Nursing Invention: The Most Different Phases Of Nursing Interventions

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Nursing Interventions
There are several phases in which bipolar disorder may be managed, the acute phase, the continuation phase, and the maintenance phase. Prioritizing nursing interventions can be set according to the most immediate attention needed for patient safety. The acute phase focuses on injury prevention; therefore, the first intervention should prioritize the patient’s physiological status. Manic episodes may result in a lack of nutrition and sleep, which can lead to exhaustion, dehydration, and cardiac collapse. Patients must be offered frequent rest and provided with plenty of fluids and foods high in caloric and protein values to prevent dehydration and replenish lost calories. Supervision may be required to remind patients to
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The approach should be firm, calm, neutral and remain consistent throughout the hospital staff, with short and clear guidelines for the patient to understand. Communication should provide limits, structure, and control for patients to follow, helping to minimize manipulation. Since manic patients may have short attention spans, the concise statements provide comprehension set by the staff. If a patient is beyond control, simple explanations of consequences must be directed for the patient to understand; for example, short explanations for the use of medication or seclusion, for an aggressive or violent patient, should be given with the understanding that it will help them feel less out of control and prevent harm. However, it is important to note that seclusion should not be used as punishment. If a patient has a legitimate concern, they should be heard to minimize feelings of …show more content…
Within these phases, nurses should focus on teaching the patient and family about medication, the disease process, and follow-up therapy. Most bipolar patients are put on lithium treatment, but since there is a very small range between therapeutic and toxicity levels, teaching should concentrate on safety guidelines for lithium treatment. Initially, frequent blood samples will be necessary to determine lithium levels; once therapeutic levels have been reached, the patient may only need to have their levels checked once every few months. Signs of lithium toxicity should be taught to the patient and family; if diarrhea, vomiting, or sweating becomes excessive, they should stop taking it and notify their doctor. If a patient wishes to stop lithium treatments, the dosage must be tapered down slowly; sudden discontinuation may result in the recurrence of manic or depressive episodes. Patients must also be directed to maintain a normal diet with normal salt and fluids, as lithium decreases the absorption of sodium in the kidneys. Long-term risks include impairment of urine concentration and hypothyroidism, so it is important for patients to have their thyroid and renal function checked

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