Schizophrenia is a psychological or mental disorder which tends to interfere with the thinking, feeling, and behavior of an individual. The chronic disorder affects the part of a person’s brain where the person fails to distinguish between the imaginary and the real issues. The disorder has both negative and positive symptoms. Positive symptoms comprise of hallucinations as well as disorganization of the speech whereas the negative symptoms consist of medical comorbidities, depression, substance use disorder as well as lack of speech.
Treatment plans for the adults who have been diagnosedwith this condition involves three tactics. They comprise of minimization of the disorder’s symptoms, increasing the life quality and enable or empower adaptive functioning as well as supporting the client in attaining their life goals (Gautam, 2018). Treatment is divided into three stages which are acute, stabilization as well as stable. The first phase, acute, start with acute exacerbation where the entire symptoms get reduced to a very low level and this is regarded as the patient’s baseline. The stabilization period happens rapidly and then followed by its change or transition to the stable phase. Stable phase takes time because it involves both rehabilitation and treatment. During this phase, all the symptoms get regulated with the main aim of enhancing the function plus discovery of the client. Treatment planning, selection as well as the dose subscription vary in the three stages. The treatment of the phases tends to be approximately six months.
On the other hand, the treatment plan for adolescents and children comprise of four stages. This comprises of therapy matching, the problem positioning, the main inpatient treatment planning as well as goal direction (Van, 2017). In therapy matching, this is a psychological test which estimates the existence of schizophrenia signs and symptoms in an adolescent or a child. The child’s progress gets examined comprehensively until that time that the family feels contented with the child’s condition. In problem orientation, treatment and diagnostic issues get retrieved from the database. Central inpatient treatment planning comprises of detection of the main issue, formulate and utilize the clear objective to diagnose the illness or disorder. In the phase of goal-direct planning, the stage utilizes pivotal medication foci. This gets obtained from diagnostic formulation.
In both treatment plans, highly specialized clinicians are needed when diagnosing the disorder. Moreover, the illness gets considered as a long-life illness. The distinction between booth treatment plans is on the process that is involved in diagnosing achild and an adult. The process is considered as being very complicated and may take a long duration. This is du to the fact that there are other disorders with the same symptoms as those of schizophrenia, for instance, bipolar disorder. In children, treatment can take longer even after the symptom’s disappearance compared to that of adults.
Forcing children to take medications once they get diagnosed with schizophrenia raises some legal and ethical issues. The most common ethical and legal issues faced are those of assent and dissent. From the legal perspective, parents should consent or agree to treatment; children may dissent or assent. When child and guardian agree, care should proceed smoothly (Sabin, 2016). However, in case they disagree, resorting or turning to fundamental ethical considerations is needed. Since a child’s safety is paramount, child or parent opposition to the psychiatric intervention gets disregarded or ignored in the event of looming danger. Parents consent while children dissent, the principles get utilized as a reasoning basis, but due to developmental dissimilarities, they will get applied differently. In case Schizophrenia poses a significant risk, for instance, injury to self and other children, the PMHNP should ensure that medication is given.
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