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Psychiatric Nursing Reflective journals - Essay Example

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Jones, 33 years old, had been admitted for paranoid schizophrenia. Recently she had been hearing “voices which were controlling her”. The other day I had noticed that she was tense generally but reserved in that she did not communicate freely. Her attire was unkempt…
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Download file to see previous pages To my queries, she had just stared at me as if she was scared but today she called me up. Seizing the opportunity, I moved up. Nervously pulling me to her side and looking around to ensure that nobody was within hearing distance, she whispered in my ear. Her neighbor was plotting to kill her and her husband, it seemed. She had heard noises from her backyard which sounded like gunshots when she had been in the kitchen at home. Her movements appeared jerky and speech was not incoherent but appeared monotonous. Realizing that her suspicious and guarded nature was characteristic of her condition, paranoid schizophrenia, I pretended to be a good listener to gain her confidence. She claimed that the neighbor of around her age was attracted to her and was eyeing her sexually. Several times he had approached her for sexual favors. She had told her husband about this but he did not believe her. At times the neighbor had thrown stones at her house when she was alone and had rung the doorbell several times. Each time she went to the door, there would be no one. Saying all of this at one go, she quickly pushed me aside when she noticed the nursing supervisor arriving. When the supervisor had left, Mrs. Jones again strode up to me and caught my attention. She told me that her husband was a good man but he did not believe her stories and told me to keep what she told a secret. Half an hour later, Mrs. Jones did not appear to want to talk with me. When I smiled at her, she seemed to have no recognition. I was a little taken back by the stony look on her face. Her husband had told me that she was a receptionist in a hotel and very much appreciated by the others and customers. Believing that she was then well, she had stopped her treatment. He had not noticed the medicines not being taken. This had triggered this episode. She had also not kept her appointments with the psychotherapist.
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