Care Plan
CARE PLAN
Bipolar Disorder, Manic Episode
[pic]
Risk for Other-Directed Violence
At risk for behaviors in which an individual demonstrates that he or she can be physically, emotionally, and/or sexually harmful to others.
RISK FACTORS
• Restlessness
• Hyperactivity
• Agitation
• Hostile behavior
• Threatened or actual aggression toward self or others
• Low self-esteem
EXPECTED OUTCOMES
Immediate
The client will
• Be safe and free from injury throughout hospitalization
• Demonstrate decreased restlessness, hyperactivity, and agitation within 24 to 48 hours
• Demonstrate decreased hostility within 2 to 4 days
• Refrain from harming others throughout hospitalization
Stabilization
The client will
• Be free of restlessness, hyperactivity, and agitation
• Be free of threatened or actual aggression toward self or others
Community
The client will
• Demonstrate level moods
• Express feelings of anger or frustration verbally in a safe manner
IMPLEMENTATION
|Nursing Interventions |Rationale |
|* denotes collaborative interventions | |
|Provide a safe environment. See Care Plan 26: Suicidal Behavior, |Physical safety of the client and others is a priority. The client |
|Care Plan 46: Hostile Behavior, and Care Plan 47: Aggressive |may use many common items and environmental situations in a |
|Behavior. |destructive manner. |
|Administer PRN medications judiciously, preferably before the |Medications can help the client regain self-control but should not be|
|client’s behavior becomes destructive. |used to control the client’s behavior for the
Bipolar Disorder, Manic Episode
[pic]
Risk for Other-Directed Violence
At risk for behaviors in which an individual demonstrates that he or she can be physically, emotionally, and/or sexually harmful to others.
RISK FACTORS
• Restlessness
• Hyperactivity
• Agitation
• Hostile behavior
• Threatened or actual aggression toward self or others
• Low self-esteem
EXPECTED OUTCOMES
Immediate
The client will
• Be safe and free from injury throughout hospitalization
• Demonstrate decreased restlessness, hyperactivity, and agitation within 24 to 48 hours
• Demonstrate decreased hostility within 2 to 4 days
• Refrain from harming others throughout hospitalization
Stabilization
The client will
• Be free of restlessness, hyperactivity, and agitation
• Be free of threatened or actual aggression toward self or others
Community
The client will
• Demonstrate level moods
• Express feelings of anger or frustration verbally in a safe manner
IMPLEMENTATION
|Nursing Interventions |Rationale |
|* denotes collaborative interventions | |
|Provide a safe environment. See Care Plan 26: Suicidal Behavior, |Physical safety of the client and others is a priority. The client |
|Care Plan 46: Hostile Behavior, and Care Plan 47: Aggressive |may use many common items and environmental situations in a |
|Behavior. |destructive manner. |
|Administer PRN medications judiciously, preferably before the |Medications can help the client regain self-control but should not be|
|client’s behavior becomes destructive. |used to control the client’s behavior for the