Nursing Care for Schizophrenia (Diagnosis, Care Plan, and Interventions) + Free Quiz

Let’s just start with the definition – Schizophrenia is a group of disorders characterized by abnormal social behavior and disturbances in mood, thought processes, behavior, and affect. We’ll talk about the different types in the next lesson. In this lesson I want to talk about the general symptoms and nursing interventions for all types of schizophrenia.

So, to be diagnosed with Schizophrenia, clients need to have at least two of the following symptoms, at least one of which should be a positive symptom. So first, what the heck does it mean to say a positive symptom and a negative symptom. It’s not like good and bad, it’s more like add and subtract. So, positive symptoms add things cognitively. This may include hallucinations or delusions, disorganized speech, or bizarre behavior – they’re new things added to the patient’s thought processes. Negative symptoms subtract things – so a decreased emotional range, a loss of interest, a lack of inertia. Inertia itself is a tendency to stay in motion – so if they’ve lost that, it’s a tendency to do nothing and remain unchanged. So those are negative symptoms.
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[tashamorriss]

As a mental health professional, I will just clear up the positive and negative aspects. Positive symptoms are what is used to make the initial diagosis of schizophrenia, ie: hallucinations, as already mentioned. Negative symptoms are more like your depressive symptoms, lack of interest etc. Schizophrenic patients get diagnosed as they have positive symptoms, but not all patients have the negative ones, ie: depression. For example, a patient could be experiencing hallucinations, but they are not depressed - they can still interact with others and show an interest in things.

[Yohannesboy]

This was really good as I prepare for my next exam

[JR-_-]

Great video. Thanks for making and posting. It has been very useful.

[HeyImLucious]

4:22 "unless there *are* actually spiders crawling on the wall"
... wouldn't that be a more pressing issue at the moment? lol

[GETBENT]

how can i accept that i have schizoaffective when people in my life chastise me when the symptoms increase.

[gloriadelarosa]

Doctor taking blood tests from me for the first time. I Was diagnosed with schizophrenia years ago & they never took blood tests but the doctor tells me the blood tests are to check for cholesterol and a couple other health checks I forgot but does that also check the blood to see if I’ve been taking my meds because I haven’t told them I’m detoxing so they think I’m taking my meds but I’m not

[tigmanshu]

I am 32 year old indian guy. I had so called friends with who i have parted ways 8 years ago. From last 8 years i dont have a friend. I still think about old friends all the time. I want to remove those thoughts from my brain so that i can focus on reading and office. I live alone but my family always says that you are acting aloof. I am taking medicines of schizophrenia from last 3.5 years. Nothing is helping me to remove thoughts of old friends. Please help me I am worried about my future.

[scottcabrales]

I'm schizophrenic I have trouble knowing how to tell what is real or not my mind hears voices some times scary sometimes I hope there not real people have bully me for it 😔but can't do anything

[zaferm]

in my understanding, inertia = lack of activity ; so "lack of inertia" is not a negative symptom

[favourosondu]

lack of inertia is incorrect. Inertia already means tendency to do nothing. Adding "lack of" is grammatically incorrect and changes the meaning of the concept.