Case Report on Schizophrenia

Introduction: The psychotic state of Schizophrenia is characterized by a disruption in the existence of clear consciousness in the thought, emotion and faculties that typically leads to a social abrogation. In India, research found a prevalence 3/1000 individuals. It is more common in men, and when men begin to develop schizophrenia, they appear to be around five years younger by average than women.

Case Presentation: A male patient 30 years from Hariom Nagar, Sindhi Meghe, Wardha was admitted to Psychiatric Ward, AVBRH on 20th January 2021 with a case of Schizophrenia. Symptoms: Behavioral changes like muttering to self, smiling to self, aggressiveness, irrelevant talk, sleep disturbance, hearing of voices not heard by others. Non adherence to medication in the last 1 years.

Investigation: Hb% - 14.6 mg/dl; Glucose plasma random – 68 mg%; Monocytes- 3%, Granulocytes- 80% Lymphocytes- 15%; HIV, HCV, HBsAg, VDRL, all of these tests were negative. Surgical Management: Patient have no past surgical history.

Medical Management: Patient was treated with Tab. Risperidone Plus x HS and Tab Clonazepam 0.25mg.

Nursing Management: Assess for physical, psychological and social data. Aware for Impact of schizophrenia on physical health, emotions, thinking and natural capacity to cope. Remember that the defense mechanisms used, the nature or structure of the feeling, the suicidal risk, the capacity to work and the space accessible for social support services.

Conclusion: Patient was admitted to AVBRH and was diagnosed to have Schizophrenia. The patient got appropriate treatment and therapy and his condition has improved well.