bolnav de iubire

8/13/2019 Bolnav de Iubire

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Bolnav de iubire i zdrobit de jale

am pornit pe drumuri lungi a Te gsis-i srut cu lacrimi urma urmei Talei mcar o dat Faa-a-i mai privi.

i-am greit Isuse, mi-am clcat cuvntul,i-am trdat iubirea, sunt un lepdatdar azi sunt !n stare s-nconjor pmntuls srut obrazul care "-am scuipat.

#nde-ai mers$ %, unde ai plecat Tu oare,s&ie cina su&letul meu totrisipesc pe drumuri lacrime amare,e pustiu i-s singur, 'oamne nu mai pot.

(iaa mi-e zdrobit, iar !n jur )aineurl numai &iare groaz i &iorii-a !n&ipt durerea mii de coli !n mine*

+ Iat 'oamne plata celor trdtori.

(ai, sunt gol i singur i privesc cu jalestrvul pentru care eu Te-am prsitn-am pus prepe )arul ascultrii Tale

i-azi mi-e-ntregul su&let ars i pustiit.

m crezut iubirea ceva de vnzare,anii-attor jert&e i-am pierdut din gnd,scumpa mea omoar, n-am putut &i-n stares-o pltesc cu snge, dar s nu mi-o vnd.

m crezut c ast&el va-nceta odatzbuciumul i lupta cu rniri de jar,

am zis /da0, iar astzi viaa mi-e-ncletat'e-nmiite cazne, zbucium i amar*

1inile ispitei negre i )ainevlul curiei crud mi-au s&iati-aruncar-n tin su&letul din mine

+ e-am &cut cu Tine, 'arul meu urat2

#nde-i curia mea de altdat,

unde-i &rumuseea limpedei priviri,unde-i &ericirea s&nt i curat


2/12

din !n&iorarea primei ei iubiri$

#nde eti iubirea mea de-ntia oar,legnat-n lacrimi i trezit-n cnt$

zi trecut-i lupta, azi e pace-a&ardar !n su&let plnge cel mai drag mormnt.

), Te caut pe drumuri noaptea printre satepe-unde-au dus odat &armec paii Ti,dar nu-i nimeni-nimeni, numai !n cetatelatr tot aceaii cini &lmnzi i ri.

3u mai cnt cmpu-n zumzet de albinezorii sunt departe, cerul e-nnorat,deprtri de veacuri m despart de Tine*

+ %are-aa-i rsplata celor ce-au trdat2

%, de se mai poate s-mi primeti &ierbintelacrima cinii, plnsul meu amar,din acel tezaur ce-am avut 4nainte!i mai cer Isuse o &rm doar

F mcar o dat s-i mai vd privirea

ca s tiu c totui nu m-ai lepdat,c !n al Tu 5u&let n-a-ncetat iubirea

+ 5 Te a&lu iari unde Te-am lsat.


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sunt suflete pana intr-atat de fragile, ca s-ar sfarama de grosolania si

de cruzimea lumii inconjuratoare si Domnul ingaduie ca intre ele silume sa se lase perdeaua bolii psihice, ca sa le fereasca de ceea ce le-ar putea distruge integritatea.Iar indaratul acestei perdele sufletul se maturizeaza si se transforma, si omul

creste

Abordarea pacientului cu schizofrenie este una dintre cele mai complexeprobleme, deoarece: schizofrenia afecteaza pacientul pentru intreaga lui viata, perturbandu-iexistenta, atat in timpul puseului, prin simptomele pozitive, cat si inremisiune, prin simptome negative si defectuale; boala debuteaza ades in adolescenta sau in perioada adultului tanar,interferand cu formarea personalitatii, cu desavarsirea pregatirii scolare siprofesionale, cu formarea familiei, a relatiilor de grup social;

boala are in marea maoritate a cazurilor o evolutie cronica, marcata derecidive, pe un fond de deteriorare functionala graduala; boala afecteaza indirect viata familiilor pacientilor ; este o boala costisitoare pentru pacient, pentru familia sa, pentrusistemul de asigurare a sanatatii: aceasta boala duce la o degradare socioprofesionala.In vederea obtinerii compliantei terapeutice in schizofrenie, asistentatrebuie sa colaboreze cu pacientul, sa-i arate incredere, sa-l trateze ca peo persoana nu ca pe un bolnav, sa aiba o atitudine prietenoasa, sa lase lao parte preudecatile, care sunt o bariera intre ea si pacient, sa caute un

