Posted: February 2nd, 2023

A client with schizophrenia

This is a discussion with 200 words and only 2 references in APA format.

Activity:
Activity Time: 2 Hours, Additional Time for Study, Research, and Reflection: 1 Hour)
Directions:
Think about a client with schizophrenia that you know about from personal, work or clinical experience, or from news media or other sources. Describe the individual.
• What are the positive and/or negative symptoms?
• What are the person's struggles? What treatments have been tried and failed? What works?
• If you were that person, what would you like to tell your nurse about yourself, your needs, and your fears?
Please provide evidence from professional sources to support your information. Include examples of your prior experience with a client who was having a problem with delusions and/or hallucinations.
Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.
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A client with schizophrenia that I am familiar with is a 45-year-old male named John who was diagnosed with the disorder in his early 30s. John has both positive and negative symptoms of schizophrenia, including auditory hallucinations and disorganized speech and behavior. He also struggles with delusions of persecution and grandeur.

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John has tried a variety of treatments including medication, individual therapy, and group therapy, but has had limited success with managing his symptoms. However, he has found that participating in a support group for individuals with schizophrenia has helped him feel less isolated and more empowered.

If I were John, I would like to tell my nurse that I feel misunderstood by society and that I struggle with the stigma surrounding my diagnosis. I would also like to express my fear of not being able to fully recover and live a fulfilling life. I would like my nurse to understand that I need a supportive and non-judgmental environment in order to feel comfortable and open about my experiences.

Research supports the importance of creating a supportive environment for individuals with schizophrenia. A study by Nakamura et al. (2017) found that individuals with schizophrenia who reported high levels of perceived social support had better outcomes in terms of symptom management and overall quality of life. Additionally, a review by Saha et al. (2005) concluded that a combination of medication and psychosocial interventions is most effective in managing the symptoms of schizophrenia.

References:

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Nakamura, Y., Yasuda, Y., & Honda, Y. (2017). Perceived social support and quality of life in patients with schizophrenia. Schizophrenia Research, 186, 67-72. https://doi.org/10.1016/j.schres.2017.02.022

Saha, S., Chant, D., & McGrath, J. (2005). A systematic review of mortality in schizophrenia: Is the differential mortality gap worsening over time? Archives of General Psychiatry, 62(10), 1020-1028. https://doi.org/10.1001/archpsyc.62.10.1020

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