Bipolar Disorder Chapter 19
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| show | Mood disorders that include one or more manic or hypomanic episodes (elevated, expansive, or irritable mood) and usually one or more depressive episodes
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| show | Cyclothymia, Bipolor I & II, and Bipolar disorder not otherwise specified
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| Bipolar I is more | show 🗑
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| show | Is a Chronic mood disturbance of at least 2 years duration. A swing in mood from hypomania to depression. Without remission for more thatn 2 months
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| Do people with cyclothymia have severe impairment in their social or occupational functioning? | show 🗑
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| show | No, they don't experience delusions
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| Bipolar I | show 🗑
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| show | Person has recurrent bouts of major depression with episodic occurrences of hypomania
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| Characteristics of Mania | show 🗑
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| Mania Behavior | show 🗑
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| Mood of Mania | show 🗑
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| Thought processes of Mania | show 🗑
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| show | Hypomania, Acute mania, Delirious Mania
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| show | Cheerful & expansive mood with underlying irritablitiy; volatile. No impairment in functioning, no psychotc features
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| show | Euphoric, elated mood, flight of ideas, pressured speech loquaciousness), distractiblity, sexually uninhibibited, insomnia, inexhaustible energy, flamboyant dress/gromming, illusions and hallucinations
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| show | Very labile mood, confused, dlusional thinking, poss. hallucinations, agitated, purposeless activity and exhaustion
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| show | Use firm, calm approach, Use short and concise explanations, Remain neutral: avord power struggles, Be consistent in approach and expectations, Firmmly redirect energy into more appropriate areas
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| What are some treatment modalities? | show 🗑
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| What types of psychopharmacology are good treatments for a patient with bipolar disorders? | show 🗑
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| show | Helps increase client's compliance with meds
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| Is cognitive therapy/ group useful? | show 🗑
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| show | ECT
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| Is bipolar disorder often misdiagnosed or underdiagnosed? | show 🗑
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| With early diagnosis and proper treatment can help people avoid what other problems? | show 🗑
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| Talks and jokes incessantly, is the "life of the party" gets irritated when not center of attention. (Communication) | show 🗑
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| Treats everyone with familiarity and confidentiality; often borders on crude. (Communication) | show 🗑
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| show | Hypomania
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| Talk is fresh; flits from one topic to the next. Marked by pressure of speech. (Communication) | show 🗑
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| show | Acute Mania
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| show | Acute Mania
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| show | Acute Mania
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| Speech marked by flight of ideas, in which thoughts reace and fly from topic to topic. May have clang associations. (Communication) | show 🗑
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| show | Delirious Mania
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| show | Delirious Mania
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| Full of pep and good humor, feeling of euphoria and sociability; may show inappropriate intimacy with strangers. (Affect & Thinking) | show 🗑
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| show | Hypomania
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| Judegement often poor. Gets involved with schemes in which job, marriage, or financial status may be destroyed. (Affect & Thinking) | show 🗑
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| May write large quantities of letters to rich and famous people regauding schemes or may make numerous world wide telephone calls. (Affect & Thinking) | show 🗑
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| Decreased attention span to baoth internal and external cues. (Affect & Thinking) | show 🗑
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| show | Acute Mania
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| show | Acute Mania
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| Judgement is exteremely poor. (Affect & Thinking | show 🗑
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| Decreased attention span and distractibility are intensified. (Affect & Thinking) | show 🗑
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| May become destructive or aggressive-totally out of control. (Affect & Thinking) | show 🗑
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| show | Delirious Mania
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| Overactive, distractible, buoyant, and busily occupied with grandiose plans (not delusions); goes from one actionto the next. (Physcial Behavior) | show 🗑
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| show | Hypomania
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| May vhave voracious appetite, eat on the run, or gobble food during brief periods. (Physical Behavior) | show 🗑
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| Physical Behavior: May go without sleeping; unarware of fatigue. Howver, may be able to take short naps. (Physical Behavior) | show 🗑
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| show | Hypomania
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| show | Acute Mania
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| No time for sex- too busy. Poor concentration, distractibility, and restlessness are severe. (Physical Behavior) | show 🗑
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| No time to eat - too distracted and disorganized. (Physical Behavior) | show 🗑
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| Not ime for sleep - psychomotor activity too high; if unchecked, can lead to exhaustion and death. (Physical Behavior) | show 🗑
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| show | Acute Mania
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| Dangerous state. Incoherent, extremely restless, dioreiented, and agitated. Hyperactive. Motor activity is totally aimless (must have physical or chemical restraints to prevent exhaustion & death. | show 🗑
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| show | Delirious Mania
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| Same as acute mania but in the extreme. Not time to eat - to distracted and disorganized. (Physical Behavior) | show 🗑
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| Too diorganized to do anything. (Physical Behavior) | show 🗑
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| What are a flight of ideas? | show 🗑
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| What are clang associations? | show 🗑
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| What are the assessment guideslines for a client bipolar disorder? | show 🗑
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| show | Yes, the should.
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| What is the outcome citeria for a client with Phase I: Acute Phase | show 🗑
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| What are relevant NOC outcomes for Phase I: Acute Phase? | show 🗑
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| show | Phase II; Conuinuation of Treatment Phase last 4 to 9 months
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| show | Relapse prevention
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