Bipolar Disorder Case Study

This is a case study of Sarah, a 39 year old female who presented at the emergency department with her husband, who is worried about her recent behaviour. She is showing classic signs of Hypomania, which is commonly associated with Bipolar Disorder. Hypomania has distinguishing features and can be displayed with high energy levels, positive mood, irritability, inappropriate behaviour, heightened creativity and mystical experiences (Athanasos 2009). Bipolar Disorder sufferers not only experience highs like hypomania, but also the lows of depression. Diagnosis of Bipolar Disorder can only be made by a qualified health provider like a psychiatrist and is following one or more manic and depressive episodes (Parker 2007). There is no known cure
It allows information regarding the biological, psychological, sociological, developmental, spiritual and cultural aspects of the patient to be collected (Barling 2009). This assessment establishes a baseline by providing a snapshot of where the patient is that particular moment, creates a written record and helps to determine any changes during treatment. Assessments should be performed regularly to monitor any changes in behaviour following the initial assessment. Open ended questions will receive more constructive responses from the patient (Barling 2009). Biological aspects include questions regarding the patient 's current and past health status and a pharmacologic assessment will help to determine what treatment had been given previously, and what medications where prescribed (Geddes 2003). Questions regarding any other licit or illicit drug taking should also be asked. A physical examination with review of body systems and physical functions should also be undertaken to ascertain if there are any medical issues or problems and also to give a baseline for future reference. It will also help determine whether the medication that had been previously prescribed for Sarah has been adequately taken. This will also help to establish Sarah 's knowledge of the medication and whether Sarah and her husband require further education regarding the possible side effects of wrong
Nursing care plans are then used to document care given and desired outcomes of care for patients (Brown & Edwards 2008). Regular patient assessments are to be undertaken to make sure the nursing care plan still meets their needs. This essay has shown the relevant information required to apply the nursing process framework to develop a comprehensive plan of nursing care Sarah. It includes the nursing assessments, nursing diagnoses, nursing strategies and expected outcomes of the comprehensive nursing care