Beyond the Clinic Walls: Fostering Well-Being in a Client with Schizoaffective Disorder (SAD) Through Home Care and Clozapine Therapy - A Case Report

Schizoaffective disorder SAD is a chronic severe and disabling illness associated with concurrent presentation of symptoms of schizophrenia and affective disorders. The mainstay of treatment is a combination of antipsychotic medications and depending on the subtype of schizoaffe...

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Main Authors: Suja C Mathew, Thereza Mathais
Format: Article
Language:English
Published: Rajiv Gandhi University of Health Sciences 2024-01-01
Series:RGUHS Journal of Nursing Sciences
Online Access:https://journalgrid.com/view/article/rjns/12434037
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author Suja C Mathew
Thereza Mathais
author_facet Suja C Mathew
Thereza Mathais
author_sort Suja C Mathew
collection DOAJ
description Schizoaffective disorder SAD is a chronic severe and disabling illness associated with concurrent presentation of symptoms of schizophrenia and affective disorders. The mainstay of treatment is a combination of antipsychotic medications and depending on the subtype of schizoaffective disorder either mood stabilizers or antidepressants are given. Clozapine is a second-generation antipsychotic used in the treatment of SAD. Clozapine-induced agranulocytosis has the highest risk of occurrence during the first few months of treatment. Other common side effects are sialorrhea constipation dehydration and hyperglycaemia. Adequately managing side effects can improve adherence and quality of life. Physical health should be monitored at each clinical review particularly in the first few months of treatment to reduce the occurrence of serious sometimes fatal adverse reactions. Many clients find clozapine to help with their psychosis but they often need to balance the positive effect of psychosis with some of the side effects that clozapine can cause.
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institution Kabale University
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publisher Rajiv Gandhi University of Health Sciences
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spelling doaj-art-e902a7c57c8d40f98cb9f7111b3a4a562025-08-20T03:24:38ZengRajiv Gandhi University of Health SciencesRGUHS Journal of Nursing Sciences2231-60512583-67572024-01-0114110.26463/rjns.14_1_1Beyond the Clinic Walls: Fostering Well-Being in a Client with Schizoaffective Disorder (SAD) Through Home Care and Clozapine Therapy - A Case ReportSuja C MathewThereza Mathais Schizoaffective disorder SAD is a chronic severe and disabling illness associated with concurrent presentation of symptoms of schizophrenia and affective disorders. The mainstay of treatment is a combination of antipsychotic medications and depending on the subtype of schizoaffective disorder either mood stabilizers or antidepressants are given. Clozapine is a second-generation antipsychotic used in the treatment of SAD. Clozapine-induced agranulocytosis has the highest risk of occurrence during the first few months of treatment. Other common side effects are sialorrhea constipation dehydration and hyperglycaemia. Adequately managing side effects can improve adherence and quality of life. Physical health should be monitored at each clinical review particularly in the first few months of treatment to reduce the occurrence of serious sometimes fatal adverse reactions. Many clients find clozapine to help with their psychosis but they often need to balance the positive effect of psychosis with some of the side effects that clozapine can cause.https://journalgrid.com/view/article/rjns/12434037
spellingShingle Suja C Mathew
Thereza Mathais
Beyond the Clinic Walls: Fostering Well-Being in a Client with Schizoaffective Disorder (SAD) Through Home Care and Clozapine Therapy - A Case Report
RGUHS Journal of Nursing Sciences
title Beyond the Clinic Walls: Fostering Well-Being in a Client with Schizoaffective Disorder (SAD) Through Home Care and Clozapine Therapy - A Case Report
title_full Beyond the Clinic Walls: Fostering Well-Being in a Client with Schizoaffective Disorder (SAD) Through Home Care and Clozapine Therapy - A Case Report
title_fullStr Beyond the Clinic Walls: Fostering Well-Being in a Client with Schizoaffective Disorder (SAD) Through Home Care and Clozapine Therapy - A Case Report
title_full_unstemmed Beyond the Clinic Walls: Fostering Well-Being in a Client with Schizoaffective Disorder (SAD) Through Home Care and Clozapine Therapy - A Case Report
title_short Beyond the Clinic Walls: Fostering Well-Being in a Client with Schizoaffective Disorder (SAD) Through Home Care and Clozapine Therapy - A Case Report
title_sort beyond the clinic walls fostering well being in a client with schizoaffective disorder sad through home care and clozapine therapy a case report
url https://journalgrid.com/view/article/rjns/12434037
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