nursing interventions in the diagnosis of Bipolar Disorder

Nursing Pajamas

Diagnosis of Bipolar Disorder: "Bipolar disorder is a serious organic disease characterized by recurrent fluctuations in the general mood, patients alternating episodes in which mood is abnormally high or too depressed, separated by periods which state ' mood is relatively normal .. "(Lehne, 2004, p. 321)

Nursing Pajamas

What follows is a brief synopsis according to the DSM-IV-TR, "Criteria for bipolar disorder" includes a distinct period of abnormally and persistently elevated,expansive or irritable mood for at least:
- 4 days for hypomania
- Week of mania

During the period of mood disturbance, three or more of the following symptoms are persistent and have been present in a significant level:
- Inflated self-esteem or grandiosity
- Reduced need for sleep
- More talkative than usual or pressure to keep talking
-. excessive involvement in pleasurable activities that have a high potential for painful consequences "(AmericanPsychiatric Association [APA], 2000).

Psychodynamics of the disease, the onset of the disease usually occurs during late teens or mid twenties. However, the disease has been known to happen in the fifth decade of life. The mood swings that accompany this disorder are of different types. These are: the pure manic, evidenced by hyperactivity, excessive enthusiasm, and flight of ideas, constant wakefulness without sleep,

Impairment in normal socialfunctioning usually requiring hospitalization; hypomanic episode, as evidenced by a mild form of mania pure, without loss of normal requiring hospitalization, major depressive episode is characterized by depressed mood and symptoms such as anhedonia, apathy, Alogia, affective flattening and thoughts of suicide and death, the last episode associated with bipolar disorder, mixed episode in which "the patient has symptoms of mania and depressionat the same time. The combination of high energy and depression puts them at significant risk of suicide. "(Lehne, 2004, p. 321)

Case report
A white woman in her twenties, and half showed signs and symptoms of self-mutilation with a razor blade cutting straight inflicted on her lower abdomen approximately six inches below the navel. The depth of the wound only stopped at the abdominal fascia. The patient was referred from the emergency room of the psychiatric ward. When I meetthe patient one day after his admission to the emergency room, he appeared dressed in pajama bottoms and a T-shirt, shuffling down the hall in my socks. She was holding her abdomen with one hand and appeared in some discomfort. His uncombed hair and short blacks. When the patient came to his room, sitting on his bed. Recognized with beveled effect that can not stop self-mutilation, and described how he cut the muscles in his abdomen almost to the fascia. His voicewas tremulous and fast. This could be because he had just received the first dose of Clozaril. He said that his mouth was dry and needed to get some water. She added that she was very sleepy. The customer feels comfortable with the interview.

He shared personal information about sexual abuse by her discomfort from seven years to fifteen years. Her brother was two years older than her and died in aaccident at the age of eighteen. He continued that the mother he never knew or acknowledged the sexual abuse and could not tell because the mother idolized the son. The client was receptive to cognitive reformulation, however, was very critical of herself and stated that he felt worthless and ashamed. She looked very tired and said he wanted to sleep.

Table 1
Textbook of bipolar disorder features compared to the characteristics of customerobserved

Features of the textbook
Pure Mania
Hypomanic episode
Major depressive episode,
Affective flattening
Alogia
Apathy, apathy
Anhedonia
Mixed Episode
Rapid Cycling Bipolar Disorder-Patients experience four or client

Observed characteristics:
There are no symptoms present
rapid breathing, rapid speech, however, because of drugs at the same time a client we hibernating this
Customer acknowledges sadness / worthlessness
Facialplate expression
Thoughts of death, difficult to focus
Hair and sloppy clothes
Expressed no interest in children or self

Customer symptoms
1. Hypomania
2. Depression
a.) Affective Flattening
b.) Alogia
c) the apathy and lethargy
d) Anhedonia
3. Mixed Episode
4. Rapid cycling
(Varcarolis, 2004, p. 485)

Care interventions

1. Note that the client every 15 minutes while suicidal, remove all dangerous objects, vault.

2.Strengthen the effort,
a.) assist clients in assessing the positive and negative aspects of his life
b) Encourage the appropriate expression of feelings of anger.
c) Schedule regular periods of time during the day for recreation, occupational therapy, encourage client to prepare for praise, offering a thorough preparation.
d) ensure that the customer to take drugs to stabilize mood. See reviews swallowing medication.
3. Involve customersinterpersonal therapy, cognitive-behavioral therapy,
4. Encourage clients to attend group therapy, and episodes of the magazine.

Table 2
medical interventions, bipolar disorder
Drug treatment
Mood stabilizer
Antidepressants
Antipsychotics
Education and psychotherapy
TEC
(Varcarolis, 2002, p. 483)

Clients Medical Interventions
Drug treatment includes
Lithium 300 mg every hs
Take no Clozaril
Client receives psychotherapy,Family counseling, group therapy while in the hospital, and cognitive restructuring.
None

nursing interventions in the diagnosis of Bipolar Disorder
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