Columnas

1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9 Amnesia O RI E N T A TI O N S E L F- A W A R E N E SS        Fugue        Depersonalization        Phobias        Memory

1. Remote (long term)       

2. Recent (early am)       

3. Recent part (current events)

      

4. Immediate memory (short

term)       

5. Immediate recall       

Legend:  - manifested by Mang JM  - not manifested by Mang JM

Analysis and Interpretation:

Day 1: Orientation

Day 2: Self awareness

During our conversation with our client he had a remote memory because he was able to determine his last 15 years of his life. He also remembered the food he eaten in the

morning and knows who the president of the Philippines is. He had also recalled us during our conversation.

According to Parse, Man’s reality is given meaning through lived experiences

Day 4

Our client had remote memory because he remembered he went to America last 2005, he also remembered his breakfast and knows who the president of the Philippines by saying the name of Pres. Benigno Aquino. He also recognizes our name.

According from psychoanalytic theory of Freud, the mind can be divided into main parts; the conscious mind includes everything that we are aware. A part of this includes our memory which is not always part of consciousness but can be retrieved easily at any time and brought into our awareness.

Day 5

Our client had remote memory because he remembered the things he did in the last 15 years of his life.

SN: “anu pong ginagawa niyo sa huling 15 taon ng buhay niyo?”.

C: “ mangingisda.”

He also recalled the food he was eaten in the morning.

SN: “ano po bang kinain niyo kanina?”.

He also knows the President of the Philippines by saying the name of Pres. Benigno Aquino. He also recalled us during our conversation.

According to Parse, Man’s reality is given meaning through lived experiences

Day 6

Our client had remote memory because he remembered the things he did in the last 15 years of his life y saying “nangingisda ako noon.” He also remembered we did yesterday by saying “nagbingo tayo at nanalo akong 2 beses.” He also knows who the president of the Philippines by saying the name of Pres. Benigno Aquino. He also recalls us during our conversation.

According to Freud, preconscious thoughts and emotions are not currently in the person’s awareness, but she can recall them with some effort.

Day 7

Our client had remote memory because he remembered the things he did in the last 15 years of his life y saying “yung nanay ko nagtatahi ng magagandang damit.” He also

remembered we did last last week by saying “nagbingo, nanalo ng 2 beses at nagpakita ng mga pictures tulad ng doctor, urse etc. He also knows who the president of the Philippines by saying the name of Pres. Benigno Aquino. He also recalled we did before they go back in their ward.

SN: “anu- ano nga po pala uli ginawa natin kanina?”

C: “food festival”.

Day 8

Our client had remote memory because he remembered the things he did in the last 15 years of his life, he also remembered things we’ve done yesterday and ingredients of our food by saying “food festival, yung mga sangkap ay gulaman, buko at cream.”, he also know president of the Philippines by saying the name of Pres. Benigno Aquino. He also recalls activity we did before they go back in their ward by saying “Oo sumayaw tayo kanina na gagawin natin bukas.”

According to Freud, the preconscious system is composed of those mental events, processes and contents capable of being brought into conscious awareness by the act of focusing attention.

Day 9

Our client had remote memory because he remembered the reason why he is admitted here in MMH in the year 1989 by saying “Sinave ako ni mama dun sa mga taong mangunguha, tsaka hindi ako magkatulog.” He also remembered the steps we practice yesterday. He also recalls us.

UNIT III

PSYCHOPATHOPHYSIOLOGY

(Marijuana, 2 bottles of alcohol. 1 pack cigarette per day)

Affect the normal function of the brain system

Neurologic disturbances

Altered thought process

Looseness of ability in thinking and perceiving responses

Illusions Delusion Grandiose Maladaptation Violent behavior Persecutory

Mang J.M took prohibited drugs as his record showed. But the amount and frequency were not determined. Being a drug abuser, Mang J.M therefore became a drug addict. This is the reason why he had looseness of ability in thinking and perceiving responses because of the effect of the drug in the brain. He had been aggressive to do things whatever he wants; he developed persecutory delusions and grandiosity.

