Question

In: Nursing

Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health...

Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health unit. He has a diagnosis of Bipolar 1 disorder. He has no history of physical or medical illnesses. During the admission assessment, Richard indicates that when he was 21 y.o., he was treated for bipolar 1 as an outpatient in the hospital clinic. He indicates was prescribed Carbamazepine but stopped taking it about 1 year ago. He told the nurse he has recently moved to the city as a mechanic, lives with a close relative temporarily. He does not have any friends in the city. About 3 weeks ago he had a surge of energy, was working 14-hour days and was up at night for days. During the interaction Richard often talked about his past depression and suicidality. Over the past month he has lost 15 lbs., has difficulty eating and has no appetite. He does not have the”…energy to get out of bed..” and has missed 4 days of work in the past week. He acknowledges having thoughts of ending his life by “driving off the road”. However, he says he is uncertain and afraid that if he takes his own life he will go to hell. You are the nurse assigned to provide care to Richard.

What are some risks and concerns associated with mania?

Solutions

Expert Solution

Mania is a type of mood disorder characterized by euphoria, hyperactivity and delusion.

Mania may be a part of a continuum of disorders called bipolar disorder. In this condition, the patient is suffering from alternating episodes of depression and Mania.

The risk factors associated with Mania:

  1. Genetic predisposition - Monozygotic twins have a 60 - 80% risk of mania whereas dizygotic twins have a 20% risk.
  2. The risk of developing mania is higher if the parents are suffering from mania
    1. If one parent is suffering from mania then the risk is 28%
    2. If both parents are suffering from mania then the risk is 2-3 times higher
  3. The levels of serotonin, norepinephrine, and dopamine are higher
  4. Mania is associated with an increase in intracellular calcium and sodium.
  5. Right-sided brain lesion can result in secondary mania
  6. Mania can result as a side-effect of certain drugs like amphetamines, antidepressants, and anticonvulsants.

The concerns with Mania are:

  1. In the state of Mania, an individual may indulge in sending spree to supports his/her flight of ideas.
  2. May get into money related transaction that may be more than one can afford (due to poor judgment)
  3. The patient becomes overly social however, they are unable to sustain a relationship they don't have depth in personality and understand of relationships.
  4. The patient may have an uncontrollable desire to talk
  5. The patient may work extra hours neglecting nutrition and sleep. This could hurt the patient physically.
  6. They exhibit neglect for personal hygiene and grooming
  7. There may be an increase in sexual desire.
  8. Mania also increases the chances of substance abuse.
  9. The risk of suicide is the highest with mania.
  10. The patient may injure oneself or others during the mania episode.

Nightingale answered 1 year ago
Next > < Previous

Related Solutions

Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health...
Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health unit. He has a diagnosis of Bipolar 1 disorder. He has no history of physical or medical illnesses. During the admission assessment, Richard indicates that when he was 21 y.o., he was treated for bipolar 1 as an outpatient in the hospital clinic. He indicates was prescribed Carbamazepine but stopped taking it about 1 year ago. He told the nurse he has recently moved...
Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health...
Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health unit. He has a diagnosis of Bipolar 1 disorder. He has no history of physical or medical illnesses. During the admission assessment, Richard indicates that when he was 21 y.o., he was treated for bipolar 1 as an outpatient in the hospital clinic. He indicates was prescribed Carbamazepine but stopped taking it about 1 year ago. He told the nurse he has recently moved...
Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health...
Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health unit. He has a diagnosis of Bipolar 1 disorder. He has no history of physical or medical illnesses. During the admission assessment, Richard indicates that when he was 21 y.o., he was treated for bipolar 1 as an outpatient in the hospital clinic. He indicates was prescribed Carbamazepine but stopped taking it about 1 year ago. He told the nurse he has recently moved...
Louise is a 20-year-old woman who has been admitted to an acute mental health inpatient ward...
Louise is a 20-year-old woman who has been admitted to an acute mental health inpatient ward following an episode of self harming behavior.this is her first contact with mental health services. Louise presents with lacerations to both arms; some are superficial scratches, others, while of varying severity and depth, are not life-threatening. There are also visible scars on her arms from apparently previous incidents of self-harming behaviors. Louise has been admitted via the local accident and emergency department following an...
Louise is a 20-year-old woman who has been admitted to an acute mental health inpatient ward...
Louise is a 20-year-old woman who has been admitted to an acute mental health inpatient ward following an episode of self harming behavior.this is her first contact with mental health services. Louise presents with lacerations to both arms; some are superficial scratches, others, while of varying severity and depth, are not life-threatening. There are also visible scars on her arms from apparently previous incidents of self-harming behaviors. Louise has been admitted via the local accident and emergency department following an...
Case Study #3: Mr. Wilson, a 51 y.o. male patient, is admitted to the Intensive Care...
Case Study #3: Mr. Wilson, a 51 y.o. male patient, is admitted to the Intensive Care Unit in critical condition after a Case motor vehicle accident. He presented unconscious and is therefore unable to make his own medical decisions. The family of this patient provided a detailed formal advance directive which indicated that in the event of a traumatic injury such as this one, where the outcome is uncertain, the patient would consent to aggressive medical intervention in an attempt...
You are caring for an older male patient who has been admitted for pneumonia. The patient...
You are caring for an older male patient who has been admitted for pneumonia. The patient requires minimal assistance with ADLs. You have cared for this patient the last few nights, and at around 8 PM, he thinks he is at home, he calls for his dog, his thought processes are disorganized, and he is restless. What disorder is he experiencing, and what nursing interventions would be appropriate for this patient? Please respond in no less than 250 words.
A client who takes lithium is admitted to the mental health unit for suicidal aviation’s. The...
A client who takes lithium is admitted to the mental health unit for suicidal aviation’s. The nurse that shares the clients serum lithium level results of 1.5 meq/L (1.5mmol/L) with the client who becomes very anxious, asking the nurse what to do. Which action should the nurse implement?     A. Instruct the client to drink 3 L of fluid for 24 hours     B. Encourage client to eat a low sodium diet     C. Ask the healthcare provider if hemodialysis...
Patient is a 76 year old male who was admitted to the hospital for pulmonary embolism,...
Patient is a 76 year old male who was admitted to the hospital for pulmonary embolism, cardiomyopathy, left ventricular thrombus, ischemic cardiomyopathy. No known allergies. He has history of HTN and hyperlipidemia. Over the past 2 months, he was experiencing SOB particularly with exertion. Patient visited primary care provider on the 29th who directed him to ED for further evaluation. In the ER, found to be afebrile, hemodinamically stable, saturating 95% RA. Lab work-up notable for troponin of 61. CTA...
Catherine Colonic, 74 years of age, is a male patient who was admitted to the surgical...
Catherine Colonic, 74 years of age, is a male patient who was admitted to the surgical unit after undergoing a laparascopic right hemicolectomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson-Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump tube connected to low continuous wall suction that is draining a small amount...
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT