SOCIO DEMOGRAPHIC DATA
Name: Mr. Rupesh Kumar
Age: 24 years
Sex: male
Bed number- 16
IPD No-
Ward- Psychiatric Ward Unit-11
Education- IT first year
Occupation- Student
Socio Economic Status (Income) – 3000rs/month
Marital Status-unmarried
Religion-Hindu
Language-Hindi
Nationality...
MENTAL HEALTH NURSING
CASE STUDY
ON
PARANOID SCHIZOPHRENIA
,SOCIO DEMOGRAPHIC DATA
Name: Mr. Rupesh Kumar
Age: 24 years
Sex: male
Bed number- 16
IPD No- 1911180030
Ward- Psychiatric Ward Unit-11
Education- IT first year
Occupation- Student
Socio Economic Status (Income) – 3000rs/month
Marital Status-unmarried
Religion-Hindu
Language-Hindi
Nationality-Indian
Address – Saharanpur
Date of Admission- 22 November 2019
Date of Assessment- 23 November 2019
Identification Marks-not significant
Diagnosis- Paranoid Schizophrenia
Description of living area- client is living in ruralarea in pucca house and there are poor sanitation conditions. Poor ventilation and
surrounding area isnot well cleaned.
,INFORMANT
S.no. Name Relationship Reliability Adequacy
1. Mr. Ram kumar Brother in Reliable Inadequate
law
1. PRESENTING CHIEF COMPLAINTS :- ( psychiatric complaints)
According to patient According to family member
1. Daar lgta hai Akele baith ke haste rehna3-4months
2. shak hota hai , khud se baat karna 3-4 months
3. gussa karna 3-4months
4. Akele baith ke rote rehna 3-4 months
5. ghabrahat hoti hai 3- 4months
Biological – Decreased sleep, and appetite
Social – Client is not having good relationship with his neighbours
Occupational – Uneventful
Interpersonal relationship – Client is not having good Interpersonal relationship with his family and friends
2. HISTORY OF PRESENT ILLNESS:
Onset of Illness:- acute
Course of Illness:- episodic
Predisposing Factors :- uneventful
Precipitating Factors:- uneventful
, 3. HISTORY OF PRESENT COMPLAINTS:
➢ Acc. to informant, client was apparently well 3-4months back when his father (cousion brother) had fight with patients on
doing labourer then after that he started crying without any reason, self smiling, decreased sleep, restlessness, self muttering,
without any reason he use to become irritated very easily when told him to take food. Patient use to sleep 1-2 hours a day
sometimes he remain awake whole day. He suspects that someone wants to kill him and talking about him. He also remain
fearful since 3-4 months, appetite normal, he is taking treatment from Saharanpur 10-15 days but not got relieved with
medication and he stopped taking medication. But no evidenced of medical treatment available. He is also having history of
seeing of evil spirits, animal(4 dog). Then he came to psychiatric OPD of MMIMS&R then he got advised to get admitted in
psychiatric ward and now he is admitted in ward with diagnosis of Paranoid Schizophrenia and drugs given to him are 1)
Tab-zolip 10 mg BD, 2) Tab. Ampicon 50 mg BD, 3) Tab Petril beta 20 mg BD.
4. PAST PSYCHIATRIC HISTORY
Uneventful
5. PAST MEDICAL HISTORY
There is no significant medical history of headache, fever infection and Epilepsy, head injury, Trauma, Accident etc.
6. FAMILY HISTORY
➢ DESCRIPTION OF FAMILY MEMBERS
1. Head of the family is client’s father, he is 54 years old, his occupation is farmer. He is illiterate. He is healthy. He is very kind,
cooperative and loves the client, supportive in nature.
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