1. Definition: o Periods of depression and mood changes in which in which a person experiences extreme highs and lows in their activity and energy levels. Defined as rapid cycling, in which a person has at least three or more episodes a year. 2. Possible Cause/Risk Factors: o The exact cause is not known but there are a variety of risk factors that could trigger disorder o Risk Factors: Genetic and/or environmental factors Death or a loss Divorce Life changing event Serious illnesses Substance abuse Physical abuse in the past or present 3. S/S: o Physical Trouble breathing Physical agitation Insomnia Suicide thoughts or attempts Restlessness Unable to concentrate o Behavioral Obsessive worries Racing thoughts Sadness or feeling of hopelessness …show more content…
Goal of Treatment: o To enable client to improve quality of life, to reduce symptoms, and manage cycling of mania and depression. o To monitor client’s progress through treatment, adding or maintaining medications and/or therapeutic interventions. 6. Nursing Interventions: o Examination and assessment to determine past medical/family history of client o Question client on symptoms, such as intense anxiety, mania, psychosis, or rapid cycling in order to have correct diagnosis o Ask questions relating to mania symptoms, usually three or more cycles to determine disorder o Determine if client is depressed all the time, helps to distinguish the difference between bipolar depression and depression o Assess client to determine which route of treatment is best suited for client and his/her symptoms o Medication: Mood stabilizers Lithium Monitor for side effects such as dizziness, nausea, muscle weakness and tiredness. Let client know that after use of medication, side effects should decrease. Do not take if pregnant or breastfeeding, toxic to fetus and/or causes birth defects Monitor clients who have kidney or heart problems, can cause heart
Helen has reported that she has mood swing and that she has suicidal ideation as well having feeling uncontrollable over her own body. She denies and audio or visual hallucinations. Helen is showing signs of bipolar disorder DSM 296.62.
This paper explores three different commonly administered mental health assessments. These three assessments are The Mental Status Exam (MSE) (brief version), The Beck Depression Inventory (BDI), and The Beck Anxiety Inventory (BAI). The MSE is for client mental status. The BDI accesses the level of depression a client is experiencing. The BAI accesses the level of anxiety a client is experiencing. In doing this assignment and the different practice assessments, we will get comfortable with the instruments that are utilized as a part of diagnosing and additionally treating clients with mental health illness issues. These basic tools are helpful for HUS experts to portray and comprehend the mental status of a client. While acquiring these assessments, certain data is required. The purpose, value, and usefulness of these assessments will be explained. For this paper, an anonymous pretend client will be created and a practice MSE assessment will be conducted and reported. The outcomes give a more overall comprehension of what is happening with the client so that the client can get the best treatment for their psychological illness. That overall comprehension accompanies limitations because there is not enough information provided to adequately
A clinician does not want to misdiagnose their client. Clinicians often follow three processes when diagnosing a client. First, the clinician ensures the classification correlates to a medical component. The belief is that when a client is not functioning to their full potential, it is automatically assumed
The patient moved from Troy, New York a few months ago after getting married. She is living in Barrington and working in Northwood. They moved because her husband's job. The patient would like to talk about depression. She tells me that she has had anxiety her whole life. She was never evaluated by a physician for this, as her parents reportedly did not believe in any medication. She says that she struggled with her anxiety throughout her teen years and went to counseling in college, but never saw a physician at that time. She is no longer in counseling. In addition to feeling anxious, she feels depressed. She says
Because these mood changes or episodes can be drastic enough to need medical intervention or treatment they can have a large impact on the person’s day to day living, often times upsetting normal routine and interaction.
