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Professional Issuses in Advanced Nursing Practice - Essay Example

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Reflective Journal Name: Professor: Institution: Course: Date: Three (3) learning points from the case study Schizophrenia is a serious medical illness that affects one out of every one hundred people worldwide. It involves both intellectual and bio-chemical changes in mind though it is treatable…
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Professional Issuses in Advanced Nursing Practice
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Professional Issuses in Advanced Nursing Practice

However, if schizophrenia is diagnosed at an early age, it can reduce adverse effects on the patient (Anderson & Mukherjee, 2007). This happens Schizophrenia is a serious medical illness that affects one out of every one hundred people worldwide. It involves both intellectual and bio-chemical changes in mind though it is treatable. Some of the symptoms of schizophrenia include hallucinations, impaired speech as well as delusion. Flat effect, apathy, and impaired thoughts are included in the model as opposed symptoms. Impaired thinking involves poor memory, inability to make decisions as well as false cognitive functions in the affected person. However, if schizophrenia is diagnosed at an early age, it can reduce adverse effects on the patient (Anderson & Mukherjee, 2007). This happens by showing less negative symptoms as well as, less impaired learning him by the patient. It may also reduce the impact of organized thoughts in the affected patient; hence the patient may take well. There are various drugs that can be used to control schizophrenia, referred to as Antipsychotic drugs. They exist into two categories including Typical and Atypical Antipsychotic drugs. Typical Antipsychotic drugs include Chlorpromazine (Thorazine), Haloperidol (Haldol), Perphenazine (Trilafon), Fluphenazine (Permitil). The rest are types of Atypical Antipsychotic drugs include Risperidone (Risperdal) Olanzapine (Zyprexa) Quetiapine (Seroquel) Ziprasidone (Geodon) Aripiprazole (Abilify) Paliperidone (Invega) Clozapine (Clozaril). All these drugs could heal and reduce the effects of the serious illness that distorts the brain activities of human beings. However, these drugs have their adverse effects when taken by individuals’ like dizziness when changing positions blurred vision skin rashes constipation dry mouth tremors. Drowsiness or sedation is a common side effect with all drugs used to treat psychosis. Drowsiness often fades with time as patients modify or start immunity to the drug. There are several options to aid the patient from this side effect (British Columbia Schizophrenia Society, 2004). These include adjusting the dose, instructing the patient to take the drug before bed, or changing the medication. The medical condition the patient was diagnosed with was obstructive jaundice. The determiner of the illness uses a distinctive technique known as ERCP that studies bile ducts that indicated the presence of jaundice, the presence of hepatitis, also referred to as liver cancer. The procedure which begins with the patient’s consent, involves passing an endoscope into the mouth, oesophagus and stomach into the duodenum (Douglas, 2005). A thin plastic tube catheter is passed through the endoscope until the common opening to the ducts from the liver and pancreas can be seen. The fluoroscopy is used later to look for blockages and lesions such as stones, which may indicate the obstruction of the biliary tract for example the gallstones also the swelling of the bile duct. There may be traces of raised level of bilirubin, a waste product removed by bile. The reduction in flow of bile causes abdominal pain and fever to the patient, thus needs earlier treatment. It is ideal for the patient or even his/her family members to agree to the selection of undergoing surgery. This is a crucial decision that should not be made by the doctor and carry out the surgery on his own. There are several ... Read More
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