Question

Scenario: A 28-year-old elementary school teacher begins to exhibit uncharacteristic behaviors such as having multiple sexual partners, engaging in compulsive online shopping, barely sleeping, dressing in a more provocative fashion, and attending frequent “wild” parties. Friends and family report these recent behaviors as “totally unlike her,” describing her as a normally conservative, responsible person. Her cousin, who lives nearby, becomes concerned and accompanies the woman to a Crisis Unit where she is subsequently diagnosed with Bipolar Disorder and admitted to a Mental Health Unit. Initial Discussion Post: Address the following: What is the priority RN action for this client? Which medical concerns may be significant, considering this client’s recent behavior? Discuss what the RN would teach the client about Bipolar Disorder. Provide two 3-part nursing diagnosis statements that might be appropriate for this client. (Note: Each statement must include an actual NANDA-I nursing diagnosis [no risk-for diagnoses], related factor, and “as evidenced by.”)

Answer 1

Bipolar disarranges are state of mind issue that contain at least one hyper or hypomanic scene and typically at least one depressive scenes with times of generally ordinary working. They are said to be connected to biochemical awkward nature in the cerebrum and it is said that the malady is hereditarily exchanged.

Customers with bipolar scatters are at a high hazard for suicide. Notwithstanding the detail that customers in the hyper stage are quickly upset, stimulated and elated, their basic dejection makes them liable to incur self-damage. Fundamental duties of attendants are to give a sheltered situation, to enhance the confidence, to meet the physiologic needs and to manage patients toward socially proper conduct.

Here are nursing watch over bipolar issue:

-Ineffective Individual Managing

-Episodic Domestic Procedures

-Total Self-Care Deficit.

Outcomes

-Patient will react to the prescription inside the restorative levels.

-Patient will support ideal wellbeing through drug administration and restorative regimen.

-Patient will have stable cardiovascular status while in the clinic.

-Patient will drink 8 oz of liquid consistently for the duration of the day while on intensely hyper arrange.

-Patient will stay free from falls and scraped spots each day while in the healing facility.

-Patient will be free of risky levels of hyperactive engine conduct with the guide of prescriptions and nursing mediations inside the initial 24 hours.

-Patient will invest energy with the medical attendant in a peaceful situation three to four times each day between 7 am and 11 pm with the guide of nursing direction.

-Patient will take short deliberate rest periods amid the day.

-Patient will be free of extreme physical tumult and purposeless engine movement inside 2 weeks.