Schizophrenia Case Study Mrs. Maine age 56

Melissa Buchanan Schizophrenia case study Chapter 12: Schizophrenia and Schizophrenia Spectrum Disorders Mrs. Maine, age 56, is brought to the emergency department (ED) by her son, who is very concerned. The son tells Stephen, the ED nurse, that he found his mother wandering in the house, aimlessly talking to the furniture. She apparently had not eaten in days. Envelopes covered the kitchen table, along with reams of paper with unintelligible writings. An unopened bottle of Clozaril was found in the kitchen. The son states that his mother was diagnosed with undifferentiated schizophrenia 2 years after her husband died, 20 years ago. She usually suffers one occurrence every year related to discontinuation of her medication. She lives at home as is assessed by a home aide daily. Apparently her home aide left for vacation without informing Mrs. Maine’s son. Mrs. Maine has no contact with her neighbors. She displays no eye contact and speaks in a singsong voice. She asks, “Why am I here? There’s nothing wrong with me. I don’t know why that man brought me here; he’s obviously a prison guard and wants to put me in jail.” She states that she is hearing “four or five” voices. “They tell me I’m a bad person, and they plan to beat me and take my shoes,” she says, adding, “Sometimes they turn my mother parts around.” At this she pats her abdomen and giggles. Otherwise her affect is flat, and she demands to be discharged. Assessment Objective Data: (10 points) (Things you see) 1. Do not really care attitude (flat affect) 2. Singsong voice 3. No insight to illness 4. Lack of nutrition 5. No eye contact 6. Hallucinations (somatic, auditory, and visual) 7. Unopened bottle of medication (Clozapine) 8. Giggling 9. She don’t know who her son is Subjective Data: (10 points) (Things they say) 1. “Why am I here? There’s nothing wrong with me.” 2. “Four or five voices” 3. “They say I’m a bad person, and they plan to beat me and take my shoes.” 4. “Sometimes they turn my mother parts around. 5. “I don’t know why that man brought me here; he’s obviously a prison guard and wants to put me in jail.”