Related Theory

Substance abuse would be describes according to Psychodynamic (Freudian) Theory from a developmental perspectives. Freud believes that vulnerable to substance abuse have powerful dependency needs that can be traced to their early years. They claim that when parents fail to satisfy a young child’s need for nurturance, the child is likely to grow up depending excessively on others for help and comfort, trying to find nurturance that was lacking during their early years. If this search for outside support includes experimentation with a drug, the person may well develop a dependent relationship with the drug which leads to substance abuse.

Maslow said that human beings are motivated by unsatisfied needs and that certain lower need to be satisfied before higher needs can be satisfied. Maslow ties the pre- occupation use of drugs and the negative effects which result from alcohol/drug addiction. He says that since addiction is a progressive illness, it destroys a person’s ability to achieve self- actualization, eventually destroying the person’s ability to meet their other needs including self-esteem, physiological need and safety.

Inadequate parental guidance

Lack of moral advices and support from the parents

Inability to facilitate moral vs. immoral behavior

Seek help with trusting persons

Dependency

Influenced with immoral behaviors

Learned to use prohibited drugs, smoking, and drinking of alcohol

Substance dependency and intolerance (increase amount of substances)

Irrational thinking developed

Violent behavior

(hurting his mother, nagwawala, kung ano maisipan gagawin, nambabato )

Due to early death of Mang J.M’s father, his mother needed to work hard to raise them well. This resulting Mang J.M to become dependent and able to seek company of others to fill the lacks of his parents’ assistance during growing years. And he did things that he acquired from such people without thinking if it is good or bad.

Related Theory

According to Duldt-Battey, Bonnie Weaver - Humanistic Nursing Communication Theory, The environment is a “booming, buzzing” world of strange sensations that must be sorted out to determine which are the most important; this sorting is achieved through communication with other people. The need to communicate is an innate imperative for human beings. The purpose of nursing is to intervene to support, to maintain, and to augment the client’s state of health.

Maslow's hierarchy explains human behavior in terms of basic requirements for survival and growth. According to theory, when the individual's physiological and safety needs are met, needs for love and belongingness emerge. These needs include longings for an intimate relationship with another person as well as the need to belong to a group and to feel accepted. Maslow emphasized that these needs involve both giving and receiving love.

Peer pressure (Fraternity)

Bad influences caused by peers

Learned to use prohibited substance such as Marijuana, alcohol, cigarette

Dependency

Intolerance

( increase amount and dosage)

Irrational thinking

Violent behavior

(nagwawala, kung ano maisipan gagawin, nambabato)

Mang J.M was a member of TAU GAMMA fraternity. Within this fraternity, we can conclude that he learned to use prohibited drugs, possible experienced hazing and involved in different troubles though he claimed that he was good and not participated in fights. These may cause him to become a drug abuser and later develop dependency resulting him to become violent.

Related Theory

There are several layers of assumptions that Johnson makes in the development of conceptualization of the behavioral system mode there are 4 assumptions of system: First assumption states that there is “organization, interaction, interdependency and integration of the parts and elements of behaviors that go to make up The system ” A system “tends to achieve a balance among the various forces operating within and upon it', and that man strive continually to maintain a behavioral system balance and steady state by more or less automatic adjustments and adaptations to the natural forces impinging upon him.”A behavioral system, which both requires and results in some degree of regularity and constancy in behavior, is essential to man that is to say, it is functionally significant in that it serves a useful purpose, both in social life and for the individual. The final assumption states “system balance reflects adjustments and adaptations that are successful in some way and to some degree.” The integration of these assumptions provides the behavioral system with the pattern of action to form “an organized and integrated functional unit that determines and limits the interaction between the person and his environment and establishes the relation of the person to the objects, events and situations in his environment.

According to Sullivan, individual self identity is built up over the years through his perceptions of how significant people in his environment regard him. According also to Sullivan, people are influenced mostly by their relationship with others.

