Implementation of generalist therapy in schizophrenia patients with auditory hallucinations nursing problems
Keywords:
auditory hallucinations, conversation, medication adherence, scolding, scheduled activitiesAbstract
Mental disorders remain a global health problem, with schizophrenia being one of the most complex forms due to its chronic nature, relapses, and high risk of disability. Auditory hallucinations are the most common symptom experienced by schizophrenia patients and have the potential to impact self-control and social functioning. Method of this case report illustrates the application of generalist therapy to a 38-year-old man with a history of schizophrenia since 2012 who was admitted to Grhasia Mental Hospital in Yogyakarta after experiencing a relapse due to medication withdrawal. The patient exhibited typical symptoms of hearing whispers, talking to himself, pacing, and disorganized behavior. Nursing interventions were provided over four days, focusing on techniques for addressing hallucinations, medication adherence, conversations with others, and implementation of scheduled activities. Results showed gradual progress, from only being able to name strategies at the beginning of the intervention to being able to consistently practice them on the fourth day. Conclusion of this report confirms that generalist therapy is an effective and simple approach to help patients control hallucinations and improve adaptive functioning. These findings are expected to enrich the literature on psychiatric nursing care, particularly by providing concrete examples of the application of theory to clinical practice, and serve as a reference for students and healthcare professionals in developing professional skills in caring for patients with schizophrenia.
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