Beruflich Dokumente
Kultur Dokumente
Medical history and recent medical workup Positive, negative, cognitive, and mood symptoms Current medications and compliance to treatment Family response/support system
Outcome Criteria
Acute phase
Client safety and medical stabilization
Maintenance phase
Adherence to medical regimen Understanding schizophrenia
Stabilization phase
Target negative symptoms Anxiety control
Relapse prevention
Milieu Therapy
Safety
Communication Guidelines
continued
Delusions
Be open, honest, matter-of-fact, and calm Have client describe delusion Avoid arguing about content Focus on feelings Present reasonable doubt Validate part of delusion that is real
Communication Guidelines
continued
Associative looseness Do not pretend that you understand Place difficulty of understanding on yourself Look for reoccurring topics and themes Emphasize what is going on in the client's environment Involve client in simple, reality-based activities Reinforce clear communication of needs, feelings, and thoughts
Loose Association
Definition - thinking haphazard, illogical, and confused. Connections in thought are interrupted. Example: I cant go to the zoo, no money, Oh... I have a hat, these members make no sense, manWhats the problem?
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Neologism
Definition: Words a person makes up that have meaning only for that person, it is often part of a delusional system. Example: I am afraid to go to the hospital because the norks are looking for me.
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Clang Association
Definition: The meaningless rhyming of words, often in a forceful manner. Example: Rain, pain, bang, clang.
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Echolalia
Definition - mimicking or imitating the speech of another person. Example: The nurse says to the patient, Tell me your name. The patient responds, Tell me your name, tell me your name.
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Word Salad
Definition: Mixture of words and phrases that have no meaning. Example: I am fineapple pieno salefurniture storetake it slowcellar door
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BE FAMILIAR WITH: thought broadcasting - the belief that ones thoughts can be heard by others
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Thought Insertion
thought insertion - the belief that thoughts from other people are being inserted into ones mind
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BE FAMILIAR WITH:
thought withdrawal - the belief that thoughts have been removed from ones mind by an outside agency.
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