Treatments vary depending on the type and severity of symptoms, and whether the disorder is depressive-type or bipolar-type ".While in PPBHC facility J.M.B was given Depakote ER 100 mg twice daily which is an anticonvulsant and first line treatment for acute mania. Seroquel XR 300 mg P.O at bedtime which was increased to Seroquel 400 mg P.O. at bedtime and Seroquel 200 mg P.O one per day in am to be discontinued in one month. Thorazine 100 mg P.O. / IM every 6 hours for psychosis. J.M.B. was also getting Ativan 4 mg P.O every 8 hours, Lorazepam 4 mg P.O. / IM every 6 hours as needed for agitation and Benadryl 100 mg P.O. / IM every 6 hours which is an anticholinergic agent used to treat extrapyramidal side effects. Along with medical management to treat schizoaffective disorder there is also group therapy, psychotherapy and electroconvulsive therapy (ECT) which is used to subdue severe manic behavior (Varcarolis & Halter (2010). More importantly, group therapy was ordered as part of J.M.B plan of
When it comes to a mental health assessment, there are many questions that are needed to figure out what a client’s presenting problems are. According to Mattison, you need to be able to conduct a systematic analysis of the dilemma in order to reach a decision on the what the client’s needs are. In the form that I found online, the basic questions are asked, such as name, date of birth, Gender and ethnicity. Some of the following questions allow the mental health worker to evaluate
What assessments would you conduct to enhance your understanding of the client’s problems and how would your choice of assessment(s) inform your diagnostic formation and treatment planning? Assessments may include structured or unstructured interviews, valid and reliable assessment measures, and/or formalized assessment procedures that may be conducted by yourself or by someone else referred by you.
Unfortunately, there is no pin-pointed cause for obtaining Bipolar Disorder but there is a set of different factors working together to yield or cause additional risks. According to NCBI, Bipolar Disorder does not have a particular source of formation but studies shown to have found to be caused by genetics, environmental influences, and chemical disparities (NCBI, 2011). Bipolar Disorder is primarily caused by genetics due to familial genes which can be passed down by family and through earlier generations. According to Genet, studies have shown that children are seven times more at risk of obtaining Bipolar Disorder if their parents have the disorder (Genet, 1999). In the same study it showed that if a sibling has the disorder then the risk increases to fifteen times the risk (Genet, 1999). Environmental influences such as stress and
That is another great post from you. Your nursing intervention is very interesting. It is always prudent to do the non-invasive and non-pharmalogical interventions before trying the other alternatives, however how effective is the non-pharmacological intervention in managing pain in patients experiencing severe pains from trauma or major injury? As you said this intervention will take a longer time compare to push meds. Thanks for
Drug development involves nurses as the caregivers during drug administration in the trial phases involving human subjects. The initial tests in drug development involve animal subjects and other laboratory tests to affirm the safety of the substances. Once a drug satisfies the primary requirements of safety, it is approved for human trials (Catania, 2012). This stage requires nurse intervention. I have never participated in any clinical drug trials, but I know that nurses are vital for this stage. As such, the nurse primarily interacts with the volunteers during trials (Catania, 2012). The nurse protects the ethical requirements of this process and translates the drug research information to the participants. Similarly, they collect the results
Becoming acquainted with a potential client’s history, personality and present concerns is necessary in forming a foundation for counseling interventions. This information gathering phase is referred to as assessment (Mears, 2010). While some mental health professionals will use an interview as their primary assessment tool, others will utilize testing
Nursing interventions include: Nurses must recognize the cultural differences when providing care by not judging, but open in accepting other peoples' ways of doing things. “Cumulatively, with the increasing cultural diversity in society, nurses find it difficult to uphold their moral integrity through genuine engagement with those who appear different and hold cultural beliefs that differ from their own “(Bearskin, 2011, p. 554). Nurses must encourage the use of western medication for its accuracy and potency, at the same time develop cultural awareness, by not forcing his/her own view and opinion of others when it comes to choice of
PURPOSE: To establish a database about client’s response to health concerns or illness and the ability to manage health care needs.
Causes of bipolar disorder are not clearly defined. There are possible genetic connections to the disorder. Probable occurrence of and excessive calcium buildup in the cells and also dopamine and other neurochemical transmitter seemed to be implicated in bipolar disorder.