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Case Study: Nursing care plan for Tom, who has Schizophrenia disorder

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Case Study: Nursing care plan for Tom, who has Schizophrenia disorder

The patient in the case study, Tom, has Schizophrenia which is characterized by substance use disorder and cognitive impairment. The case study also reveals he has difficulty communicating and distinguishing between reality and imagination. With this in mind, there are different nursing care plans that Tom can use to address his Schizophrenia problem. Some non-pharmacological nursing interventions for Schizophrenia include initiating a nurse-patient relationship, providing supportive group therapy, family therapy, social skill training, individual therapy, vocational rehabilitation, acceptance and commitment therapy, and cognitive behavioral therapy (Lambert, 2022). Based on the assessment of Tom's health condition and symptoms, I recommend nurse-patient relationships and family therapy. The nurse-patient relationship is a therapeutic intervention that a nurse can use to establish a healthy relationship with Tom. Through this intervention, the nurse can show empathy by understanding, confirming, and evaluating the patient's perception of the health care experience (Hartley, 2020). For example, the nurse can use this therapy to build professional intimacy involving social elements that can help the patient feel connected and less lonely. It can also help the nurse to build trust with the patient, which can engage him to open up and speak freely about their health issues and experience with the care provided. It will further help the nurse to maintain respect and appropriate professional boundaries with the patient, which can be an added advantage.

Family therapy is psychological counseling that a nurse can use to help Tom and his family improve communication and resolve potential conflicts. It is usually a short-term therapy that a nurse in this case study can use to engage Tom's family members who are available or able to participate in the treatment plan. Through this intervention, a nurse can help Tom to establish a deeper family connection that makes him feel loved. Burbach (2018) suggests that family therapy can help improve relationships with family members and friends. This can help Tom to get through his stressful times and overcome his traumatic experience. It can also help Tom address some of his issues, such as substance abuse and isolation. There is a possibility that the traumatic experience that Tom faced also affected other members of his family. If not, the family members may experience some difficulties caring for Tom. With this in mind, this approach can help Tom's family develop coping mechanisms as they care for him. If a nurse uses this approach, he can allow Tom’s family members to attend counseling sessions to learn coping skills and understand Tom's situation better. This can help bring Tom, and his family members close together.

After four weeks since this intervention was initiated, the patient, Tom, will be expected to return to the clinic for assessment. Tom will be assessed clinically during this time to evaluate his recovery progress. This assessment will evaluate whether the nurse-patient relationship positively contributes to Tom's recovery. For example, the nurse will evaluate whether their relationship has contributed to improving communication and trust with Tom over the past four weeks since the intervention was initiated. Moreover, the nurse will also evaluate how the family therapy intervention influences the recovery progress of the patient. For example, the nurse will evaluate whether the intervention has improved the relationship between Tom and his family. It will also evaluate whether the available family members have the coping skills needed to take care of Tom once he is discharged from the hospital. Based on the result of these two assessments, the nurse can strategically determine the next (Molina-Mula & Gallo-Estrda, 2020; Szapocznik & Hervis, 2020). For example, if the assessment shows that the interventions significantly positively affect the patient's recovery process, they can decide to continue with the treatment.

References

Burbach, F. R. (2018). Family therapy and Schizophrenia: A brief theoretical overview and a.

Hartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse-patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies, p. 102, 103490.

Lambert, N. (2022). Nursing care plans in mental health.  Mental Health Practice,  25(1).

Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making.  International journal of environmental research and public health,  17(3), 835.

Szapocznik, J., & Hervis, O. E. (2020).  Brief strategic family therapy. American Psychological Association.