Posted: October 7th, 2022

34-Year-Old Pakistani Female With Schizophrenia

Case Examine: 34-Yr-Outdated Pakistani Female With Schizophrenia

NURS 6630: Psychopharmacologic Approaches to Remedy of Psychopathology Walden College

The Task
Study Case Examine: Pakistani Lady with Delusional Thought Processes. You may be requested to make three choices in regards to the medicine to prescribe to this consumer. Make sure to take into account elements that may affect the consumer’s pharmacokinetic and pharmacodynamic processes.

BACKGROUND
The consumer is a 34-year-old Pakistani feminine who moved to america in her late teenagers/early 20s. She is at present in an “organized” marriage (her husband was chosen for her since she was 9 years outdated). She presents to your workplace at this time following a 21 day hospitalization for what was recognized as “transient psychotic dysfunction.” She was given this prognosis as her signs have continued for lower than 1 month.

Previous to admission, she was reporting visions of Allah, and over the course of per week, she believed that she was the prophet Mohammad. She believed that she would ship the world from sin. Her husband grew to become involved about her habits to the purpose that he was afraid of leaving their four youngsters along with her. One night, she was “uncontrolled” which resulted in his calling the police and her subsequent admission to an inpatient psych unit. Earlier than she was admitted, she was speaking about seeing Allah, and for per week, she thought she was the prophet Mohammad. She thought she would save the world from unhealthy issues. Her husband was so nervous about how she was appearing that he did not wish to depart their 4 children along with her. One night time, she was “uncontrolled,” so he referred to as the police and took her to an inpatient psychological well being unit.

Throughout at this time’s Assessment, she seems fairly calm, and insists that your entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was simply out to get her as a result of he by no means beloved her and wished an “American spouse” as an alternative of her. She tells you that she is aware of this as a result of the tv is telling her so.

She at present weighs 140 lbs, and is 5’ 5”

SUBJECTIVE
Shopper experiences that her temper is “good.” She denies auditory/visible hallucinations, however believes that the tv does speak to her. She believes that Allah sends her messages by means of the TV. At occasions all through the medical interview, she turns into hostile in direction of the PMHNP, however then calms down.

You reviewed her hospital data and discover that she has been medically labored up by a doctor who reported her to be in general good well being. Lab research have been all inside regular limits.

Shopper admits that she stopped taking her Risperdal a few week after she received out of the hospital as a result of she thinks her husband goes to poison her in order that he can marry an American lady.

MENTAL STATUS EXAM
The consumer is alert, oriented to individual, place, time, and occasion. She is dressed appropriately for the climate and time of 12 months. She demonstrates no noteworthy mannerisms, gestures, or tics. Her speech is sluggish and at occasions, interrupted by durations of silence. Self-reported temper is euthymic. Have an effect on constricted. Though the consumer denies visible or auditory hallucinations, she seems to be “listening” to one thing. Delusional and paranoid thought processes as described, above. Perception and judgment are impaired. She is at present denying suicidal or homicidal ideation.

The PMHNP administers the PANSS which reveals the next scores:

-40 for the constructive signs scale
-20 for the unfavorable symptom scale
-60 for basic psychopathology scale

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