Neuropsychologist and Patient Perspectives
There are many classifications of tumors that compress or destroy
the hypothalamus. A few forms are craniopharyngioma, germinoma,
and glioma. Symptoms of craniopharyngioma include headaches,
visual disturbances, pituitary hormone deficiencies, retardation
of growth, and calcification of the sella region in children.
Germinoma, also called ectopic pineoloma or atypical teratoma, has
similar effects to serninoma of the testis or dysgerminoma of the
ovary.
Like what Myers says in his psych book, “People are fascinated by the exceptional, the unusual, the abnormal” (Myers 2013). This statement that is presented in the book is really ultimately true. People study people, whether intentional or not. The more “different” one individual is from society, the more he or she stands out and is made an outcast from the rest of society. Those who possess disorders are different, though they cannot help it and they should not be isolated, but they are.
Schizophrenia, which affects approximately 51 million people around the world, is a disorder of the brain which causes one to interpret reality in a manner that is considered abnormal. While the cause of schizophrenia is unknown, numerous scientists believe that schizophrenia arises from a combination of factors including chemical imbalance in the brain, environmental influence, and heredity. Schizophrenia can have a negative effect on one's life if not properly treated, however, if managed well, with the right medication; a person with schizophrenia can lead a long and fulfilling life.
Psychology, as most know, is the study of the mind and personal or group thoughts, feelings, and emotions in humans and animals. Scientists study, analyze, and investigate many areas of psychology, but the causes and effects of mood disorders and emotion irregularities are still unrecognized. Many studies were an attempt to find more information on mental illnesses. One of the most common illnesses in the United States is depression, also; it is the most often recognized mental illness in the world. What most clinicians don’t know, however, is what happens in the brains of patients before, during, and after depressive episodes.
The phrase that was used by Margaret Newman “The nurse and client become partners in living through the period of disharmony and emerging at a higher level of consciousness” meant that even though the patient is going through this difficult time of illness, his or her sees this one person as a partner which is the nurse. The patient sees the nurse as someone he or she can trust, someone is he or she can count on, and someone he or she believe has his or her best interest.
As a working nurse on a behavioral health unit, I service many patients that are disadvantaged and/or vulnerable harm. There is a large population of people that are susceptible to developing illnesses and diseases. This population includes people who are: “educationally disadvantaged, economically disadvantaged, mentally disabled, handicapped, homeless, pregnant women, alcohol and substance abusers” (Henry, 2012, table 8). These people lack access to resources needed for medical care and everyday needs to sustain good health. In most cases the disadvantaged and vulnerable individuals lack daily hygiene, nutrition, sleep and physical activity. As stated in an article on the National Institute of Health (NIH) website:
Cognitive Dysfunction Relating to Schizophrenia
Schizophrenia is often a chronic relapsing psychotic disorder that disrupts normal thought, speech, and behavior. It is a cluster of severe prolonged mental disturbances that “...is by far the most chronic and disabling of the major mental disorders. This disease may be one disorder, or it may be many disorders, with different causes” (Andreasen & Schutlz, 1999). It is a disease that makes it difficult for a person to tell the difference between real and unreal experiences.
Psychologists use classification systems to diagnose mental disorders. But these systems have also come under criticism. The most popular classification system is the DSM-IV. The DSM-IV focuses mostly on describing symptoms and the statistics of each illness and whom it affects. This manual includes about 250 mental disorders and includes five dimensions, which takes on a multiaxial approach to categorizing various disorders. This method allows psychiatrists to conduct a more thorough and comprehensive evaluation of the client’s functioning, due to mental illness effect on various areas of life. The use of the DSM-IV manual helps make diagnosing mental health disorders among healthcare professionals maintain consistency along with treating
Clinical psychologists try to understand, prevent, and treat mental illness. Depression is considered the “common cold” of mental illness because many suffer from it at some point. “Over the course of a lifetime, 12% of Canadians and 17% of Americans experience depression” (Rolfe-Maloney 2). However, depression is longer lasting and more detrimental to an individual than a common cold. Depression has seemed elusive to successful treatment and puzzling to clinical psychologists. Louise Malan, a practicing clinical psychologist, defines depression as severe and constant emotional distress that interrupts the patient’s life (5). Depression is an emotional and chemical imbalance that creates specific symptoms. Depression is a complex mental illness for clinical psychologists to diagnose and to successfully treat.
Families with a member suffering from any illness may be stressful enough but families with members diagnosed with schizophrenia are often faced with additional challenges such as the “external stressors of social stigma, isolation, and emotional frustration”. Many times, family conflicts arise as members attempt to provide care on an everyday basis (Chien, 2010, pg. xi). “A Beautiful Mind” is a brilliant motion picture directed by Ron Howard that chronicles the life of one John Nash, a prominent mathematician and the challenges he endures throughout his adult life afflicted with a chronic mental illness. “A Beautiful Mind” allows us to gain insight into the stressors that many families undergo when faced with living with a person with schizophrenia. This paper will explore the impact of schizophrenia on the lives of the Nash family as depicted in the aforementioned movie. Exploring the impact of the disease on the Nash family’s life will be followed with a discussion regarding an assessment conducted of the family, through the use of the Calgary Family Assessment model. Conducting the assessment allowed us to determine two nursing priorities, and nursing interventions in relation to them through the use of the Calgary intervention model. Essentially it becomes evident that the challenges faced by the Nash family are in the functional domain. The families inability to effectively communicate and problem solve becomes evident, which is negatively impacting the families ability to function effectively. Our nursing interventions guided by the Calgary Nursing Intervention Model will focus on providing the Nash family with the support needed to bring about change in the affective domain in foster effective communication with the famil...