Patient with schizophrenia. From the hospitalization unit to rehabilitation: nursing approach

Abstract

Schizophrenia is among the ten leading causes of disability in the world and its rehabilitation requires an approach that combines social skills training, personal management and social reintegration. We present the case of a 33-year-old man with paranoid schizophrenia and a borderline intellectual quotient, with 48 previous admissions for self- and hetero-aggression in the context of megalomaniacal delusional ideation secondary to substance use, poor treatment adherence and a pathological family relationship that led to his legal incapacitation. After nursing assessment according to Marjory Gordon’s functional health patterns, a care plan was developed with the NANDA, NOC and NIC taxonomies, addressing the tendency towards risk behaviours, readiness for enhanced health management, insomnia, deficient knowledge, disabling family coping and relocation stress syndrome. The patient’s evolution towards residential resources with less supervision illustrates the transition from hospitalization to rehabilitation and the progressive recovery of personal autonomy.