Professional Documents
Culture Documents
A Case Study
Presented to
The Faculty of the College of Nursing
Isabela State University
Echague, Isabela
In Partial Fulfillment
Of the Requirements of the Degree
Bachelor of Science in Nursing
By
James Ragasa
Psychosis
a severe mental disorder in which thought and emotions are so impaired that contact is
lost with external reality.
Symptoms of psychosis
Delusions - false beliefs, especially based on fear or suspicion of things that are
not real
Catatonia - unresponsiveness
Difficulty concentrating
The milder, initial symptoms of psychosis might include:
Feelings of suspicion
General anxiety
Distorted perceptions
Depression
Obsessive thinking
Sleep problems
Causes
Genetics - research shows that schizophrenia and bipolar disorder may share
a common genetic cause.
Treatments
Antipsychotic drugs
Age: 34
Gender: Male
Birthplace: DK
Nationality: Filipino
Religion: DK
No information given
Family History
No information given
Health History:
Social History:
A. Affect
Patient seen and examined as an adult male, thinly built a hospital blue-scrub
with good eye contact. He was euthymic and joy affect.
B. Mood
C. Thought Processes
1. Use of Language
G. INSIGHT
H. JUDGEMENT
Predisposing Factors
Socio-cultural and environmental Factors Psychological Factors
Some theorist proposed that the Psychodynamics theorists
proverty, society, and cultural disharmony believe that schizophrenia involves
could cause schizopheria or that people regression to a pre-ego stateof primary
chose to become schizophrenic to cope narcissism and restitutive efforts to
with insanity of the modern world. Others reestablish ego control. Behaviorists
proposed that schizophrenia was caused by theorize that schizophrenic people fail
living in the city or living in isolation in the to attend to relevant social cues and as
country. An enduring and consistent finding a result develop bizarre responses to
has been the strong association between the environment. The family
schizophrenia and lower socio-economic environment contains such confusing
status. This unenviable status enhances elements as aschizophrenic mother,
their vulnerability by exposing them to double-bind communication, marital
constant stressors. schism and marital skew. R.D.
Mr. Red he grew up in Camarines Mr. Red has claimed that he
Norte, but recently he was living in Imus used to be cared for by his parents
Cavite. He failed to finish his course. when was still young. When he grew up
he was not in good terms with his
family.
Biological Factors
Genetic: based on the principle that some people inherit a biological prediposition
to schizophrenia, is upported by studies of severalkids, including twins studies,
adoption studies, and chromosomal mapping studies
Health factors Psychological factors
Information processing overload: Mr. Red misses his family. He talks
too much information is sent at the same about his relationship to his father.
time to be filtered by the frontal lobe. In
He was cooperative and maintain
schizophrenia , the frontal lobe loses its
eye contact upon conversation.
ability to slow down the transmission and
reception stimuli causing an overload.
Abnornal gating mechanism: this is
manifested by the ability to selectively
attend to stimuli.
Environmental Factors
-clients is usually living with his parent in Cavite
-some of his relatives knows about his situation but
the client didnt know what they think about him.
- he failed to finish his study when he was admitted in
NCMH misunderstandings started between him and
his father.
SC
Loss of family
Separation
Confinement
Failed from
to finish
Low his family
in mental
self-esteem institution
study
Weak EGO
BIOCHEMICAL AND NEUTROSTRUCTURAL
THEORY
DEPRESSION
Decrease amount of cerebral blood flow inthe frontal lobe of the cerebal cortex
Prolonged
Impaired
Progressive
Failure use ego
of coping
formation
todeterioration
be retrieved mechanism
offrom
personality
crisis
Marked changes in the process of organizing, planning, learning from experience