contact regulat cu pacientul oferindu-i atentie pozitiva si aratandu-i ca-laccepta si-l apreciaza.!olnavilor schizofreni, la internarea in spital, asistenta de psihiatrie leintocmeste foaia de nursing in care consemneaza cu mare atentie nevoilespeciale ale acestor bolnavi in functie de prioritati. "a stabilestediagnosticul de nursing, isi alege obiectivul pe care il urmareste,interventiile la care recurge si face evaluarea rezultatelor obtinute.#a pacientul schizofren, perturbarea stimei de sine, asociata cuincapacitatea de a avea incredere in altii si de a avea relatii cu ei,constituie o problema de importanta maora.$biectivele pe care le urmarim la acesti pacienti sunt: modul in care acestia vor incerca sa aiba contact cu ceilalti si sa tolerezeapropierea aratata de asistenta; modul in care vor incerca sa discute despre neincrederea ce o au incelelalte persoane.Interventii : stabilirea unui dialog cu pacientul, observand mecanismele deinteractiune sociala si participarea pacientilor la diferite activitati; sustinerea pacientului cu autorul cuvintelor si a prezentei noastre intimpul activitatilor; oferirea unei sperante pacientului prin cresterea increderii lui fata de

ceilalti; la iesirea din spital, incuraam pacientul sa urmareasca situatiile sociale


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in care el se simte bine."valuare: la evaluarea rezultatelor obtinute, observam ca pacientul tolereazaprezenta asistentei si discuta despre dificultatile de neincredere in ceilalti.$ alta problema maora a acestor bolnavi o constituie deficitul de igiena

personala %baie, imbracat, pieptanat& .$biectivul urmarit este ca pacientul sa aiba o igiena corporalacorespunzatoare si o alimentatie adecvata.Interventie: asiguram baia pacientului si imbracamintea curata in fiecare zi, invatambolnavul sa aiba o dieta corespunzatoare."valuare la evaluarea rezultatelor pacientul are o igiena corespunzatoare si dietaadaptata necesitatii lui.#a bolnavii schizofreni, afectarea interactiunilor sociale legate de alterarea

proceselor gandirii au drept rezultat, gandiri incoerente, ilogice, precum siincapacitatea exprimarii clare a gandurilor.$biectivul nostru este ca pacientul sa incerce sa se faca inteles de ceilalti,sa inceapa o conversatie cu membrii echipei terapeutice si cu ceilalti.'omunicarea cu pacientul este clara, vorbim de realitati concrete."valuare: observam ca pacientul discuta clar, reuseste sa comunice gandurile sisentimentele de o maniera clara si logica.#ipsa de cunostinte in ceea ce priveste reteta de medicamente, planul detratament, felul in care este urmarit si simptomele care apar trebuie

raportate medicului sau comunitatii.$biectiv: pacientul si familia vor discuta planuri de tratament, efectele secundareale acestuia.Interventie: vom determina familia si pacientul de a se conforma planului detratament, vom invata pacientul despre importanta luarii medicatiei,gasim persoane dispuse sa aute pacientul."valuare: pacientul reuseste sa discute despre planul de tratament, cunoaste

importanta lui si efectele medicamentelor(oaia de nursing, intocmita de asistenta, va reflecta evolutia stariipacientului pe toata perioada internarii lui in spital si va veni inintampinarea medicului in vederea orientarii conduitei terapeutice.)chizofrenia, avand tendinta la cronicizare, in perioadele de remisie serecurge la terapia suportiva care auta la prevenirea sau amanarearecaderilor.#a nivelul sectiilor de *sihiatrie I-II !rasov, se desfasoara activitati deterapie suportiva a pacientilor cu schizofrenie, care constau in : activitati in grupuri de suport activitati recreative %ocuri, vizionari filme& activitati de antrenare a abilitatilor sociale si vocationale.


