Beautiful Mind Reflection Paper

Delusions are fixed false ideas that are not based in reality an moral was when John saw his oldtimer telling him to kill his wife and the wife had to quickly ran out of the house. Illusions are false perceptions of real stimulus, he actually was misrepresenting things he sees around that they are harmful to him so he is ever ready to attack. Hallucinations are false sensory inputs with no external stimulus, it may take the reverberate of smells, sounds, tastes, sight, touch, or feelings of altered internal workings of the body.Assessment Pertinent questions to ask the diligent having hallucinations are as follows ask the patient if he sees things when other tribe are not present, ask how many different voices does the patient hear, what do the voices ask the patient to do, ask if the patient recognize any of the voices, what the voices ask him to do and how does he/ she feel about the voices.John Nashs other schizophrenic behaviors in graduate school makes him to see things di fferently from others, he was not associating himself and so he couldnt make any friends, an example was during a party were everyone were drinking and chatting he was only fitting to see the dazzling glasses with the rays of sprightly on it, also at a bar he said something annoying to a lady that was looking for a date or plausibly someone to buy her a drink and the girl was angry, gave him a slap and walked away out of the bar.His schizophrenia affect his self talk be social crusade he was always talking to himself because he was see a friend he thought was real and interacting with. John basically could not take care of his body, he is miss self care deficit-bathing and I think John is having a dis organize subtype of schizophrenia because of his disorganized thinking, speech, and behavior also he is socially inept and unable to perform activities of daily living. Nursing diagnosesRisk for self directed violence related to reality distortion as evidenced in the patient fr ee behaviors that could result in self harm and harm to others. Social isolation related to maladaptive social behavior as evidenced in the patient repetitive meaningless behaviors or behavior unacceptable to significant others. Goal Goals pertinent for John is to be able to develop ways to be much involved with others in an appropriate way and to develop a more satisfying relationship. Nursing interventionsWhen John was taken away he strike the headhunter because he did not want to be sent for treatment and he was been angry as a result of his disordered thinking and loosely organized hallucinations. This type of schizophrenic symptoms is dangerous because he office be hearing voices that tells him to harm others or even himself. Some of the medical treatments for psychiatric illnesses that existed in the 1940s and 1950s are psychoanalysis, insulin therapy, electroconvulsive (shock) therapy, and water/ ice therapy.John received the insulin therapy while he was hospitalized. Afte r discharge from the hospital, John is taking Thorazine and the reasons he had for cheeking his pills and stock certificate piling them in the drawer was because whenever he takes his pills he wont be able to respond to his wife or function effectively as a man of the house. It is important to assess the clients mouth after taking his medication so as to be sure the client actually swallowed the pills and not hide them in his cheeks.Supporting significant others Alicia did not have any support system or help in feel for for her preserve when he returned from the hospital. Planning The nursing diagnosis that would describe Alicia as she care for a new baby and a mentally ill husband is Care giver role strain. The intervention that could be implemented to help Alicia and John is to encourage Alicia to identify available family and friends who can assist with caregiving.The short circumstance discharge goal for John is that he would take his medication at the required time of the day everyday John will be able to relate with his wife and significant others appropriately. Implementation The advantage that modern drugs like Olanzapine have over the older drugs like chlorpromazine(Thorazine) is that Thorazine are low forcefulness antipsychotics while Olanzapine exhibits strong adrenergic and anticholinergic blocking action effective for aggressive behaviors in schizophrenia and psychotic disorders.An increase in temperature is a cause for concern because it can make the client taking antipsychotics physical condition to decline rapidly and this adverse reaction is called Neuroleptic malignant syndrome (NMS), also respiratory or urinary tract side effects would be worrisome because these are signs of autonomic nervous system dysfunction. It is important to do an AIMS assessment for persons taking an antipsychotic so as to be able to determine if the person is having a tardive dyskinesia symptoms as a result of the medications. AIMS stands for Abnormal involunt ary movement scale. EvaluationsIn the last scene, as John is walking up to get his noble prize the extrapyramidal side effects he does have from a long term antipsychotic use is tardive dyskinesia and a prophylactic antiparkinson drugs may be prescribed to combat the adverse effects from antipsychotics such as haloperidol (haldol). Modern antipsychotics are less likely to cause these symptoms because blocks neurotransmission produced by dopamine ay synapse. Reflection I was really surprised to get to know towards the end of the moving-picture show that Charles was imagined and I didnt actually know what to believe was real an unreal about Johns life.John actually learn to ignore the imagined Charles and his boss at the DOD (big brother). Infact it is really pathetic to know that a mentally ill person see things that doesnt even exist and that attributes a piling to the abnormal behaviors they exhibit when they are with people. I think a mentally ill person wouldnt believe those t hings are just imagination and that might make them very aggressive when it seems people dont understand them or see things and hear voices they do hear.