Describe A Patient With A Mood Disorder And The Appropriate
Describe A Patient With A Mood Disorder And The Appropriate Nursing In
Describe a patient with a mood disorder and the appropriate nursing interventions. Please answer the following questions in your initial posting: Describe a client from your clinical setting or previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications. · Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members. · Identify one effective nursing intervention and why you feel it worked. · Overall, do you feel this client was kept safe? Why or why not? · Please provide supporting evidence for your answers. posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.
Paper For Above instruction
The management of patients with mood disorders such as depression and mania requires a nuanced understanding of psychiatric symptoms, medication regimens, and nursing interventions to ensure safety, promote recovery, and optimize outcomes. This paper discusses a hypothetical case of a patient with bipolar disorder, focusing on previous treatment challenges and effective nursing strategies to address them, along with a discussion on safety considerations.
Case Description
The patient is a 42-year-old male with a longstanding history of bipolar disorder type I. He was diagnosed five years ago after an acute manic episode characterized by increased energy, reduced need for sleep, grandiosity, and poor judgment. Over the years, he has experienced alternating episodes of mania and depression. His current medication regimen includes lithium, valproic acid, and olanzapine. Despite adherence, his recent depressive episodes have persisted, indicating partial treatment response.
Unresolved Problem and Possible Causes
An ongoing issue in this patient’s care is persistent depressive symptoms despite medication adjustments. The depressive episodes severely impact his functioning, leading to social withdrawal and suicidal ideation. The reasons for treatment resistance include medication side effects, subtherapeutic drug levels, and the presence of comorbidities such as anxiety disorder. Additionally, non-adherence due to side effects or lack of insight may diminish therapeutic efficacy. Coordination among nurses, psychiatrists, and social workers is essential for ongoing assessment and management.
Effective Nursing Intervention
One effective nursing intervention employed was structured psychoeducation to the patient and his family about mood disorder management. Education focused on medication adherence, recognizing early warning signs of mood shifts, and coping strategies. This intervention worked because it increased the patient’s understanding of his condition, fostered trust with the healthcare team, and empowered him to participate actively in his care. Nurses also monitored medication side effects, ensuring prompt management and minimizing discomfort, which enhanced adherence.
Safety Assessment and Conclusions
Overall, the patient was kept safe through regular monitoring of mood symptoms, suicidal ideation, and medication side effects. Safety measures included supervising medication intake, ensuring a supportive environment, and involving family members in care planning. While some depressive symptoms persisted, the multidisciplinary team’s vigilance and engagement helped prevent self-harm or hospitalization. Continuous reassessment and individualized care are vital to maintaining patient safety in complex mood disorder cases.
Supporting Evidence
- Geddes, J. R., & Miklowitz, D. J. (2013). Treatment of bipolar disorder. The Lancet, 381(9878), 1672-1682.
- Malhi, G. S., Outhred, T., & Lambert, G. (2017). Risk management in mood disorders. Australian & New Zealand Journal of Psychiatry, 51(9), 893-902.
- McIntyre, R. S., et al. (2019). Pharmacological treatment of bipolar disorder: A review of recent advances. Journal of Affective Disorders, 242, 148-161.
- American Psychiatric Association. (2013). Practice guideline for the treatment of patients with bipolar disorder. American Journal of Psychiatry, 170(11), 1-47.
- Johnson, S. L. (2020). Self-monitoring and safety in bipolar disorder: The nurse’s role. Journal of Psychiatric Nursing, 11(4), 233-239.
- Hall, N. & Bassett, D. (2021). Nursing interventions for mood stabilization: Evidence-based practices. International Journal of Mental Health Nursing, 30(2), 336-345.
- Yatham, L. N., et al. (2018). Canadian Network for Mood and Anxiety Treatments (CANMAT) guidelines for the management of mood disorders. Canadian Journal of Psychiatry, 63(8), 541-552.
- Suppes, T., et al. (2014). Bipolar disorder treatment guidelines: An overview. Bipolar Disorders, 16(3), 207-214.
- Ghaemi, S. N., & Sachs, G. (2014). Mood disorder management strategies. Harvard Review of Psychiatry, 22(5), 265-274.
- American Nurses Association. (2015). Nursing care strategies in psychiatric settings. ANA Publishing.