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#a grupurile de suport sunt admisi toti pacientii cu diagnosticul generic de+schizofrenie+, care au mai mult de o internare intr-o sectie de psihiatrie.u exista limitari in ceea ce priveste sexul, categoria de varsta sauevolutia afectiunii pacientului.*acientilor li se explica ca participarea la grupuri face parte din

tratamentul de care beneficiaza in spital. umarul participantilor la grup este de - pacienti. /itmul de intalnire este de doua ori pe saptamana. 0urata intalnirii fiind de 1 minute.2rupul se spriina pe comunicare verbala, agentul terapeutic principal fiindgrupul insusi.Activitatea suportiva de grup, indiferent de metoda si tehnica folosita, esteeficienta si activa numai daca exista o opinie de grup si daca grupul are unanumit grad de autonomie fata de terapeut sau echipa terapeutica./ezultatele obtinute de pacient constau in :

inocularea sperantei in viitor, in fortele proprii, in ceilalti, etc. dezvoltarea capacitatii de a se auta pe sine si pe ceilalti %pacientul nueste singur, sunt altii sa-l aute&, obtinerea de informatii cu privire la modalitatile de tratament, dezvoltarea capacitatii de a stabili raporturi sociale castigarea de experiente emotionale, corective.In grupul de suport, asistenta urmareste: atmosfera, ambianta,participarea fiecaruia, comunicarea, cooperarea, ascultarea, posibilitateade cunfruntare, respectul fata de ceilalti.)copul terapiei suportive este :

redobandirea abilitatilor sociale %relationare interumana mai usoara& dobandirea unui sentiment de participare la viata colectiva intelegerea situatiei pe care o traverseaza, mobilizandu-si forteleadaptative, intr-o atmosfera de acceptare si securitate.*articipantilor la grupul de sustinere li se intocmeste o fisa +sinteza-caz+,unde sunt inregistrate rezultatele activitatii de grup, starea pacientului lasfarsitul activitatii de grup, feed-bac3-ul pacientului.#a externare, pacientul cu schizofrenie, trebuie supravegheat incontinuare. In acest sens asistenta are rolul de a instrui familia si pe ceiapropiati pacientului, in legatura cu tratamentul de sustinere si pasii

necesari in urmarirea comportamentului acestuia.In ciuda eforturilor depuse de echipa terapeutica, familie, persoaneleapropiate, schizofrenia ramane boala psihica care produce cele mai mariperturbari in viata pacientului si a celor apropiati. Acest subiect ramanedeschis pentru cercetarile ulterioare, tocmai pentru a putea gasi o cale dea auta acest gen de pacienti redandu-i societatii.

"sti ceea ce iti doresti sa fii....


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Helping a Person with Schizophrenia

Overcoming Challenges While Taking Care of Yourself

)hare:

4he love and support of famil5 pla5s an important role in schizophrenia treatment and recover5. If

someone close to 5ou has schizophrenia, 5ou can ma3e a huge difference b5 helping that person

find the right treatment, cope 6ith s5mptoms, and navigate the long road to recover5. 0ealing 6ith

a famil5 member7s schizophrenia can be tough, but 5ou don7t have to do it alone. 8ou can dra6 on

others, and ta3e advantage of services in 5our communit5but 5ou 6ill also need to ta3e care of

5ourself.

IN THIS ARTICL!

Schizophrenia and the family

Take care of yourself

Encourage and support treatment

Monitor medication

Watch for signs of relapse

Prepare for crisis situations

Eplore housing options

Schizophrenia and the family: How to help your loved oneIf a famil5 member or someone close to 5ou has schizophrenia, 5ou ma5 be struggling 6ith an5

number of difficult emotions, including fear, guilt, anger, frustration, and hopelessness. 4he illness

ma5 be difficult for 5ou to accept. 8ou ma5 feel helpless in the face of 5our loved one9s s5mptoms.

$r 5ou ma5 be 6orried about the stigma of schizophrenia, or confused and embarrassed b5

strange behaviors 5ou don9t understand. 8ou ma5 even be tempted to hide 5our loved one9s illness

from others.

In order to deal successfull5 6ith schizophrenia and help 5our famil5 member, it9s important to:

accept the illness and its difficulties

be realistic in 6hat 5ou expect of the person 6ith schizophrenia and of 5ourself

maintain a sense of humor

0o 5our best to help 5our famil5 member feel better and eno5 life, pa5 the same attention to 5our

o6n needs, and remain hopeful.

Tips for helping a family member with schizophrenia

ducate "ourself# #earning about schizophrenia and its treatment 6ill allo6 5ou to ma3e

informed decisions about ho6 best to manage the illness, 6or3 to6ard recover5, and handle

setbac3s.
http://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#familyhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#carehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#carehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#encouragehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#encouragehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#monitorhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#watchhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#preparehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#explorehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#onlinehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htmhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htmhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htmhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#familyhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#carehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#encouragehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#monitorhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#watchhttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#preparehttp://www.helpguide.org/mental/schizophrenia_helping_family_member.htm#explore


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Reduce stress# )tress can cause schizophrenia s5mptoms to flare up, so it9s important to

create a structured and supportive environment for 5our famil5 member. Avoid putting

pressure on 5our loved one or criticizing perceived shortcomings.

