Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
33 Cards in this Set
- Front
- Back
|
Schizophrenia
|
Thinking, feeling, perceiving, behaving, and experiencing operate without the normal linkages that make mental life comprehensible and effective.
|
|
|
What are the marked disturbances found in thought disorders?
|
Affect (flat, inappropriate)
Behavior (unpredictable, bizarre) Social interactions (isolation) |
|
|
When is the onset of schizophrenia?
|
Late adolescents (20s)
|
|
|
What is the etiology of schizophrenia?
|
Biologic theories
influences neurochemical and neuroanatomic changes Psychsocial theories stress-vulnerability model |
|
|
What are the symptoms of schizophrenia?
|
Symptoms must last at least 6 months
Must include at least 1 month of 2 or more active-phase symptoms such as: bizarre delusions hallucinations disorganized speech grossly disorganized behavior negative behvior |
|
|
Schizophreniform disorder
|
similar symptoms as schizophrenia but has shorter durations; less than 6 months
|
|
|
Schizoaffective disorder
|
schizophrenia symptoms with mood disorder symptoms
|
|
|
Delusional disorder
|
Pt has delusions that do not impair functioning
|
|
|
Brief psychotic disorder
|
Pt returns to pre-morbidity level
ex: postpartum psychosis |
|
|
Shared psychotic disorder
|
2 people in a close relationship hold the same delusions
|
|
|
Psychotic disorder not otherwise specified
|
Pt with psychosis that does not meet criteria of other diagnoses.
|
|
|
What are the 3 dimensions of psychopathyology in schizophrenia?
|
Disorganized (speech, behavior, incongruent affect)
Psychotic (delusions and hallucinations) Negative (alogia, affective blunting, avolition, anhedonia and attentional impairment) |
|
|
Nihilistic
|
Delusion involving death
|
|
|
What are the types of delusions seen in schizophrenia?
|
Persecutory
Guilt Grandiose Somatic Ideas of reference Thought broadcasting, insertion, and withdrawl Nihilistic |
|
|
What are the positive symptoms of schizophrenia?
|
Hallucinations
Delusions Bizarre behavior Illogical thinking Clanging |
|
|
Clanging (def.)
|
Speaking words that rhyme and don't make sense
|
|
|
Perserervation (def)
|
"Stuck in mud" continuous repetition of words or movements
|
|
|
What are the negative symptoms of schizophrenia?
|
Poverty of speech
Poverty of content Affective flattening Blocking Poor eye contact Impaired grooming and hygiene Anhedonia (no longer enjoys pleasure) Impaired attention span |
|
|
Anhedonia (def)
|
no longer enjoys pleasure; often seen in depression
|
|
|
What are the 5 subtypes of schizophrenia?
|
Subtypes are largely based on the signs/symptoms
Paranoid Disorganized Catatonic Undifferentiated Residual |
|
|
5 SUBTYPES OF SCHIZOPHRENIA
Paranoid |
Pts are preoccupied with delusions of persecution, ideas of reference or frequent auditory hallucinations.
|
|
|
5 SUBTYPES OF SCHIZOPHRENIA
Disorganized |
Most socially impaired; Pt demonstrates regression, inappropriate and silly behavior; disorganized speech; inappropriate or flat affects
|
|
|
5 SUBTYPES OF SCHIZOPHRENI
Catatonic |
Abnormal motor behavior, may be immobile or excessive mobility; waxy flexibility; echolalia, echopraxia
|
|
|
5 SUBTYPES OF SCHIZOPHRENIA
Undifferntiated |
Behavior/speech indicate schizophrenic psychosis but fail to meet criteria of paranoid, disorganized or catatonic types
|
|
|
5 SUBTYPES OF SCHIZOPHRENIA
Residual |
Pt does not have positive symptoms but does have negative symptoms
|
|
|
What are the goals of antipsychotic medications?
|
Manage acute positive psychiatric symptoms
Induce remission Maintain stability Prevent relapse |
|
|
ANTIPSYCHOTIC DRUGS USED TO TX SCHIZOPHRENIA
Traditional drugs use and side effects? |
"Old Meds"
Primary used to tx hallucinations and delusions Side effects include extrpyramidal and tardive dyskinesia |
|
|
ANTIPSYCHOTIC DRUGS USED TO TX SCHIZOPHRENIA
Atypical drugs use? |
"New Meds"
Relieve both positive and negative symptoms of schizophrenia Less likely to to cause distressing EPSs |
|
|
What are some common traditional drugs used to tx schizophrenia?
|
Haldol- most commonly used
Thorazine- 1st drug Prolixin |
|
|
What are some common atypical drugs used to tx schizophrenia?
|
Abilify
Seroquel Zyprexa Risperdal Invega Clozaril |
|
|
What are extrapyramidal side effects?
|
Dystonic reaction
Akathisia (ants in pants) Pseudoparkinsonianism Tarditive dyskinesia (can be permanent & disfiguring; facial, tongue & trunk wave-like movements) |
|
|
What are the s/s of Neuroleptic Malignant Syndrome?
|
Rare life-threatening adverse reaction; EMERGENCY
Extreme elevated temperature Severe EPS (rigidity, dystonia) Autonomic dysfunction (hypertension, tachycardia, diaphoresis) Elevated creatine phosphokinase (CPK) |
|
|
What are the overall goals of tx for schizophrenia?
|
Safety in all settings
Stabilization on antipsychotic meds Pt and family education about schizophrenia and its tx Physical care of pt (they're prone to medical problems) Psychosocial support of pt and family |
