SCHIZOPHRENIA, OTHER PSYCHOTIC DISORDERS, AND 1
Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders
Walden University
NRNP 6635 Psychopathology and Diagnostic Reasoning
January 14, 2024
SCHIZOPHRENIA, OTHER PSYCHOTIC DISORDERS, AND 2
Schizophrenia, Other Psychotic Disorders, and Medication-Induced Movement Disorders
Introduction:
PW a 42-year-old female was brought in under an emergency for an
evaluation order after her best friend, Felicia, after the police for Patricia
locking herself in a closet and screaming loudly for over an hour. EMS was
able to calm her with a small dose of Ativan en route to the emergency
department. This is Patricia's third presentation to the emergency room in 2
weeks. She had one psychiatric hospitalization around the same time last
year. No self-harm behaviors but has assaulted others in the past. No hx of
TBI. Sleeps 1–2-hour increments for a total of 6 hrs. daily, refuses to sleep at
night. Refused vitals, wt. refuses labs, not cooperative. She obtained SSDI.
She lives in Cameron, Montana.
She denies ever using any drugs and drinks one glass of wine weekly.
She has a sister who is five years older, both parents deceased in the last
three years. She has no children; her husband is out of town as a truck
driver. Family history includes that her father had two previous inpatient
psychiatric hospitalizations for paranoia Mother had a history of bipolar
depression. Paternal grandmother had "shock therapy". Denies a history of
trauma experience, but her friend reports parent's death was extremely
difficult for Patricia. no current legal charges. dropped out of high school in
11th grade, was pregnant, and had an abortion. allergies: Clozaril
Subjective:
CC: Paranoia, locking herself in a closet and screaming for over an hour.