精神分裂症病例报告:paplus模型理论在护理计划中的应用

Javaid Ahmad Mir, Bushra Mushtaq, Onaisa Aalia Mushtaq, F. Ali
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摘要

“精神分裂症”一词是由尤金·布鲁勒创造的,它来源于希腊语“schizo”,意思是分裂,“phren”意思是精神。精神分裂症的点患病率约为1%,男女患病率相等。精神分裂症的发病在女性中是双峰的,与男性相比,往往是良性的,通常发生在十几岁或二十岁出头。最具破坏性的疾病是,这种疾病发生在人们的成长阶段,在他们的生活中表现出最高的生产力,主要是在十几岁或二十岁出头,它影响人们的方式使他们无法恢复正常生活:去工作,上学,结婚等。了解这种障碍的严重程度是非常重要的,因为这些病人总是有潜在的暴力倾向,自我导向的,或者与他人有关的极端怀疑,所以要确定自杀预防措施的水平。如果是高危人群,是否需要住院治疗?或者如果风险很低,在家人或朋友的监督下,客户是否安全回家?例如,客户是否承认有过自杀企图。滥用任何物质,没有同伴/朋友。有自杀计划吗?联系家属,安排危机咨询。激活自助小组的链接。检查所需药物供应是否充足,最初提供不需要集中注意力的活动(如画画、玩简单的棋盘游戏),让病人参与不需要集中注意力的大运动活动(如散步),当病人情绪最低落时,让病人参与一对一的活动。
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Case report on schizophrenia: Application of paplaus model theory in nursing care plan
The term schizophrenia was coined by Eugen Bleuler, it has been derived from the Greek word “schizo” meaning split, and “phren” meaning mind.    The point prevalence of schizophrenia is about 1% with equal prevalence in both sexes. The onset of schizophrenia is bimodal in women and often runs a more benign course as compared to men and usually occurs in the late teens or early 20Most devastating disease as this disease strikes the people at the stage when they can show the growth and highest productivity in their lives, mostly in teens or early 20’s, it affects people such a way unable them to return to normal lives: go to job, school to marry, etc. Understanding the severity of this disorder is very important because these clients are always Potential for violence self-directed or at others related to extreme suspiciousness so to Identify the level of suicide precautions needed. If there is a high-risk, does a hospitalization requires? Or if there is a low risk, will the client be safe to go home with supervision from a family member or a friend? For example, does client:   Admit previous suicide attempts.,Abuse any substances..Have no peers/friends.,Have any suicide plan.,Contact the family, arrange for crisis counseling. Activate links to self-help groups.,Check for the availability of required supply of medications needed,Initially, provide activities that require minimal concentration (e.g., drawing, playing simple board games),Involve the client in gross motor activities that call for very little concentration (e.g., walking,When the client is at the most depressed state, Involve the client in one-to-one activity.
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