CASE STUDY ALCOHOLISM WITH COMPLETE
SOLUTIONS VERIFIED
I. Introduction
My patient name is GV a 45 yr-old male construction worker, married and with 5 children.
His youngest son died as mentioned by the patient. Gabriel belongs to a lower class family that
lives at the province. He was diagnosed to be suffering from mild mental retardation with auditory
hallucination and paranoia. No family history of mental illness and with a chief complaint of killing
his mother.
II. Psychopathology
Schizophrenia is a mental disorder characterized by disintegration of thought processes
and of emotional responsiveness. It most commonly manifests as auditory
hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is
accompanied by significant social or occupational dysfunction. ("Schizophrenia" Concise Medical
Dictionary. ) The onset of symptoms typically occurs in young adulthood, with a global lifetime
prevalence of about 0.3–0.7%. Diagnosis is based on observed behavior and the patient's
reported experiences. (Kapur S.) People who have it may hear voices, see things that aren't there
or believe that others are reading or controlling their minds. In men, symptoms usually start in the
late teens and early 20s. They include hallucinations, or seeing things, and delusions such as
hearing voices. For women, they start in the mid-20s to early 30s. Other symptoms include:
unusual thoughts or perceptions, disorders of movement, difficulty speaking and expressing
emotion, problems with attention, memory and organization
, No one is sure what causes schizophrenia, but your genetic makeup and brain chemistry
probably play a role. Medicines can relieve many of the symptoms, but it can take several tries
before you find the right drug. You can reduce relapses by staying on your medicine for as long
as your doctor recommends. With treatment, many people improve enough to lead satisfying
lives.
Typhoid fever is a life-threatening bacterial infection caused by bacteria called
Salmonella typhi. Typhoid is contracted through consumption of food and water that has been
contaminated with Salmonella typhi. Untreated typhoid can cause permanent psychiatric
problems such as delirium, hallucinations and paranoia over the long term. Hallucinations are
false and distorted perceptions of events. Paranoia is a symptom of a psychotic disorder in which
patients become suspicious of others and feel that the world is out to get them. The disorder
appears to be more common in families with psychotic disorders such as schizophrenia and
delusional disorder, which suggests genes, may be involved. However, environmental factors
may play a role, as well. The condition appears to be more common in men.
III. History
Patient shows strangeness in his behavior and becoming uneasy due to his belief that
someone will kill him. Patient was seen running purposelessly as if someone was after him. No
consultation and medication was done to the patient due to lack of funds. Informant further
advised that every time the patient is in this state they usually tie him up. Until one fateful night,
the patient was in his restless behavior and thought that someone was trying to kill him and
thought that the killer was entering the door and accidentally killed his mother with a bamboo
pole. Family and relatives then decided to have his wife bring him for consultation and
medication.
IV. Nursing Physical Assessment
SOLUTIONS VERIFIED
I. Introduction
My patient name is GV a 45 yr-old male construction worker, married and with 5 children.
His youngest son died as mentioned by the patient. Gabriel belongs to a lower class family that
lives at the province. He was diagnosed to be suffering from mild mental retardation with auditory
hallucination and paranoia. No family history of mental illness and with a chief complaint of killing
his mother.
II. Psychopathology
Schizophrenia is a mental disorder characterized by disintegration of thought processes
and of emotional responsiveness. It most commonly manifests as auditory
hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is
accompanied by significant social or occupational dysfunction. ("Schizophrenia" Concise Medical
Dictionary. ) The onset of symptoms typically occurs in young adulthood, with a global lifetime
prevalence of about 0.3–0.7%. Diagnosis is based on observed behavior and the patient's
reported experiences. (Kapur S.) People who have it may hear voices, see things that aren't there
or believe that others are reading or controlling their minds. In men, symptoms usually start in the
late teens and early 20s. They include hallucinations, or seeing things, and delusions such as
hearing voices. For women, they start in the mid-20s to early 30s. Other symptoms include:
unusual thoughts or perceptions, disorders of movement, difficulty speaking and expressing
emotion, problems with attention, memory and organization
, No one is sure what causes schizophrenia, but your genetic makeup and brain chemistry
probably play a role. Medicines can relieve many of the symptoms, but it can take several tries
before you find the right drug. You can reduce relapses by staying on your medicine for as long
as your doctor recommends. With treatment, many people improve enough to lead satisfying
lives.
Typhoid fever is a life-threatening bacterial infection caused by bacteria called
Salmonella typhi. Typhoid is contracted through consumption of food and water that has been
contaminated with Salmonella typhi. Untreated typhoid can cause permanent psychiatric
problems such as delirium, hallucinations and paranoia over the long term. Hallucinations are
false and distorted perceptions of events. Paranoia is a symptom of a psychotic disorder in which
patients become suspicious of others and feel that the world is out to get them. The disorder
appears to be more common in families with psychotic disorders such as schizophrenia and
delusional disorder, which suggests genes, may be involved. However, environmental factors
may play a role, as well. The condition appears to be more common in men.
III. History
Patient shows strangeness in his behavior and becoming uneasy due to his belief that
someone will kill him. Patient was seen running purposelessly as if someone was after him. No
consultation and medication was done to the patient due to lack of funds. Informant further
advised that every time the patient is in this state they usually tie him up. Until one fateful night,
the patient was in his restless behavior and thought that someone was trying to kill him and
thought that the killer was entering the door and accidentally killed his mother with a bamboo
pole. Family and relatives then decided to have his wife bring him for consultation and
medication.
IV. Nursing Physical Assessment
