University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2021
Views:

356

Pages:

1
Author:

Alexa Livingston

ACTIVE LEARNING TEMPLATE: System Disorder BiPolar Disorder DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem a chronic psychiatric disorder that is characterized by recurrent, alternating episodes of depression and mania (i.e., an excessively elevated or irritable mood). Risk for suicide ineffective coping Self care deficit risk for injury disturbed sleep pattern impaired social interaction Health Promotion and Disease Prevention Teach client and family the episodic nature of bipolar disorder (Mania phase) Teach client the important of maintaining a regular sleep Inform client about psychotherapy and support groups to prevent relapse Teach client precipitating factors like the use of alcohol or caffein Teach client and family on medication use and side effects (some of the meds ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Genetics, Family Hx (depression), Stress, lack of sleep, hypothyroidism, pregnancy,antidepressants use can trigger manic or depressive episodes Laboratory Tests Manic episodes: racing thoughts, poor judgment, risk-taking behavior (e.g., drug abuse, reckless driving, promiscuity),decreased need for sleep. depression: include sadness, anxiety, guilt, hopelessness, sleep and appetite disturbances, fatigue, lack of interest in previously pleasurable activities psychosis (e.g., hallucinations, delusions) Manifestation of BD in children or adolescents can include truancy, difficulty with peer relationships, poor grades, unexplained crying, social isolation Racing thoughts Diagnostic Procedures Lithium levels, Thyroid function, urinalyses DSM V, Mood disorders Questionnaire PATIENT-CENTERED CARE Nursing Care Focus on safety and maintaining physical health Provide a safe environment during acute phase Provide frequent high calorie protein drinks, and finger foods Redirect aggressive behavior Assess the client regularly for suicidal thoughts based on intention and escalating behaviors Decrease stimulation without isolating the client if possible eg. Noise, music, television, and client behavior Therapeutic Procedures Medication ECT Therapy Group, family Self harm Self care deficits Dietary needs Medication toxicity Substance use Complications Medications Lithium Valproate Carbamazepine Lamotrigine Chloromazine Loxapine Olanzapine Risperidone Laurasidone Quetiapine Fluoxetine Client Education Case Management, CBT, (Group, familiy & personal therapy benifits), Long term treatment, Indications of relapse and crisis managment, triggers, maintaining daily schedule, education of medication, medication and appointment adherance. Interprofessional Care Phychiatric Care Family Doctor Therapist (Individual & Group) Case Worker Addiction Counseling Family Involvment in care Exhaustion during manic episode. Death resulting from exhaustion, self care deficit, injury or self harm. Financial Trouble Legal Trouble Substance use Poor work/school performance Housing Anxiety