I need help figuring out care plans for schizophrenia disorder? What are the physiological nursing diagnosis for schizophrenia and what would be a good nursing interventions with it? I can only come up with psychosocial diagnosis with mental illnesses. 

Schizophrenia refers to a category of severe, disabling psychiatric conditions that are characterized by detachment from reality, illogical thought, possible delusions and hallucinations, and disruption of emotion, conduct, or intellect.

The day-to-day burden of living with schizophrenia can be difficult. Symptoms of the condition may also be worsened by stress. That's why learning self-help skills is so critical for individuals with schizophrenia. The care plans for schizophrenia disorder may include;

• Ensure the patients maintains a healthy and balanced diet.
• The patient should refrain from alcohol and drugs.
• The patient can be helped to practice relaxation techniques including deep breathing, progressive muscle relaxation and mindfulness.
• Ensure that the patient exercises on a daily basis
• The patient should seek social support other than immediate caregivers.

The physiological nursing diagnosis for schizophrenia and good nursing interventions include;

1.

Impaired Verbal Communication- Some common related factors for impaired Verbal Communication are side effects of medication, biochemical alterations in the brain of certain neurotransmitters, altered perceptions and lack of stimuli. The nursing interventions are;

• Keep environment calm, quiet and as free of stimuli as possible- Keep anxiety from escalating and increasing confusion and hallucinations/delusions.
• Assess if speech incoherence is persistent or whether it is more acute, as in an exacerbation of symptoms-Establishing a baseline makes it easier to set concrete expectations, the basis for successful care planning.
• Assess whether speech incoherence is persistent or whether it is more sudden, as though symptoms are intensified.
• Identify the duration of the client's psychotic medication-Therapeutic levels of an antipsychotic help clear thought and decrease associative derailment or looseness

2.

Impaired Social Interaction- Here are some related factors for impaired social interactions difficulty with concentration, difficulty with communication, inadequate emotional responses, feeling threatened in social situations, self disturbance and exaggerated response to alerting stimuli. The nursing interventions for impaired social interactions are;

• Assess if the medication has reached therapeutic levels- Many of the positive effects of schizophrenia (hallucinations, delusions, racing thoughts) will subside with drugs that will promote experiences.
• Avoid touching the client- Touching by an unknown entity may be misinterpreted as a sexual or threatening act to avoid touching the client.
• Keep client in an environment as free of stimuli (loud noises, crowding) as possible-  the client can respond to noises and crowding with agitation, anxiety, and increased inability to focus on outside events.

3.

Disturbed Sensory Perception- Some related factors to this are chemical alteration, altered sensory perception, biochemical factors such as manifested by inability to concentrate and altered sensory reception; transmission or integration. The nursing interventions may include;

• Accept the idea that the sounds are true to the consumer, but clarify that the voices are not heard. Refer to the voices as "your voices" or "voices you hear"-Validating the voices are not included in your truth will help consumers cast "doubt on the validity of their voices.
• Help the client recognize the requirements that may be underlying the hallucination-Hallucinations may represent anger, control self-esteem, and sexuality needs.
• Be alert for signs of can fear, anxiety or agitation (harm self or others)- Could herald hallucinatory behavior, which can be very scary for the client and the client can act on command hallucinations.
• Help clients to recognize occasions when hallucinations are more common and scary-helps nurses and clients to identify conditions and times that could be most nervous and threatening to the client.

4.

Disturbed Thought Process- Related factors are panic level of anxiety, inadequate support systems, repressed fears, overwhelming stressful life events and possibility of a hereditary factor. The nursing interventions for disturbed thought process are;

• Recognize the delusions of the client as the interpretation of the world by the client-Recognizing the perception of the client will assist you to recognize the emotions he or she is having.
• Interact on the basis of stuff in the world with customers. Try to divert consumers from their illusions by engaging in reality-based activities e.g. board games, basic arts and crafts projects, etc.)- The consumer is free of irrational thought at the period when thinking is centered on reality-based activities.
• Explain the procedures and strive to make sure that the customer knows the procedures before conducting them. Because the customer has complete understanding of the procedures, the workers are less likely to be fooled.
• At the time of their introduction, an effort to understand the importance of these views to the client-In the seemingly illogical fantasies of the client, essential clues to underlying fears and problems can be found.