own prognosis

8/13/2019 Own Prognosis

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PROGNOSIS

GOOD FAIR POOR JUSTIFICATION

Onset of the

illness

Johnny first experiences the symptoms of

schizophrenia when he was 22 years old when he

was studying at Mountain View College.

Schizophrenia usually occurs in males aging 15-25

years old; basically younger age than that of the

females. According to the staffs at their dormitory

noticed that for how many weeks he was not going

out of his room and he was not eating at the

cafeteria. They noticed that his room was dark andsilent as if theres no one inside the room. When the

staff as well as the guards of the school tried to

forcefully open his room, they saw Johnny sitting on

the floor staring blankly at the wall and mumbling

words that they could not understand. Since then

when people would start talking to him, they notice

that he has illogical speech and flight of ideas. Then

after a week, the schools admin decided to send

Johnny back home. His family was devastated by

his situation. Since then, they could not get an

appropriate response from Johnny. Almost all of his

answers to their questions were irrelevant. His mood

also changed; he became irritable and would do

harm to himself and to others. He had also his

hallucinations and delusions. Most of the time, his

elder brother and mother would notice him talking

to himself. He would also keep saying that the

policemen would catch him and they would kill

him. And significantly, he had been suffering from


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his illness for 7 years now.

Duration of

illness

The patient went to the Mindanao Center of

Psychiatry and Behavioral Medicine and has been

diagnosed with schizophrenia undifferentiated since

2006. On this year, the patient manifested the

negative and positive symptoms of schizophrenia

occurred, still his non-compliance to the

medications caused him to be admitted for

seventeen times. Almost twice every year after he

had been diagnosed, he again and again was

admitted at the hospital. Recently, because he didnt

comply with his medications, this prompted him to

get easily angry with his mother causing him to be

very violent and he even banged his mothers head

on the houses wall.


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Precipitating

factors(General)

2. Alcohol

.

3. Emotional

4. Poor Medical

Compliance

5. Lack of

Educational

Support

Intake of drugs, substances or chemicals

which increase levels of dopamine is one of the

precipitating factors. The patients brother noted

also that the patient usually spends his money to buy

alcohol. The proponents rated this area as poor since

Johnny is drinking alcoholic drinks that cause

increase in dopamine levels.

Patient lacks emotional security with a

disrupted family support system.

Patient was not able to maintain medications

due to lack of financial resources and unwillingness

to comply with his medications.

The patient was a scholar at their school

because his parents cannot afford to provide for his

studies in college. He worked in a farm and at the

same time he was a student in order for him to

continue his studies.


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6.Socio-Economic

Status

7. Unhealthy

Leisure Activity

8. Personality

The patients familys socio-economic

standing has exposed the patient to the hard realities

of survival in life at such an early age.

Patient usually spends his time watching

movies alone. He was not able to socialize with

other people and he just prefers to stay at home to

study or to watch the movies from his dvd.

The patients personality problem of not

being able to ventilate his true emotions and his

inability to handle frustrations and disappointments

in life has aggravated his condition

Mood and Affect During the interview, Johnny has appropriate

mood and affect therefore rating him with good

prognosis.

Family Support The family was a deteriorated and distorted

support system for the patient. The father, who wassupposed to stand by and provide for the basic needs

of the family, unfortunately was already dead when

the patients age was 18. The mother, who was

supposedly the parent to nurture the emotional and

psychological development of the children, was

focused on providing their physical needs in order

to survive. She didnt focus on caring for his

children because she has to work as a

laundrywoman. The loss of parental supervision led

the patient to explore of what the outside world

could give him. The patient sought to assume role as

a provider, as he wanted to help augment the family


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income at such an early age. However, his eldest

brother is very supportive of him. In fact, he would

support the patient financially to sustain his

medications and also if given the chance, he would

talk to his brother and ask him on his condition.

Willingness to

take medications

and treatment

Johnny was brought to the hospital

forcefully with the help of the policemen and 911

because he was having homicidal tendencies again.

It was already his seventeenth time to be admitted at

the CIU. In addition to that, he doesnt regularly

submit himself properly to the medication and he is

missing doses of his anti- psychotic drugs. The

family may be supportive with his treatment and

regimen; however, he is not listening to his family

and doctors advice to stop alcohol and even

drinking soft drinks. For a person to be treated he

must not only take the drugs prescribed but also to

stop things that are contraindicated for him for his

treatment. Because of this, Johnny was rated with

poor prognosis with the willingness to take the

medication and treatment.

Depressive

features

During the interview, the patient does not

show any depressive features. He knew that

something is wrong with him and he need medical

attention. Even though he is aware that something is

wrong with him, he is still not depressed with this

fact. However, he had mentioned about his


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heartache when a girl he loves back when he was in

college left him and that he is depressed of the idea

that he didnt finish and he did not fulfilled his

dreams and goals in life. Not getting the things he

wants make him depress and eventually he goes out

of control and becomes hostile. In fact, the reason

he had his homicidal tendency was because his

mother didnt allow him to go to a barangays fiesta.

He got very angry and depressed and banged his

mothers head on the wall.

Total 2 2 3

Computation:

Poor: (2*1)/7 = 2/7 Fair: (2*2)/7 = 4/7 Good: (3*3)/7 = 9/7

Total: 2.14

General Prognosis:

1-1.6 = POOR

1.7-2.3 = FAIR

2.4-3.0 = GOOD

Rationale for Fair Prognosis:

Johnny has a fair prognosis therefore he has small chance, according to the

calculation, of recovering from his illness. The onset of illness was 7 years ago. Although he was

immediately brought to the hospital on the onset of his illness, still almost twice every year, he

would still be admitted because he becomes violent, hostile and is suicidal. The duration of

illness is quiet long since it was on the year 2006 that he was first diagnosed of Undifferentiated

Schizophrenia and was admitted. This February 11, 2013, he was again admitted for the

seventeenth time already because of his homicidal tendencies. He also abused substances like

alcohol and soft drinks. Such substances are known to increase the levels of dopamine. With

regards to his Emotional State, patient lacks emotional security with a disrupted family support

system. Patient also was not able to maintain medications due to lack of financial resources and


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willingness to comply with medications. And because his parents cannot provide for his

education, patient became a scholar in college and would provide for himself including his

studies. The patients family socio-economic standing has exposed the patient to the hard

realities of survival in life at such an early age. The patient was fond of watching movies alone.

He would not go out of their house and he would just watch his dvds. Patients personality

problem of not being able to ventilate his true emotions and his inability to handle frustrations

and disappointments in life has aggravated his condition

Furthermore, during the interview, Johnny has appropriate mood and affect therefore

rating him with good prognosis. Lastly, the patient does not show any depressive features during

the interview. Even though he is aware that something is wrong with him, he is still not

depressed with this fact. However, he had mentioned about his heartache when a girl he loves

back when he was in college left him and that he is depressed of the idea that he didnt finishand

he did not fulfilled his dreams and goals in life. Not getting the things he wants make him

depress and eventually he goes out of control and becomes hostile. In fact, the reason he had his

homicidal tendency was because his mother didnt allow him to go to a barangays fiesta. He got

very angry and depressed and banged his mothers head on the wall.

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