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Case Study

Vol. 2 No. 3 (2023): September 2023

Implementation of hallucination strategies - A case study on adolescent with hearing hallucinations

DOI
https://doi.org/10.55048/jpns89
Submitted
May 30, 2023
Published
2023-09-06

Abstract

Background: Schizophrenia stands out as a prominent type of psychosis among various mental disorders. Auditory hallucinations, a prevailing symptom, particularly affect patients with primary psychotic disorders, showcasing a lifetime prevalence rate of 60-80% within the spectrum of schizophrenia disorders.

Objective: This case study presents data and insights concerning the management of nursing challenges linked to auditory hallucinations.

Case: A 17-year-old male was admitted to the psychiatric hospital after being involved in a violent incident with his family. He contended that he was compelled by an external entity to carry out this act. When in his room, the patient exhibits pronounced hallucinatory behavior, including tangential thinking, inability to concentrate during conversations, physically covering his ears in fear, and restless pacing, occasionally attempting to conceal himself under the bed. The nurse employs intervention strategies to address the client’s hallucinations, incorporating methods to gain control over them. These strategies involve encouraging breaks, fostering engagement in positive activities, closely monitoring the patient, and providing education on consistent medication adherence.

Conclusions: After a nine-day period of effectively managing the hallucinations, the patient gains substantial control over them, thereby leading to the resolution of his hallucinatory issues. This research holds potential as a valuable resource for psychiatric nurses in devising interventions within psychiatric hospital settings. Furthermore, it can serve as a foundational component for the evaluation of psychiatric facilities in their provision of effective interventions for patients with psychiatric conditions

