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vSIM for Nursing Describe Disease Process Affecting Patient (Include Pathophysiology of Disease Process) P ur I disorder is the most severe bipolar disorder. It marks shifts in mood, energy, and ability to function. Periods of norfunctioning may alternate with periods of illness (highs. Or a combination of both). Many individuals continue to experience chronic interpersonal or occupational difficulties even during remission. Individuals with bipolar I disorder have experienced at least Of mam; episode. Mania is a period of intense mood disturbance, persistent elevation, expansiveness, irritability, and extreme -directed activity or energy. These periods last at least 1 week or most of the day, everyday. Manic episodes usually alternate with depression or a mixed state of anxiety and depression. Initially* individuals experiencing a manic episode are the happiest, most excited, and most optimistic people you could and are in perpetual motion. Because they feel so important and powerful, they take horrific chances and engage in hazardous activities. Unfortunately, the person with mania does not recognize the behaviors as being problematic and resists treatment. As the mania intensifies, individuals may become psychotic, experiencing hallucinations, delusions, and dramatic disturbed thoughts. Hallucinations tend to be auditory and individuals may begin to hear voices, sometimes the voice of God (Halter, 2017). Diagnostic Tests (Reason for Test & Results) Patient Information Anticipated Physical Findings ●DSM-5 Criteria for Bipolar I ●Altman Self-Rating Mania Scale Patient is S. Cole, a 31 y.o female. Hx: RT ankle surgical repair due to an injury sustained from falling off a stage at a bar. Husband stated she was diagnosed with Bipolar disorder 6 years ago and had been missing x2 days. ●Elevated and unrestrained emotional expressiveness ●Intense feelings of well being ●Overly joyous mood ●Cheerful in inappropriate circumstances ●Laugh, joke, talk in a continuous stream ●Voracious appetite ●Constant activity ●Reduced sleep ●Distractibility ●Feelings of grandiose ●Disorganized thoughts and speech patterns ●Distorted views and false thoughts
Anticipated Nursing Interventions ●Therapeutic communication ●Structure a safe environment ●Safety to include- ➔Monitor I &O ➔VS ➔Offer frequent high calorie protein drinks, finger foods ➔Frequently remind patient to ear ●Encourage sleep and rest periods ●Hygiene ●Offer fluids and foods that are high in fiber ●Therapeutic medication administration (according to HCP orders) prn ➔Mood stabilizer (ex: Lithium) ➔Anticonvulsant drugs ➔Antipsychotics ➔Antidepressants vSIM ISBAR Activity Introduction (Your name, position (RN), unit you are working on) Hi Dr. Foulks, My name is Melissa. I am a Nurse in the Inpatient Orthopedic unit.