ATI Bipolar Disorder - ATI Template PDF

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Summary

ATI Template...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Flenniken ST UDENT NAME Meghan _____________________________________ Bipolar Disorder DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) Bipolar I; Bipolar II; Cyclothymic Disorder.

Pathophysiology Related to Client Problem Mood disorder with recurrent episodes of depression & mania. can mimic ADHD, alternate periods of illness, psychotic, paranoid, and/or bizarre behavior

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention Safe environment; Decrease stimulation; Outlets for physical activity; Medication

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Genetics: immediate family member has BD; Physiological: neurobiologic & neuroendocrine disorders; Environmental: increased stress in environment

Laboratory Tests

Labile mood with euphoria; agitation & irritability; restlessness; increase in talking & activity; Flight of ideas; Impulsivity; Demanding & manipulating behavior

Diagnostic Procedures

There are no lab tests to diagnose bipolar disorder.

Mood Disorders Questionnaire: Standardized tool that places mood progression on a continuum from hypomania to acute mania to delirious mania

PATIENT-CENTERED CARE

Nursing Care Care of the client is based on the phase of bipolar disorder that the client is experiencing.

Therapeutic Procedures Electroconvulsive therapy (ECT):Used to moderate extreme manic behavior, especially when pharmacological therapy is ineffective

ACTIVE LEARNING TEMPLATES

Prevent client self harm; Decrease clients physical activity; Ensure adequate fluid & food intake; Promote an adequate amount of sleep each night; Assist the client with self-care needs; Manage medication appropriately Complications

Medications Mood stabilizers: Lithium, Anticonvulsants that act as mood stabilizers; First generation antipsychotics; Second gen antipsychotics; antidepressant.

Client Education The chronicity of the disorder requiring long-term pharmacological & psychological support

Interprofessional Care Case management to provide follow-up for the client & family; Group, family & individual psychotherapy

Physical exhaustion & possible death. In true manic state usually will not stop moving, & does not eat, drink, or sleep. This can become a medical emergency....