Set realistic e$pectations# It9s important to be realistic about the challenges and

limitations of schizophrenia. elp 5our loved one set and achieve manageable goals, and be

patient 6ith the pace of recover5.

mpo%er "our lo&ed one#!e careful that 5ou9re not ta3ing over and doing things for

5our famil5 member that he or she is capable of doing. 4r5 to support 5our loved one 6hile

still encouraging as much independence as possible.

Helping people with schizophrenia tip 1: Take care of yourself

In order to successfull5 deal 6ith schizophrenia in a famil5 member, 5ou need to ta3e care of 5our

o6n needsand find health5 6a5s of coping 6ith the challenges 5ou and 5our loved one face.

'ut on "our o%n (o$"gen mas)( first

eeping a positive outloo3 is much easier 6hen 5ou have others 5ou can turn to for support. #i3e

5our loved one 6ith schizophrenia, 5ou too need help, encouragement, and understanding. uic3l5 burn 5ou out. And if 5ou9re stressed out and over6helmed, 5ou 6ill

ma3e the person 6ith schizophrenia stressed. 4hat9s 6h5 3eeping 5our o6n stress levels under

controlis one of the most important things 5ou can do for a famil5 member 6ith schizophrenia.
http://www.helpguide.org/elder/caring_for_caregivers.htmhttp://www.helpguide.org/elder/caring_for_caregivers.htmhttp://www.helpguide.org/elder/caring_for_caregivers.htmhttp://www.helpguide.org/mental/stress_management_relief_coping.htmhttp://www.helpguide.org/mental/stress_management_relief_coping.htmhttp://www.helpguide.org/elder/caring_for_caregivers.htmhttp://www.helpguide.org/elder/caring_for_caregivers.htmhttp://www.helpguide.org/mental/stress_management_relief_coping.htmhttp://www.helpguide.org/mental/stress_management_relief_coping.htm


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'ractice acceptance# 4he ?6h5 me@ mindset is destructive. Instead of d6elling on the

unfairness or life, accept 5our feelings %even the negative ones&. 8our burdens don9t have to

define 5our life unless 5ou obsess about them.

See) out o"#=a3ing time for funisn9t frivolous or indulgentBit9s necessar5. It isn9t the

people 6ho have the least problems 6ho are the happiest, it9s the people 6ho learn to find

o5 in life despite adversit5.

Recognie "our o%n limits#!e realistic about the level of support and care 5ou can

provide. 8ou can9t do it all, and 5ou 6on9t be much help to a loved one if 5ou9re run do6n

and emotionall5 exhausted.

A&oid blame# In order to cope 6ith schizophrenia in a famil5 member, it9s important to

understand that although 5ou can ma3e a positive difference, 5ou aren9t to blame for the

illness or responsible for 5our loved one9s recover5.

Tips for )eeping stress in chec).no matter the challenges in "our life

0ealing 6ith schizophrenia in a famil5 member can be stressful, but 5ou can 3eep 5our stress

levels in chec3 b5 learning and practicing a variet5 of stress management techni>ues.

)tress =anagement: o6 4o /educe, *revent, and 'ope ues for )tress /elief: /elaxation "xercises and 4ips

)tress /elief in the =oment: (ast and "ffective


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See) help right a%a"# "arl5 intervention ma3es a difference in the course of

schizophrenia, so don9t 6ait to get professional help. 8ou famil5 member 6ill need assistance

finding a good doctor and other effective treatments.

ncourage independence# /ather than doing ever5thing for 5our famil5 member,

encourage self-care and self-confidence. elp 5our loved one develop or relearn s3ills that 6ill

allo6 for greater independence of functioning.

0e collaborati&e. It9s important that 5our loved one have a voice in his or her treatment.


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)topping medication is the most fre>uent cause of relapse in schizophrenia, so it9s extremel5

important that 5our famil5 member continues to ta3e all medication as directed. =an5 people

6hose schizophrenia is stabilized or in remission still re>uire medication to maintain their treatment

gains and 3eep s5mptoms at ba5.

Enfortunatel5, even if a person is ta3ing medication as prescribed, relapse into an acute ps5chotic

episode of schizophrenia can occur. !ut if 5ou learn to recognize the earl5 6arning signs of relapse

and ta3e immediate steps to deal 6ith them, 5ou ma5 be able to prevent a full-blo6n crisis. 4he

6arning signs of relapse are often similar to the s5mptoms and behaviors that led up to the

person9s first ps5chotic episode.

