Psychiatric Nursing Intervention for Clozapine-Induced Dysphagia in Schizophrenia: A Case Report.

INTRODUCTION

Schizophrenia is a chronic mental disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness, and social interactions. Clozapine, a second-generation antipsychotic, is commonly prescribed for treatment-resistant schizophrenia. However, its use is frequently associated with side effects, notably hypersalivation. This case report discusses the clinical consequences of clozapine-induced hypersalivation, emphasizing the importance of individualized nursing care planning.

METHODS

The descriptive case report presents the clinical course of a 47-year-old male patient diagnosed with schizophrenia. The patient exhibited symptoms such as anger, suspiciousness, anxiety, and auditory and visual hallucinations, as well as hypersalivation, which was attributed to clozapine therapy.

RESULTS

Three nursing diagnoses were identified: (1) impaired swallowing due to pharmacological side effects, (2) risk of aspiration associated with swallowing difficulties, and (3) ineffective coping mechanisms related to anxiety stemming from fear of choking. Relevant nursing interventions were implemented in line with these diagnoses.

CONCLUSION

This case highlights the critical role of psychiatric nurses in recognizing and managing drug-related side effects. It underscores the necessity for a biopsychosocial approach in psychiatric nursing and points to the need for enhanced training regarding the adverse effects of psychotropic medications.

KEYWORDS: schizophrenia, clozapine, hypersalivation, psychiatric nursing care, side effects, case report.