a nurse in a mental health clinic is caring for a client who has bipolar This is a topic that many people are looking for. cfiva.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, cfiva.org would like to introduce to you Mental Health Nursing – Bipolar Disorder. Following along are instructions in the video below:
Right in this video. Im going to talk about bipolar disorder and nursing care care of patients with bipolar disorder. So bipolar disorder is a mood disorder.
Characterized by episodes of mania and depression. So lets go over a few of the behaviors that can be exhibited by someone with bipolar disorder. So the first is mania.
So this is basically excessively elevated mood like to the extreme that often requires hospitalization. The patient may also exhibit hypomania. Which is a less severe form of mania that usually does not require hospitalization and then depression.
We just talked about depression in my previous video. So you should be pretty familiar with some of the signs and symptoms of depression so lets talk about the different types of bipolar disorder. There is type one which is where the patient has had at least one episode of mania.
Alternating with major depression with bipolar. 2. The patient will have one or more episodes of hypo mania.
Which is that milder form of mania. Alternating with major depression and then with cyclothymic disorder. This is where a patient over the course of two or more years will have multiple hypomania episodes alternating with minor depression so lets talk about lets quickly touch on some of the risk factors that can be associated with bipolar disorder.
One is genetics. Another is psychological stressors.
Another can be neurological disorders. And then also substance use disorder is associated with bipolar disorder. Alright lets talk about some of the signs and symptoms of mania.
So prior to nursing school. Id actually never been around anyone with bipolar disorder. At least that i was aware of and then we did our clinical rotation at a behavioral.
Health unit. And i was helping to care for a patient with bipolar disorder. And she was exhibiting mania and i will never forget it and never you know never forget the signs and symptoms because it was real so.
If you are going to do a clinical rotation at a behavioral health unit. See if you can help care for a patient who may be manic or having bipolar disorder. Because it will be a really good learning for you on recognizing the signs and symptoms of mania.
And knowing how to help care for that patient so some of the signs and symptoms include mood swings. Restlessness flight of ideas. Pressured speech grandiosity impulsiveness.
Poor judgment. Decreased attention span insomnia to the point where they are at risk for physical exhaustion. Because theyre never sleeping neglect of adls which are activities of daily.
Living. So patients who are exhibiting mania may neglect.
Eating or drinking anything and then they may also have hallucinations or delusions depressive. Signs and symptoms are some of the things we talked about in my last video. So thats like energiya lack of energy flat effect and hadou nia crying difficulty concentrating possible suicide ideation or risk for suicide lack of grooming and hygiene and changes in sleep or appetite.
So how do you care for a patient. Who is having a manic episode first of all you always want to provide a safe environment and you want to protect the patient from poor judgment. So.
A patient who is experiencing mania may do reckless things such as giving away their money or engaging in sexual indiscretions. You want to protect the patient from doing these things that they will regret later on when they are not manic. You want to decrease stimulation.
So youre going to provide a safe quiet environment for these patients. If the patient poses. A risk to themselves or others.
You may need to implement. 101 observations possibly place. The patient in seclusion or use restraints.
But you would only want to do these do these things if all other interventions have failed you want to provide frequent rest periods for these patients. And you definitely want to monitor their sleep fluid and food intake. Because again when a patients in a manic episode.
Theyre not sleeping. Theyre not eating theyre not drinking.
Theyre kind of running around like crazy so because theyre kind of running around like crazy you want to provide high calorie portable snacks so basically like finger foods that they can kind of grab and go so you can provide these things make sure theyre high calorie high nutrient. They can grab and kind of eat these while theyre running around also you want to make sure you set limits for these patients. Give concise explanations and use a calm approach again.
Were trying to help kind of bring them down. And provide a calm safe environment. And make sure that their you know the eating drinking enough.
Etc. Medications. That can be used for bipolar disorder.
Include lithium. Anticonvulsant. Antipsychotic.
Medications anti anxiety. Medications. As well.
As antidepressants. So. We will go over these medications.
When i go over pharmacological interventions for mental health disorders. So im going to stop here and well pick it up with more good information in my next video thanks for watching. .
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