Schizophrenia Risk Assessment

2572 Words11 Pages
Paranoid schizophrenia, what must the nurse assess? How do they go about assessing? Upon assessing, how will the nurse manage the outcomes of the assessment? These important questions are what this paper will resolve. Through review of recent literature into the assessment and management of individuals affected by paranoid schizophrenia, this paper will discuss in detail how the nurse goes about assessing the patient, why assessment is vital, common outcomes of the assessment and finally go into detail on how the nurse manages a patient with paranoid schizophrenia. Stein-Parbury (2009) discuss the importance of providing an environment without distractions for an assessment to occur in, as this enhances the ability of both the patient and…show more content…
In a patient with paranoid schizophrenia, they may be suffering with positive symptoms such as command auditory hallucinations of an aggressive nature, increasing the likely risk of becoming violent (Balaratnasingam, 2011). Many different tools are used to formulate a risk assessment. Different services may have different policies and procedures to formulate a risk assessment. Risk assessments are utilised to focus on the patient’s individual needs. Risk assessments are also designed to manage and identify areas of concern, either to the patient or health professional’s involved in the care of the patient. Areas of risk assessment may include suicide or self harm, absconding, aggression or violence, substance use, vulnerabilities and neglect, non adherence or compliance. These areas of assessment may include past risk and current risk factors (Edward, Munro, Robins & Welch, 2011). Risk assessment of the patient is important but also risk towards others. Patients with paranoid schizophrenia are more opportunistic in behaving aggressively or violently towards co-patients and/or staff, which is why implementation of such assessment tools have been put in place (Langan, 2008). Upon completion of regular risk assessment screening tools the nurse must implement measures to minimize risks which have been identified. Good examples of this on an inpaitent unit are increased visual observations,…show more content…
With this being the case, antipsychotic medications often have side effects that need to be monitored regularly by the health professionals (Young et al, 2011). Compliance is often a challenge with patients either because of the unmanageable side effects they experience or through limited insight. It is a role of the health professionals involved in the care to closely monitor this behaviour, as the effectiveness of the treatment may be affected (Young et al, 2011). Keller, Drexler &Lichtenberg (2009) discuss the benefits of treating paranoid schizophrenia with atypical antipsychotic medication clozapine and Electroconvulsive Therapy (ECT). However both forms of treatment are linked with harsh side effects. As a nurse it is important to manage these side effects as best possible . Thus relieving anxiety related to treatment, ensuring healthy outcomes for the patient, this is making physical health an important aspect of management (Keller, Drexler &Lichtenberg, 2009). Physical health is an area that is of equal importance to a patient’s mental health. With the treatment of schizophrenia frequently resulting in antipsychotic medication, this brings about the need to manage patient’s physical status, as such side effects as increased weight gain may hinder the recovery process, through patients
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