References

  1. Chiang, Y. H., Beckstead, J. W., Lo, S. C., & Yang, C. Y. (2018). Association of auditory hallucination and anxiety symptoms with depressive symptoms in patients with schizophrenia: A three-month follow-up. Archives of Psychiatric Nursing, 32(4), 585–590. https://doi.org/10.1016/j.apnu.2018.03.014
  2. Dassa, D., Boyer, L., Benoit, M., Bourcet, S., Raymondet, P., & Bottai, T. (2010). Factors associated with medication non-adherence in patients suffering from schizophrenia: A cross-sectional study in a universal coverage health-care system. Australian and New Zealand Journal of Psychiatry, 44(10), 921–928. https://doi.org/10.3109/00048674.2010.493503
  3. Del Barrio, V. (2016). Diagnostic and statistical manual of mental disorders. In The Curated Reference Collection in Neuroscience and Biobehavioral Psychology. https://doi.org/10.1016/B978-0-12-809324-5.05530-9
  4. Depkes. RI. (2018). Badan penelitian dan pengembangan kesehatan Republik Indonesia. Pengembangan Kesehatan Republik.
  5. Duckworth, K., & Halpern, L. (2014). Peer support and peer-led family support for persons living with schizophrenia. In Current Opinion in Psychiatry, 27(3), 216–221. https://doi.org/10.1097/YCO.0000000000000051
  6. Ferliana, H., Damayanti, N. A., Aisyah, D. N., Huda, N., & Ernawati, D. (2020). Determinants of family independence in caring for hebephrenic schizophrenia patients. Journal of Public Health Research, 9(2), 149–151. https://doi.org/10.4081/JPHR.2020.1828
  7. Fresa, O., Rochmawati, D. H., & SN, M. S. A. (2017). Efektifitas terapi individu bercakap-cakap dalam meningkatkan kemampuan mengontrol halusinasi pada pasien halusinasi pendengaran di RSJ dr. Amino …. Karya Ilmiah. http://ejournal.stikestelogorejo.ac.id/index.php/ilmukeperawatan/article/view/437
  8. Gupta, S., Isherwood, G., Jones, K., & Van Impe, K. (2015). Assessing health status in informal schizophrenia caregivers compared with health status in non-caregivers and caregivers of other conditions. BMC Psychiatry, 15(1). https://doi.org/10.1186/S12888-015-0547-1
  9. Kapur, S. (2011). Looking for a “biological test” to diagnose “ schizophrenia”: Are we chasing red herrings? World Psychiatry, 10(1), 32. https://doi.org/10.1002/j.2051-5545.2011.tb00005.x
  10. Kemenkes. (2019). Situasi Kesehatan Jiwa di Indonesia. 2019.
  11. Koyanagi, A., Stickley, A., & Haro, J. M. (2015). Subclinical psychosis and suicidal behavior in England: Findings from the 2007 Adult Psychiatric Morbidity Survey. Schizophrenia Research, 168(1–2), 62–67. https://doi.org/10.1016/j.schres.2015.07.041
  12. Larøi, F., Sommer, I. E., Blom, J. D., Fernyhough, C., Ffytche, D. H., Hugdahl, K., Johns, L. C., McCarthy-Jones, S., Preti, A., Raballo, A., Slotema, C. W., Stephane, M., & Waters, F. (2012). The characteristic features of auditory verbal hallucinations in clinical and nonclinical groups: State-of-the-art overview and future directions. Schizophrenia Bulletin, 38(4), 724–733. https://doi.org/10.1093/schbul/sbs061
  13. Lim, A., Hoek, H. W., Deen, M. L., Blom, J. D., Bruggeman, R., Cahn, W., de Haan, L., Kahn, R. S., Meijer, C. J., Myin-Germeys, I., van Os, J., & Wiersma, D. (2016). Prevalence and classification of hallucinations in multiple sensory modalities in schizophrenia spectrum disorders. Schizophrenia Research, 176(2–3), 493–499. https://doi.org/10.1016/j.schres.2016.06.010
  14. Linggi, E. (2018). Faktor-faktor yang berhubungan dengan kekambuhan pada pasien halusinasi pendengaran di Ruang Nyiur Rumah Sakit Khusus Daerah Provinsi Sulawesi selatan. Jurnal Keperawatan Florence Nightingale, 1(1), 31–39. http://ejournal.stikstellamarismks.ac.id/index.php/JKFN/article/view/15
  15. Mahmuda, I. R., Jumaini, & Agrina. (2018). Perbedaan efektivitas antara membaca dengan mendengarkan Surah Al Fatihah terhadap skor halusinasi. JOM FKp, 2, 318–327. https://jnse.ejournal.unri.ac.id/index.php/JOMPSIK/article/view/21130
  16. Maulana, I., S, S., Sriati, A., Sutini, T., Widianti, E., Rafiah, I., Hidayati, N. O., Hernawati, T., Yosep, I., H, H., Amira D.A, I., & Senjaya, S. (2019). Penyuluhan kesehatan jiwa untuk meningkatkan pengetahuan masyarakat tentang masalah kesehatan jiwa di lingkungan sekitarnya. Media Karya Kesehatan, 2(2), 218–225. https://doi.org/10.24198/mkk.v2i2.22175
  17. Rabba, E. P., Rauf, S. P., & Dahrianis. (2014). Resiko perilaku kekerasan diruang kenari RS. Khusus Daerah Provinsi Sul-Sel. 4, 470–475.
  18. Siddiqui, S., & Khalid, J. (2019). Determining the caregivers’ burden in caregivers of patients with mental illness. Pakistan Journal of Medical Sciences, 35(5), 1329–1333. https://doi.org/10.12669/pjms.35.5.720
  19. Smith, L., Jacob, L., Shin, J. Il, Tully, M. A., Pizzol, D., López-Sánchez, G. F., Gorely, T., Yang, L., Grabovac, I., & Koyanagi, A. (2021). Bullying victimization and obesogenic behaviour among adolescents aged 12 to 15 years from 54 low- and middle-income countries. Pediatric Obesity, 16(1), 1–8. https://doi.org/10.1111/ijpo.12700
  20. St?pnicki, P., Kondej, M., & Kaczor, A. A. (2018). Current concepts and treatments of schizophrenia. Molecules, 23(8). https://doi.org/10.3390/molecules23082087
  21. Zhuo, C., Li, G., Lin, X., Jiang, D., Xu, Y., Tian, H., Wang, W., & Song, X. (2021). Strategies to solve the reverse inference fallacy in future MRI studies of schizophrenia: a review. Brain Imaging and Behavior, 15(2), 1115–1133. https://doi.org/10.1007/S11682-020-00284-9

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