A client diagnosed with Bipolar I disorder, such as Mary Ann Garces, intrigues and challenged the student nurses to applying onto the practical field, their acquired knowledge, attitude and skills from preceding lessons in order to function as an operative and effective member of the multidisciplinary team. The group members are determined to broaden their knowledge concerning the disorder, particularly in the various methods in which they are supposed to interact with the patient, utilizing the various appropriate therapeutic approaches, therefore rendering holistic caring care to the said client. The group also aspires to gain a concrete and total exemplar of the treatment of the disease condition, having only encountered such condition in texts. Also, the group feels that and successful intervention is crucial during manifestations of signs and symptoms of the Bipolar I disorder so as to ensure that the client will not have difficulties in functioning in his daily life. If the students are to be efficient nurses, the student nurses should be educated in such matters. Bipolar disorder is a recurrent illness that involves long-term, drastic changes in mood. A person with bipolar disorder experiences alternating highs (mania) and lows (depression). A manic period can be brief, lasting from three to fourteen days, or longer, lasting up to several weeks. The depressive periods may also last from days to weeks or even six to nine months. The periods of mania and depression range from person to person many people may only experience very brief periods of these intense moods, and may not even be aware that they have bipolar disorder. The “highs” or manic episodes are characterized by extreme happiness, hyperactivity, little need for sleep and racing thoughts, which may lead to rapid speech. Symptoms of the “lows” or depressive periods include extreme sadness, a lack of energy or interest in things, an inability to enjoy normally pleasurable activities and feelings of helplessness and hopelessness. On average, someone with bipolar disorder has three years of normal mood between episodes of mania or depression. Those with bipolar disorder often describe their experience as being on an emotional roller coaster. Cycling up and down between strong emotions can keep a person from functioning normally. The emotions, thoughts and behavior of a person with bipolar disorder are beyond his control friends, co-workers and family must intervene to protect his interests. This makes the condition exhausting not only for the sufferer, but for those in contact with him as well. Bipolar disorder can create many difficulties. Manic episodes can lead to family conflict or financial problems, especially when the person with bipolar disorder appears to behave erratically and irresponsibly. During the manic phase, people often become impulsive and act aggressively. This can result in high-risk behavior, such as repeated intoxication, extravagant spending and risky sexual behavior. During severe manic or depressed episodes, people with bipolar disorder may have symptoms that overwhelm their ability to deal with reality. This inability to distinguish reality from unreality results in psychotic symptoms such as hearing voices, paranoia, visual hallucinations, and false beliefs of special powers or identity. They may have distressing periods of great sadness alternating with euphoric optimism (a “natural high”) and/or rage that is not typical of the person during periods of wellness. These abrupt shifts of mood interfere with reason, logic and perception to such a drastic degree that those affected may be unaware of the need for help. However, if left untreated, bipolar disorder can seriously affect every aspect of a person’s life. Identifying the first episode of mania or...
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