Giavonna Teal
STUDENT NAME _____________________________________
Bipolar disorder
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
mood disorder with recurrent episodes of can mimic ADHD, alternate Safe environment; Decrease
depression and mania.-Bipolar I; Bipolar periods of illness, psychotic,
II; Cyclothymic Disorder stimulation; Outlets for physical
paranoid, and/or bizarre behavior activity; Medication
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings -self-harm
genetics, physiological, environmental liable mood, agitation, restlessness, -suicide
stress.-Genetics: immediate family member increased talking, flight of ideas, - improper nutrition
has BD; Physiological: neurobiologic & impulsivity, manipulative behavior, poor and fluids.
neuroendocrine disorders; Environmental: judgment, attention seeking behavior, -Prevent client self
increased stress in environment harm; Decrease
decreased sleep, denial of illness
clients physical
activity; Ensure
adequate fluid & food
Laboratory Tests Diagnostic Procedures intake; Promote an
adequate amount of
blood and urine to monitor for Mood disorder questionnaire.-Mood sleep each night;
lithium toxicity Disorders Questionnaire: Standardized Assist the client with
tool that places mood progression on a self-care needs;
continuum from hypomania to acute Manage medication
mania to delirious mania appropriately
PATIENT-CENTERED CARE Complications
Nursing Care Medications Client Education physical
follow-up appointment, therapy,
exhaustion and
-therapeutic milieu, monitor sleep, fluid Mood possible death.
intake and nutrition, step-by-step benefit of psychotherapy,
reminders for hygiene.-Care of the stabilizers: indications of relapse, maintain - In true manic
client is based on the phase of bipolar Lithium, regular sleep schedule, state usually will
disorder that the client is experiencing medication administrations
Anticonvulsants not stop moving, &
that act as does not eat,
mood drink, or sleep.
stabilizers; First This can become
Therapeutic Procedures generation Interprofessional Care
a medical
Electroconvulsive therapy antipsychotics; Case management to provide emergency.
(ECT):Used to moderate Second gen follow-up for the client &
antipsychotics; family; Group, family &
extreme manic behavior, individual psychotherapy to
especially when antidepressant
improve
pharmacological therapy
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A11