Disturbed Sensory (Auditory) Perception Harvard Case Solution & Analysis

ASSESSMENT:30 years male, distressed, hesitant, poor eye contact, talking to voices in his surrounding other than the interview, prescribed medicine is olanzapine and currently he is off medication fora month. Visitor, family, meets once every two weeks.

CLINICAL ISSUES:

Poor hygiene.

Distressed.

Agitated (Nervous).

During interview, patient occasionally would speak to the voices.

Distracted in daily routine.

Did not take medication for a month.

Doesn’t socialize.

RISK:Disturbed Sensory Perception: Auditory.

 

Nursing Interventions

 

Rationale to Nursing Interventions

Planning:

•        Gathering with the client each day for about 30minutes.

•        Observe all the minor to major happenings, how he is behaving, sitting, his body language and his response towards the questions.

•        Communicate acceptance to boost the patient’s courage of sharing of the content.

•        Check ifhis current condition causes a risk of self-harm or not?

•        Teaching patient to control hallucinations by himself, i.e. by randomly singing to self, asking the voices to go by putting earphones in.

Therapeutic Relationship:

A condition, when there are false hearings and poor eye contact of client with nurse is already present, it is really hard to constitute a therapeutic relationship. Likewise, there are some hurdles reported in the mentioned interview. The patient is young and depressive, impaired in attentiveness while focusing on the surroundings rather than the questions. The nurse had difficulty to get proper attention of the client and her proceedings to find and then, to interpret.

·        Meetings will enhance the trust and lessen the anxiety and stress level.

·        His behaviour was very anxious, perplexed, and nervous and time and location oriented.(Nursing Care Plan Listing, 2013)

 

 

 

 

 

 

 

As reported in the interview, the patient is using medications for the disturbed auditory sensation, the nurse should have accepted the patient’s abnormality as a normal thing and should have let him understand that it’s not a problem but a common thing and when he will feel comfortable in the situation, the rest of the interview should have been conducted. Mental relaxation and comfort zone makes the therapeutic relationship better for both the parties.

Diagnosis:

Hearing of voices, Hallucination (auditory), which leads to a serious mental health problem such as schizophrenia in which,withdrawal from reality is observed like what happened in this case.

Disturbed Sensory (Auditory) Perception Harvard Case Solution & Analysis

 

Auditory distortion, altered communication pattern, Inappropriate responses, Perplexity to person/place/time.
1.     Causes:

Schizophrenia

Schizophrenia: An illness in the mental health, i.e. described clearly by hallucinations, distortion of conduct and beliefs and delusions as well, which ultimately result in common and professional lack of functioning.(Pinho LGD, 2017)

Reported case related causes may include:

·        False hearings from the surrounding.

·        Nervousness and distressed condition,which may be due to any past tragedy.

·        No interactions socially.

·        Family isn’t with him often.

·        No medication for a month.

Hearing voices that really don’t exist, is an acoustic, i.e. auditoryillusion that may or may not be associated with mental health problems, commonly known as hallucinations.

The most shared type of hallucinations in individuals with mental/psychotic illness,i.e. schizophrenia.

·        False hearings could be ignored by continuous and indulgent communications with the patient about normal life happenings.

·        By asking his interests and quality life moments, his stressed condition could be controlled. Like here, in the case, the patient is young, he must be persuaded towards life by counselling him and telling him about the bounties of life.

·        Social activism should be acquired slowly and gradually.

·        Try to make him live with his family maximally as they often visit him, now during the course of treatment, they must live with him.

·        Prescribed medicine Olanzapine, which is a neuroleptic (antipsychotic) drug, i.e. when he takes medicine, or when he is sleeping, no voices would be heard. So make sure he will never run out of his medications and his proper sleep pattern is also essential to relax his mind.(Cummins, 1998)

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