Saturday, January 26, 2019
Beautiful Mind Reflection Paper
Delusions be fixed nonsensical ideas that are not base in reality an example was when basin saw his antique cogent him to kill his wife and the wife had to quickly ran out of the ho pulmonary tuberculosis. Illusions are false perceptions of real stimulus, he actually was misrepresenting things he en for sures around that they are counterproductive to him so he is alship canal ready to attack. Hallucinations are false centripetal inputs with no external stimulus, it may take the form of smells, sounds, tastes, sight, touch, or feelings of alter internal workings of the body.Assessment Pertinent questions to intercommunicate the patient having hallucinations are as follows ask the patient if he sees things when other people are not present, ask how many different voices does the patient hear, what do the voices ask the patient to do, ask if the patient recognize any of the voices, what the voices ask him to do and how does he/ she feel active the voices. joke Nashs othe r schizoid behaviors in graduate school makes him to see things differently from others, he was not associating himself thus he couldnt make any friends, an example was during a party were everyone were boozinging and chatting he was only capable to see the crying(a) glasses with the rays of light on it, likewise at a obstruction he said something annoying to a lady that was looking for a date or probably someone to buy her a drink and the girl was angry, gave him a slap and walked by out of the bar.His schizophrenia yarn-dye his self talk be mother he was always talking to himself because he was see a friend he thought was real and interacting with. John basically could not take negociate of his body, he is lacking self care deficit-bathing and I think John is having a disorganise subtype of schizophrenia because of his disorganized thinking, speech, and behavior also he is socially inept and unable to achieve activities of daily living. Nursing diagnosesRisk for self dir ected violence colligate to reality distortion as evidenced in the patient impetuous behaviors that could terminus in self harm and harm to others. Social isolation related to maladaptive social behavior as evidenced in the patient repetitive meaningless behaviors or behavior unacceptable to large others. Goal Goals pertinent for John is to be able to discipline ways to be more involved with others in an appropriate way and to develop a more satisfying relationship. Nursing discoursesWhen John was taken away he strike the psychiatrist because he did not want to be sent for treatment and he was been angry as a expiration of his disordered thinking and loosely organized hallucinations. This type of schizophrenic symptoms is chanceful because he might be hearing voices that tells him to harm others or however himself. Some of the medical treatments for psychiatric illnesses that existed in the 1940s and 1950s are psychoanalysis, insulin therapy, electroconvulsive (shock) ther apy, and water/ ice therapy.John received the insulin therapy magic spell he was hospitalized. after discharge from the hospital, John is taking Thorazine and the reasons he had for cheeking his pills and stock bung them in the drawer was because whenever he takes his pills he wont be able to respond to his wife or function effectively as a man of the house. It is important to assess the clients emit after taking his medication so as to be sure the client actually swallowed the pills and not hide them in his cheeks.Supporting important others Alicia did not have any support system or helper in caring for her husband when he returned from the hospital. Planning The nursing diagnosing that would describe Alicia as she care for a new baby and a mentally ill husband is Care giver role strain. The intervention that could be implemented to help Alicia and John is to encourage Alicia to identify on tap(predicate) family and friends who can assist with caregiving.The short term discha rge goal for John is that he would take his medication at the required time of the twenty-four hours everyday John will be able to relate with his wife and significant others appropriately. Implementation The advantage that modern drugs like Olanzapine have oer the older drugs like chlorpromazine(Thorazine) is that Thorazine are low potency antipsychotics while Olanzapine exhibits strong adrenergic and anticholinergic blocking action effective for self-assertive behaviors in schizophrenia and psychotic disorders.An increase in temperature is a cause for concern because it can make the client taking antipsychotics physical shape to decline rapidly and this adverse reaction is called Neuroleptic malignant syndrome (NMS), also respiratory or urinary tract side effect would be worrisome because these are signs of autonomic nervous system dysfunction. It is important to do an AIMS assessment for persons taking an antipsychotic so as to be able to determine if the person is having a t ardive dyskinesia symptoms as a result of the medications. AIMS stands for Abnormal involuntary movement scale. EvaluationsIn the last scene, as John is walking up to get his noble prize the extrapyramidal side effects he does have from a long term antipsychotic use is tardive dyskinesia and a prophylactic antiparkinson drugs may be prescribed to beleaguer the adverse effects from antipsychotics such as haloperidol (haldol). Modern antipsychotics are less likely to cause these symptoms because blocks neurotransmission produced by dopamine ay synapse. Reflection I was really surprised to get to know towards the end of the movie that Charles was imagined and I didnt actually know what to believe was real an unreal about Johns life.John actually learn to ignore the imagined Charles and his boss at the DOD (big brother). Infact it is really pathetic to know that a mentally ill person see things that doesnt even exist and that attributes a lot to the abnormal behaviors they exhibit when they are with people. I think a mentally ill person wouldnt believe those things are upright imagination and that might make them very aggressive when it seems people applyt understand them or see things and hear voices they do hear.
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