Schizophrenia: Summary (Nursing)

by Brenda Marshall, EdD, MSN, RN

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    00:00 Summarize.

    00:01 Our antipsychotic medications come in many routes of administration.

    00:07 There are pros and cons to each route and every individual needs to be seen as an individual to find out what works best for their lifestyle.

    00:18 The first generation antipsychotics are good for the positive symptoms, but they can cause movement side effects, like the extrapyramidal syndromes (EPS), tardive dyskinesia, and automatic involuntary movements.

    00:33 And so we want to be aware of those.

    00:36 The second generation antipsychotics can treat positive and negative symptoms, but they can cause metabolic syndrome.

    00:45 And it's important to remember that a person with metabolic syndrome shortens their life span, because they have to now live with diabetes or heart disease.

    00:56 And these are things that we need to be able to work with our patient to try and keep them safe and healthy.

    01:04 So unless specifically trained in a certain therapeutic modality, most nurses should only engage in environmental strategies, establish that therapeutic relationship, provide psychoeducation for your patients who have schizophrenia, and any of the schizophrenia spectrum disorders.

    01:28 Schizophrenia, remember is a brain disorder.

    01:32 And when we are talking about the schizophrenia disorders, we're talking about positive and negative symptoms.

    01:39 Positive being the delusions and hallucinations, negative being the withdrawal and the isolation.

    01:46 The whole entire brain is affected by schizophrenia, and experiences anatomical changes secondary to this diagnosis.

    01:56 There is a demonization of different ventricles and a change just in the function and the physiology of the brain itself.

    About the Lecture

    The lecture Schizophrenia: Summary (Nursing) by Brenda Marshall, EdD, MSN, RN is from the course Schizophrenia (Nursing).

    Included Quiz Questions

    1. First-generation antipsychotics are more likely to cause movement disorders.
    2. First-generation antipsychotics are less effective at treating negative symptoms.
    3. First-generation antipsychotics are more likely to cause metabolic syndrome.
    4. First-generation antipsychotics are only available as injections.
    1. The client who reports that they have lost interest in the activities they used to enjoy.
    2. The client who isolates themselves from the other clients.
    3. The client who is convinced the government is watching them.
    4. The client who is loudly talking to themselves.

    Author of lecture Schizophrenia: Summary (Nursing)

     Brenda Marshall, EdD, MSN, RN

    Brenda Marshall, EdD, MSN, RN

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