Unit 4 - 2

Front 1

ETIOLOGIES, RISK FACTORS OF BIPOLAR

DISORDER

Back 1

1. Neurochemical imbalance.

2. Genetics, Age, A D H D.

3. Environment

4. Defense Mechanism.

5. Substance Abuse

6. Side effects of medications.

Front 2

BIPOLAR DISORDER DEFINITION

Back 2

1. Normal or Balanced mood to:

Hypomainia (mild to moderate) or

Severe Mania.

2. Normal or Balanced mood to

Mild to Moderate depression or

Severe Depression

Front 3

LABS & DIAGNOSTIC TESTING:

Back 3

1. E E G, P E T SCAN, M R I, C T SCAN

2. X RAY, C B C, S T I testing, Drug Screen.

3. Rating scale

Front 4

SIGNS & SYMPTOMS MANIA

Back 4

1. Onset before age 30.

2. Mood: Elevated, Expansive, Irritable.

3. Speech: Loud, Rapid, Running, Rhyming, Clanging, Vulgar. 4. Weight Loss, Grandiose,

Delusions, Distracted, Hyperactive, Need for Sleep, Inappropriate, Flight of Ideas, begins

suddenly, escalates over several days

Front 5

SIGNS & SYMPTOMS DEPRESSIVE

Back 5

1. Previous Manic Episodes.

2. Mood: Dysphoric, Depressive, Despairing, decreased interest in pleasure.

3. Negative views: Fatigue, decreased appetite, constipation, insomnia, decreased libido, suicidal preoccupation, may be agitated or have movement of retardation

Front 6

OUTCOMES WITH NURSING INTERVENTIONS:

OUTCOME: Patient will be free from injury.

Back 6

Nursing Intervention:

1. Assess for S I, H I.

2. Decrease stimuli.

3. Provide safe milieu.

4. Administer medication to prevent or treat escalating behaviors.

Front 7

OUTCOMES WITH NURSING INTERVENTIONS:

OUTCOME: Patient will demonstrate improved mood stabilization & Thought processes.

Back 7

Nursing Interventions:

1. Assess moods & thoughts.

2. Use therapeutic communication techniques.

3. Monitor interactions.

4. Provide individual & group therapy.

5. Administer medication to stabilize mood.

Front 8

OUTCOMES WITH NURSING INTERVENTIONS:

OUTCOME: Patient will demonstrate an improvement in A D L.

Back 8

Nursing Intervention:

1. Assess nutritional intake, energy level, sleep patterns, dress, grooming, & hygiene.

2. Provide a non stimulating environment.

3. Set limits on A D L

Front 9

OUTCOMES WITH NURSING INTERVENTIONS:

OUTCOME: Patient will verbalize and or demonstrate knowledge of ....

Back 9

Nursing Interventions:

1. Assess learning barriers.

2. Assess knowledge of illness & treatment.

3. Implement teaching on illness, medications & other treatment modalities.

4. Review discharge safety plan & relapse prevention.

Front 10

BIPOLAR 1

Back 10

1.Diagnosis for a person experiencing a manic episode.

2. Or has a history of 1 or more manic episodes.

Front 11

BIPOLAR 2

Back 11

1. Characterized by recurrent bouts of MDD with episodic occurrence of hypomania.

2. If current episode is major depression,

psychotic or catatonic features may be noted.

Front 12

3 STAGES OF MANIA

Back 12

Stage 1 Hypomania: not severe enough to cause impairment in social or occupational

functioning.

Stage 2 Acute Mania: marked impairment in functioning & require hospitalization.

Stage 3 Delirious Mania: sever clouding of consciousness, an intensification of acute mania

Front 13

Stage 1 Hypomania: not severe enough to cause impairment in social or occupational functioning

Back 13

1. Mood: cheerful, expansive. Person is volatile and fluctuating when wishes and desires go unfulfilled.

2. Cognition & Perception: perceptions of self are exalted, thinking is flighty.

3. Activity & Behavior: increased motor activity, inappropriate behaviors, max out credit cards

Front 14

Stage 2 Acute Mania: marked impairment in functioning & require hospitalization.

Back 14

1. Mood: Euphoria, elation, easily changing to irritability, anger, sadness & crying.

2. Cognition & Perception; becomes fragmented & often psychotic. Easily distracted, hallucinations, delusions, grandiose, paranoia are

common. 3. Activity & Behavior: Psychomotor activity is excessive, uninhibited, dress disorganized, sleep less

Front 15

Stage 3 Delirious Mania: sever clouding of

consciousness, an intensification of acute mania

Back 15

1. Mood: very labile, changes quickly, Panic

anxiety may be evident.

2. Cognition & Perception: confusion, disorientation, stupor, religiosity, delusions of grandeur, persecution, auditory or visual hallucinations.

3. Activity & Behavior: frenzied, agitated, purposeless movements. Injury to self or others