Case study for schizophrenia scribd

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Case study for schizophrenia scribd

Physical therapist, David L. The authors acknowledge the contributions of Drs. Ian Cohn and Sarah Kim.

The authors have no commercial or financial association that might pose a conflict of interest in connection with this manuscript. Address correspondence to Nirtal Shah, David L.

Case study for schizophrenia scribd

The purpose of this case report is to demonstrate the importance of a thorough patient interview. The case involves a man referred for physical therapy for a musculoskeletal dysfunction; during the patient interview, a psychiatric disorder was recognized that was later identified as schizophrenia.

A secondary purpose is to educate physical therapists on the recognizable signs and symptoms of schizophrenia. A year-old male patient with chronic shoulder, elbow, and wrist pain was referred for physical therapy. During the interview, the patient reported that he was receiving signals from an electronic device implanted in his body.

The patient was referred for further medical investigation, as he was demonstrating signs suggestive of a psychiatric disorder. The patient was diagnosed with schizophrenia by a psychiatrist and was prescribed Risperdal. This case study reinforces the importance of a thorough patient interview by physical therapists to rule out non-musculoskeletal disorders.

Patients seeking neuromusculoskeletal assessment and treatment may have undiagnosed primary or secondary psychiatric disorders that require recognition by physical therapists and possible medical referral.

We present the case of a man, referred for physical therapy for a musculoskeletal dysfunction, who was determined during the patient interview to have an undiagnosed psychiatric disorder, later identified as schizophrenia.

In addition, this report is intended to educate physical therapists about the recognizable signs and symptoms of schizophrenia. His recreational activities included skateboarding, snowboarding, break dancing, and weight training. The patient first sought Case study for schizophrenia scribd attention from a sport medicine physician in Januarywhen he reported right lateral wrist pain since falling and hitting the ulnar aspect of his wrist while skateboarding in October Plain film radiographs taken after the injury were negative, and the patient did not receive any treatment.

The physician found no wrist swelling, minimal tenderness over the ulnar aspect of the right wrist, full functional strength, and minimally restricted range of motion ROM.

The patient was given ROM exercises and was diagnosed with a right wrist contusion. Over the next 22 months, the patient returned to the same sport medicine clinic 10 times, reporting pain in his wrist, shoulder, elbow, knee, ankle, and neck.

He stated that the elbow, wrist, and shoulder injuries were due to falls while skateboarding and snowboarding or to overuse during weight training; some injuries had no apparent cause.

Case study for schizophrenia scribd

Over the course of his medical care, the patient followed up with three different physicians at the same clinic.

He was diagnosed by these physicians, in order of occurrence, with 1 right wrist contusion and sprain; 2 right wrist impingement and left wrist strain; 3 right shoulder supraspinatus tendinopathy; 4 right peroneal overuse injury and strain; 5 disuse adhesions of the right peroneals and right hip adhesions; 6 right ankle neuropathic pain secondary to nerve injury and sprain and right-knee patellofemoral pain syndrome PFPS ; 7 neuropathic pain of the right peroneal nerve; 8 trauma-induced left-knee PFPS; 9 ongoing post-traumatic left-knee PFPS; and 10 right levator scapula strain, chronic right infraspinatus strain, right elbow ulnar ridge contusion, and right wrist chronic distal ulnar impingement secondary to malaligned triangular fibrocartilage complex TFCC.

After his tenth visit to a physician, the patient was referred for physical therapy for chronic right levator scapula strain and right supraspinatus strain. During the interview, the patient stated that he had right shoulder pain because of a snowboarding injury sustained 1 year earlier and because of a fall onto the lateral right shoulder 2 years ago.

Aggravating activities to the shoulder included pull-ups, rowing, and free weights. No position or movement alleviated his pain, and the pain did not fluctuate over the course of the day. His sleep was disturbed only when lying on the right shoulder. The patient was in generally good health, but he said that his right wrist and left knee occasionally felt cold for no apparent reason.

He denied experiencing any loss of sensation, decreased blood flow, or numbness or tingling in the knee and wrist. The patient said he believed that his knee and wrist became cold as a result of electromagnetic impulses sent to the joint via an electrical implant in his body and that this device was the cause of his ongoing shoulder pain.

According to the patient, this device had been implanted into his body 2 years earlier by a government organization the Central Intelligence Agency, the US government, or the US Army to control his actions. Furthermore, he indicated that he often received commands telling him to harm his friends or family and that these orders came either from the electrical implant or from the people he claimed were emotionally abusing him.

He therefore distanced himself from some friends because he did not want to follow through with these commands.

I asked the patient if he felt he would harm himself or others because of his psychotic-like symptoms. He denied any desire to inflict harm on himself or others.

He did not use any prescription or over-the-counter medications, but he felt his thoughts about electrical implants were decreased by the use of marijuana, which he used socially. He was a non-smoker and a social consumer of alcohol. He had a normal gait and appeared comfortable in an unsupported seated position.The Wuhan Gang & The Chungking Gang, i.e., the offsprings of the American missionaries, diplomats, military officers, 'revolutionaries' & Red Saboteurs and the "Old China Hands" of the s and the herald-runners of the Dixie Mission of the s.

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Versión para imprimir; Bibliografía. A continuación se presenta una extensa recopilación de referencias bibliográficas sobre trastornos del espectro autista y temas relacionados.

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This case study want to help health care personnel and nursing students in rendering appropriate care for the patient with Undifferentiated Schizophrenia. NURSING EDUCATION This case study want to help nurses and nursing student to understand more the disease process of Undifferentiated Schizophrenia and be able to provide proper management.

A Case Study on Schizophrenia - Download as Word Doc .doc), PDF File .pdf), Text File .txt) or read online.

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