Question

A client is newly diagnosed with schizophrenia and will be treated with a first-generation antipsychotic. The nurse knows this client is at risk for extrapyramidal effects (EPS).

Discuss the assessments and potential plans of care for EPS for a patient diagnosed with schizophrenia.

Answer 1

Assessment

1. Dystonia
2. Akinesia
3. Dyskinesia
4. Akathesia
5. Parkinsonism
6. Bradykinesia
7. Tremors
8. Restlessness
9. Weak voice

Fast irregular breathing with grunts,gasping

Potential plans of care

1. Assist clients with walking and physical activities
2. Increase the type and amount of activities gradually
3. Minimise fatigue by providing rest periods
4. Promote involvement in self care activities within the client individual capacity
5. Allow ample time to perform ADL
6. Modify clothing and self care supplIES to promote independence
7. Assist clients but only when the client cannot perform certain tasks