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Living with a long term condition.
Pages 13 (3263 words)
Angela was diagnosed at the age of 54 with paranoid schizophrenia, and was initially admitted to a mental health unit for management. She stayed in the institution for four years. With significant improvements, she was discharged for home and community management.
She was doing well under the care of her daughter, but after two years at home, many of her symptoms recurred including her hallucinations, paranoia, delusions of grandeur; she was also manifesting disorganized speech and thought processes. She was hearing voices and was often heard talking to her hallucinations; she also insisted she was a Queen and must be treated as such; and she was easily distracted and had trouble organizing her thoughts. She was also refusing to take her medications. After appropriate evaluation, she was admitted to the mental health unit. I met the patient after being assigned to her care as a mental health nurse. In evaluating her condition, she has been schizophrenic for six years now with her symptoms being manageable for the better part of four years, but due to an untoward incident – the death of her husband, her symptoms have become unmanageable again. Angela is now 56 years old, has had two grown children, and has been recently widowed. She has worked as a school teacher up to the time when her initial symptoms manifested. She has since opted for early retirement due to her condition. When she was brought home after four years in the mental institution, she has had a limited social history. She has opted to not engage in any social interactions because she felt ashamed of her condition. ...
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