ATI System Disorder Bipolar PDF

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Summary

ATI System Disorder Bipolar...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

ST UDENT NAME _____________________________________

Bipolar DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) mood disorder with recurrent episodes of depression and mania

Pathophysiology Related to Client Problem not been determined, and no objective biologic markers correspond definitively with the disease state. However, twin, family, and adoption studies all indicate that bipolar disorder has a significant genetic component.

REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention To help prevent a manic episode, avoid triggers such as caffeine, alcohol or drug use, and stress. Exercise, eat a balanced diet, get a good night's sleep, and keep a consistent schedule.

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings Manic Phase: liable mood, agitation, restlessness, increased talking, flight of ideas, impulsivity, manipulative behavior, poor judgement, attention seeking behavior, decreased sleep, denial of illness Depressive Phase: Either insomnia or sleeping too much Either restlessness or slowed behavior Fatigue or loss of energy Feelings of worthlessness or excessive or inappropriate guilt Decreased ability to think or concentrate, or indecisiveness Thinking about, planning or attempting suicide

genetics, physiological, enviromental stress

Laboratory Tests

Diagnostic Procedures

thyroid function test, urine analysis (to rule out other conditions or factors), CBC,ESR, serum elecrtorlytes, protein, BUN, substance/alcohol screening, MRI, ECG

mood charting, physical examination, psychiatric assessment, MDQ (mood disorder questionnaire), DSM5

PATIENT-CENTERED CARE

Nursing Care assess client history, appearance and behavior, affect, mood, thought process and content. Provide safety, therapeutic communication, promote appropriate behavior, meet physiologic needs (decrease environmental stimulation, provide finger foods) , and manage/administer ordered meds. Evaluate and reassess client.

Therapeutic Procedures electroconvulsive therapy, family focused therapy, support group, cognitive behavioral therapy

ACTIVE LEARNING TEMPLATES

-suicide ideation -improper nutrition -improper hydration -harm to others -confusion -insomnia

Complications Medications anxiolytics, benzos, mood stabilizers, 1st and 2nd gen antipsychotics, phenothiazine, anticonvulsants, antiparkinsons agents, dopamine agonists

Client Education follow up appointments, therapy, benefit of psychotherapy, indications of relapse, maintain regular sleep schedule, medication administration/schedule

Interprofessional Care Mental health tech mental health nurse therapist psychologist social worker psychiatrist

physical exhaustion and possible death, susbtance abuse, anxiety, legal or financial issues, damaged relationships, poor work or school performance, diabetes, rapid cycling

THERAPEUTIC PROCEDURE

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