This week I was assigned with “Incipient Psychosis” patients. These patients are between 14 and 35 years old which are presenting early or late psychotic symptoms, had already experienced a first psychotic crisis and they are between the first 5 years of the first experience.
The difference of the outpatient visit is that we have more time to make therapy and assessment; we ask about if they experience or not the different psychotic symptoms, we asses if the medication is making the correct effect together with possible side effects, we give information about the sickness to patient and family members, we tell them when and how to contact professionals in an urgency case, we teach how to prevent psychosis crisis and how to recognize and palliate the symptoms. All these assessments are supported by different forms like; EDIE (Early detection and Intervention evaluation form) and ERI-IRAOS (Effort-reward-imbalance – Interview for the Retrospective Assessment of the Onset and Course of Schizophrenia and Other Psycho forms) UKU (Side effects rating Scale for the unwanted effects of psychotropics)
Possible early symptoms include: Attention problems, apathy, anxiety, problems with sleep, depressive and irritable.
Posible late symptoms include; suspicious, self-transfer, strange behavior, senseless speech, problems with sensory perceptions.
As nurses we also take the different basic health parameters like; weight, height, TA… and we take care about how to ensure the maximum quality of life for the patient.