Occupational stress

Frustration in life

Inability to cope up with life situation

Hopelessness occur

Stress

Disruption in behavior

Depression

Restlessness Agitation

Analysis and interpretation

Mang J.M had a history of hitting a man during he was a jeepney driver. Due to the incidence he became agitated, always afraid of something and nervous for 20 months that

leads to his first confinement. This situation caused him to be always under stress and become restless and agitated

Related Theory

Maslow's hierarchy explains human behavior in terms of basic requirements for survival and growth. According to theory, once the individual's basic physical needs are met, his or her needs for safety emerge. These include needs for a sense of security and predictability in the world. The person tries to maintain the conditions that allow him or her to feel safe and avoid danger. Maslow thought that inadequate fulfillment of these needs might explain neurotic behavior and other emotional problems in some people.

According to Roy, the person is a bio-psycho-social being. The person is in constant interaction with a changing environment. To cope with a changing world, person uses both innate and acquired mechanisms which are biological, psychological and social in origin. To respond positively to environmental changes, the person must adapt. The person’s adaptation is a function of the stimulus he is exposed to and his adaptation level.

Poor coping mechanism (Separation from loved ones)

Inability to cope- up with the situation

Use of illegal Stress

Substance, drinks alcohol

And smoked cigarettes change in mood and affect

Substance dependency

Anxiety develops Intolerance (increased amount & dose)

Irrational thinking depression

Violent tendency and suicidal

Thoughts Self pity restlessness sleeplessness

Isolate self from others

Analysis and interpretation

Mang J.M has been separated from his wife. This situation may be a leading cause why he was under stress that leads in development of anxiety to depression resulting to self pity, restlessness and sleeplessness. On the other hand, it may also, causes Mang J.M to use

illegal substances and became dependent that brought him in having violence and suicidal ideation.

Related Literate

According to Travelbee human conditions and life experiences encountered by all men as sufferings, hope, pain and illness. Illness is being unhealthy, but rather explored the human experience of illness. Suffering is a feeling of displeasure which ranges from simple transitory mental, physical or spiritual discomfort to extreme anguish and to those phases beyond anguishes the malignant phase of dispairful “not caring” and apathetic indifference. Pain is not observable. A unique experience. Pain is a lonely experience that is difficult to communicate fully to another individual. Hope is the desire to gain an end or accomplish a goal combined with some degree of expectation that what is desired or sought is attainable. Hopelessness is being devoid of hope. Nursing is an interpersonal process whereby the professional nurse practitioner assists an individual, family or community to prevent or cope with experience or illness and suffering, and if necessary to find meaning in these experiences.

According to Henderson individual compose of biological, psychological, sociological, and spiritual components. All external conditions and influences that affect life and development. Nursing assists and supports the individual in life activities and the attainment of independence. Nurse serves to make patient “complete” “whole", or "independent." The nurse is expected to carry out physician’s therapeutic plan Individualized care is the result of the nurse’s creativity in planning for care.

RELATED

LITERATURES

Paranoia Agent, Symptom, Cause, Treatment and Medication of Paranoia

Cause of Paranoia

1) Homosexual fixation: According to Freud, the patient suffering from the disease has repressed his tendency to homosexual love to such an extent that he develops a fixation concerning it. Freud's view has been found correct in many cases, but it does not explain each and every case of the disease.

2) Feelings of inferiority: Here the psychologists have found that the main cause of paranoia is a sense of inferiority that may be caused by a variety of condition such as failure, disgust, sense of guilt.

3) Emotional complex: Certain psychologist points out emotional complexes, and also believe that they are seen to be present in other mental diseases as also in normal individuals. 4) Personality type: Cameron believes a certain type to be more susceptible to this disease, a personality that has sentimentally, jealousy, suspicion, ambition, selfishness and shyness etc. Patients of paranoia do exhibit these peculiarities of personality but on this basis they cannot be said to belong to definite personality.

5) Heredity: In the opinion of Fisher the main responsibility of paranoia lies fairly and squarely upon heredity, although he does not deny the importance of repression and emotional complexes. The causes of paranoia are not physical because no patient exhibits any signs of physical deformity and among the causes there are many important" ones, such as defects of personality, sense of inferiority, repression etc.