2\pnindent0{\pntxtb\'B7}}\fi-720\li7
20\b0 Redirect client away from problem situations\par
{\pntext\f2\'B7\tab}Deal with inappropriate behaviors in a non judgemental and m
atter of fact manner; give factual statements; do not scold\par
{\pntext\f2\'B7\tab}Reassure others that the clients inappropriate behaviors or
comments are not his or her fault (w/o violenting the clients identity)\par
{\pntext\f2\'B7\tab}Try to integrate the client into the treatment milieu as soo
n as possible\par
{\pntext\f2\'B7\tab}Do not make the client feel punished or shunned for inapprop
riate behaviors\par
{\pntext\f2\'B7\tab}Teach social skills through education, role modeling and pra
ctice.\par
\pard\par
\par
}