Bipolar Disorders

Bipolar Disorder: Assessment, Intervention, and Treatment

• Debra exhibits symptoms of a manic episode, including pressured speech, irritability, inappropriate sexual behavior, poor eating and sleeping habits, and rapid associations, leading to her admission to a psychiatric unit.
• Up to 21% of patients initially diagnosed with major depression may actually have undiagnosed bipolar disorder.
• Risk factors for bipolar disorder include biological, psychological, and environmental factors.
• Assessment of a manic patient includes evaluating mood, behavior, thought processes and speech patterns, with consideration of speech patterns and thought content.
• Proper treatment for a manic patient can help avoid problems such as persuasive and persistent behavior and staff management challenges.
• Assessment guidelines for bipolar disorder involve evaluating the danger to self or others, need for protection from uninhibited behaviors, need for hospitalization, medical status, coexisting medical conditions, and family understanding.
• Outcomes identification involves preventing injury in the acute phase, relapse prevention in the continuation phase, and limiting severity and duration of future episodes in the maintenance phase.
• Nursing care for acute mania during hospitalization includes medication management, managing physical activity, ensuring adequate food and fluid intake, promoting sleep, setting limits, and educating about illness and medication treatment.
• Pharmacological interventions for bipolar disorder focus on agitation and mood stabilization, with medications such as lithium carbonate, valproate, and antipsychotics like olanzapine and risperidone.
• Other treatments for bipolar disorder include electroconvulsive therapy, teamwork and safety measures, seclusion protocols, support groups, health teaching, and health promotion.
• Advanced practice interventions for bipolar disorder may involve cognitive-behavioral therapy, interpersonal and social rhythm therapy, and family-focused therapy.
• Nursing interventions for Debra's behavior may include offering a PRN medication, pacing with the patient, and providing frequent portable food items to assist with her insufficient calorie intake due to increased activity.

Bipolar Disorder: Assessment, Intervention, and Treatment

• Debra exhibits symptoms of a manic episode, including pressured speech, irritability, inappropriate sexual behavior, poor eating and sleeping habits, and rapid associations, leading to her admission to a psychiatric unit.
• Up to 21% of patients initially diagnosed with major depression may actually have undiagnosed bipolar disorder.
• Risk factors for bipolar disorder include biological, psychological, and environmental factors.
• Assessment of a manic patient includes evaluating mood, behavior, thought processes and speech patterns, with consideration of speech patterns and thought content.
• Proper treatment for a manic patient can help avoid problems such as persuasive and persistent behavior and staff management challenges.
• Assessment guidelines for bipolar disorder involve evaluating the danger to self or others, need for protection from uninhibited behaviors, need for hospitalization, medical status, coexisting medical conditions, and family understanding.
• Outcomes identification involves preventing injury in the acute phase, relapse prevention in the continuation phase, and limiting severity and duration of future episodes in the maintenance phase.
• Nursing care for acute mania during hospitalization includes medication management, managing physical activity, ensuring adequate food and fluid intake, promoting sleep, setting limits, and educating about illness and medication treatment.
• Pharmacological interventions for bipolar disorder focus on agitation and mood stabilization, with medications such as lithium carbonate, valproate, and antipsychotics like olanzapine and risperidone.
• Other treatments for bipolar disorder include electroconvulsive therapy, teamwork and safety measures, seclusion protocols, support groups, health teaching, and health promotion.
• Advanced practice interventions for bipolar disorder may involve cognitive-behavioral therapy, interpersonal and social rhythm therapy, and family-focused therapy.
• Nursing interventions for Debra's behavior may include offering a PRN medication, pacing with the patient, and providing frequent portable food items to assist with her insufficient calorie intake due to increased activity.