Virtual Case Study: Bipolar Disorder
When interventions should the nurse suggest for Susan's plan of care? Include your
rationale for these interventions.
1. You are the nurse assigned to care for Mr. P, a 30-yrs old with bipolar disorder. He
is currently hospitalized due to nonadherence to the plan of care, including
medication, and suicidal ideation. Mr. P clearly does not want to be hospitalizes, and
he is often hostile and agitated. How do you think Mr. P feels? Why do you think he
feels this way? How do you know this?
2. Learning Template for Bipolar Disorder
3. What are the 2 common medications used to treat a patient with Bipolar Disorder.
1. The feeling of hostility and agitation Mr. P feels is due to his manic episode which is
a distinct period of abnormally and persistently elevated, expansive, or irritable mood
and abnormally and persistently increased goal-directed activity or energy. This
phase is followed by Hypomanic episode which lasts at least 4 consecutive days and
present most of the day, nearly every day. Moreover, his suicidal ideation can be
caused by the Major Depressive episode which has at least one of the symptoms of
either depressed mood or loss of interest or pleasure. A few studies indicate that
bipolar II disorder is associated with more marital disruption and with onset at an
earlier age compared to bipolar I disorder. Also, there are evidences that indicate
patients who has bipolar II disorder are at a greater risk of both attempting and
completing suicide than patients with bipolar I disorder and major depressive
disorder. This may be caused by downregulation of norepinephrine and serotonin.
These are according to the DSM- 5 criteria for Bipolar Disorders.
2. > Definition of Bipolar Disorder
> Epidemiology
> Etiology
> Types of Bipolar Disorder
> DSM-5 Criteria for Bipolar Disorder
> Symptom Features
> Clinical Features
> Co-existing Disorder
> Mental Status Examination
> Differential Diagnosis
> Course and Prognosis
> Treatment
3.The pharmacological treatment of bipolar disorder is divided into both acute and
maintenance phases. Lithium has been the major approach of this disorder. However,
anticonvulsant mood stabilizers like carbamazepine, valproate, and lamotrigine have been
added recently and a series of atypical antipsychotics for the treatment of acute mania. In
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ATI Video Case Studies- Bipolar DisorderThis will be submitted into the Module 5 drop box within theclinical shellno later than 8/3/19by midnight.Please watch the video case study and answer the video challenge question:Provide a response with depth and detail, minimum of 150 words.What interventions should the nurse include in Susan’s plan ofcare?