POOR FAIR GOOD RATIONALE

1. ONSET OF ✔️ Record of his data showed he

ILLNESS developed the disease at 20
years old. Justification:
Although schizophrenia can
occur at any age, the average
age of onset tends to be in the
late teens to the early 20s for
men, and the late 20s to early
30s for women. It is
uncommon
for schizophrenia to be
diagnosed in a person
younger than 12 or older than
40. (NAMI,2020)
2. DURATION OF ✔️ Client manifested symptoms
ILLNESS last April 1959 at Mclean
Hospital. After 50 days he
was allowed to go home. The
client decided to take his
medications at home, but
later on decided to stop
because he wasn’t able to
think well and doesn’t even
feel sexual sensations. He has
experienced a relapse but
developed the thing they call
“insight”, his ability to
recognize reality from his
hallucinations has led him to
a successful fight against
schizophrenia. Justification:
The most comprehensive
assessment of insight
includes awareness of illness,
awareness of symptoms, and
awareness of social
consequences. (Bastiaens and
Agarkar,2014)
3. PRECIPITATIN In his graduate school in
G FACTORS Princeton, because of his
grandiosity that he was meant
for something great, he was
unable to cope up in failures
nor defeat, he was a
hardworking student and
 sometimes he doesn’t eat, he
was an isolative person that
why he developed
hallucinations of seeing an
imaginary roommate.
Justification: In Psychiatry
Grandiosity is an exaggerated
belief or claims of one's
importance or identity,
manifest by delusions of
wealth, power, or fame.
Dehydration occurs when the
body does not have
enough water and
this can happen rapidly in
extreme heat or through
exercise. Symptoms of
dehydration can include
headaches, lethargy
and hallucinations.
4. MOOD AND ✔️ The client exhibited the
AFFECT features of blunted affect. He
had labile expressions and
shy. As soon as the client had
his ability of insight, his
situation has soon improved.
Although his symptoms is
still manifesting he was still
able to overcome
schizophrenia.
5. ATTITUDE AND ✔️ Patient had good compliance
WILLINGNESS with the medication, but later
on decided to stop due to the
lack of comprehensive
thinking as well as lack of
sexual libido. Patient was
willing to get better and later
on developed insight.
6. ANY ✔️ Depressive features were
DEPRESSIVE noted with the client. The
FEATURES client showed signs of self-
injury as well as the ability to
hurt others. It was observed
that the client’s behavior
evidence of guilt, insomnia,
depressed mood and
 decreased appetite.
7. FAMILY ✔️ Support system was very
SUPPORT supportive and hands on.
Justification: The wife and
the mother were both there to
show support for the client
and has assisted him
throughout.