'ommon 6arning signs of schizophrenia relapse

Insomnia

)ocial 6ithdra6al

0eterioration of personal h5giene

Increasing paranoia

ostilit5

'onfusing or nonsensical speech

)trange disappearances

allucinations

If 5ou notice an5 6arning signs of relapse or other indications that 5our famil5 member9s

s5mptoms of schizophrenia are getting 6orse, call the doctor right a%a"#

Helping people with schizophrenia tip $: Prepare for crisis situations

0espite 5our best efforts to prevent relapse, there ma5 be times 6hen 5our famil5 member9s

condition deteriorates rapidl5 and drasticall5. 0uring a schizophrenia crisis, 5ou must get help for

5our famil5 member as soon as possible. ospitalization ma5 be re>uired to 3eep 5our loved one

safe.

mergenc" planning

It9s important for the famil5 members of people 6ith schizophrenia to prepare for such crisis

situations. aving an emergenc5 plan read5 for an acute ps5chotic episode 6ill help 5ou handle the

crisis safel5 and >uic3l5. A good emergenc5 plan for a famil5 member 6ith schizophrenia includes:

A list of emergenc5 contact information for 5our loved one9s doctor, therapists, and the

police.

4he address and phone number of the hospital 5ou 6ill go to in case of emergenc5 for

ps5chiatric admission.

(riends or relatives 6ho 6ill ta3e care of other children or dependents 6hile 5ou deal

6ith the crisis.

It9s also 6ise to go over the emergenc5 plan 6ith 5our famil5 member. 4he crisis situation ma5 be

less frightening and upsetting to 5our loved one If he or she 3no6s 6hat to expect during an

emergenc5.

23 Tips for Handling a Schiophrenia Crisis

/emember that 5ou cannot reason 6ith acute ps5chosis

/emember that the person ma5 be terrified b5 hisFher o6n feelings of loss of control

0o not express irritation or anger


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0o not shout

0o not use sarcasm as a 6eapon

0ecrease distractions %turn off the 4G, radio, fluorescent lights that hum, etc.&

As3 an5 casual visitors to leaveBthe fe6er people the better

Avoid direct continuous e5e contact

Avoid touching the person

)it do6n and as3 the person to sit do6n also

)ource: World Fellowship for Schizophrenia and Allied Disorders

Helping people with schizophrenia tip %: E&plore housing options

4reatment for schizophrenia cannot succeed if 5our famil5 member doesn9t have a stable,

supportive place to live. !ut finding the right living situation for a person 6ith schizophrenia can be

challenging.


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Choosing the Right Housing Option for a Person with Schizophrenia

4he person 6ith schizophrenia is so ill that there is little or no chance to lead a normal

famil5 life.

4he situation causes stress in the marriage or leaves children in the home feeling

frightened and resentful.

=ost famil5 events and concerns revolve around the person 6ith schizophrenia.

)upport services are not used or are unavailable.

4r5 not to feel guilt5 if 5ou are une>uipped to house a famil5 member 6ith schizophrenia. If 5ou

can9t loo3 after 5our o6n needs or those of others in the famil5 6hile caring for 5our ill relative, he

or she 6ill be better off some6here else.

Residential options outside the famil" home

If an at-home living arrangement isn9t the right fit, ma3e contact 6ith local mental health facilities,

social service agencies, support groups, and public housing authorities. 4hese organizations can

help 5ou explore the residential facilities in 5our communit5 and put 5our famil5 member9s name

on the appropriate 6aiting lists.

$ptions in 5our area ma5 include:

Residential treatment facilities or 45-hour care homes A more structured living

environment for those 6ho re>uire greater assistance 6ith medications and dail5 living

tas3s or for those going through an acute ps5chotic episode.

Transitional group home An intensive program that helps individuals transition bac3

into societ5 and avoid relapse after a crisis or hospitalization. Includes s3ills training and

rehabilitation services.

/oster or boarding homes A group living situation for people 6ith schizophrenia 6ho

are able to function relativel5 6ell on their o6n. (oster and boarding homes offer a certain

degree of independence, 6hile providing meals and other basic necessities.

Super&ised apartments An option for those 6hose condition is less severe or 6ell-

managed 6ith medication. /esidents live alone or share an apartment, 6ith staff members

available on-site to provide assistance and support.

bolnav de iubire

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