Objectives After completing this behavioural analysis, the student nurses will be able to obtain appropriate knowledge, skill

and attitude in dealing with a patient suffering from undifferentiated schizophrenia. This is manifested by the students ability: To determine the etiology factors (precipitating and predisposing) of the mental disorder. To evaluate the presence or absence of signs and symptoms seen in the patient in relation to the mental disorder. To present the psychodynamics of the clients diagnosis by recognizing its predisposing and precipitating factors. To formulate effective, specific, measurable, attainable, realistic, and time bounded nursing care plans based on identified actual and potential nursing problems. To establish rapport and trust between the patient and the student nurse. Patient Centered: To let the patient verbalize his feelings through written and verbal form. To help the patient have an idea on reality.

Nursing History of Past and Present Illness Past Illness Patient Wilberto Sanchez,35 years old, Single, a resident of 73 Ocampo Avenue, Don Jose Heights, Fairview, Quezon City. He was a full blooded Filipino and was born on March 2, 1977. He was born at Virac Catanduanes. The patient only finished 2 nd year college because he was then seen with the symptoms of mental illness (laughed inappropriately, restless, sleepless and kept on eating). He also claimed that he was once had a sprain on right foot but doesnt remember what date it happened. The patient also had usual cough and colds and fever and he usually takes paracetamol as given by the staff nurses. The patient doesnt have an addiction to alcohol and drugs but he is a heavy cigarette smoker. He doesnt have any family history of mental illness, diabetes and hypertension. He had no known allergy to food, drinks and medicine. Present Illness The patient has been chronically mentally ill since 1992. He had on and off relapses. He had previous confinement in a private institution in Quezon City. He stayed there for almost six months but the date when he was admitted there is unknown. In year 2006, patient was brought to National Center for Mental Health due to restlessness, sleepless, kept on eating and laughed inappropriately. He was then admitted to the custodial ward with levomepromazine 100mg/tab HS as medicine. The patient was then readmitted on September 1, 2009 at pavilion 6 @ 3:40 pm with the same reason as to the previous confinement. He was brought by his mother to the institution. He was confined against his will and was diagnosed with undifferentiated schizophrenia. After 22 days, he was transferred to Pavilion 19 with clozapine as medicine.

Category Apperance Patient

Description Wilberto Sanchez appears

appropriate for his age. He is medium in built and height. He was properly dressed with the NCMH green uniform with

slippers. He has a dark complexion. Behavior and Attitude During the activities conducted by the student nurses, Wilberto was not that cooperative but later on, he was able to cooperate. He is responsive to instructions but quite inattentive. The patient usually scratches his toes with no known reason. He sat in a comfortable chair and posture. During interview, Wilberto cannot see the student nurses eye to eye. Intellectual Ability Wilberto was able to follow instructions during activities. He was able to answer the questions asked by the student nurse. Memory Wilberto was able to recall the names of his student nurses. He was able to tell what he had eaten during breakfast but unable to remember some of his past experiences. Mood and Affect At first, Wilberto is serious and somewhat paranoid. But when we talked to him, we found out that he is friendly and not moody. Orientation He is oriented to time, date and year. He is also oriented to the name of his student nurses. Perceptual Disturbances No hallucinations and delusions observed

all throughout the nurse-patient interaction Thought Content There is a slight disturbance in the way the patient thinks because there are some questions he wasnt able to answer. Thought Process There are no delusions and hallucinations observed interaction. during the nurse-patient

Discharge Plan Medication Take home meds are not yet available since the patient is still in the institution. Encourage Give patient to take his

prescribed medicines the medication on the

prescribed hour Observe giving proper dosage of meds to achieve the therapeutic effect of the drug Do not stop taking the medication unless being said by the physician Exercise Assist patient in doing the activities of daily living Avoid activities that require

alertness because some drugs may induce drowsiness and dizziness Treatment Provide support system Always present reality to the patient Avoid triggering factors that may worsen the disease Instruct patient on strict medication compliance