Bipolar disorder is characterized by episodes of mania and depression with periods of normal mood and activity in between. The medication of choice is lithium carbonate, which can be toxic and therefore requires the regular monitoring of serum lithium levels. ASSESSMENT OF BIPOLAR DISORDER MANIA Becomes angry quickly Delusional self-confidence Distracted by environmental stimuli Extroverted personality Flight of ideas Grandiose and persecutory delusions High and unstable affect Inability to eat or sleep because of involvement in more important things. Inability to sleep yet still active Inappropriate affect Inappropriate dress Initiation of activity Pressured speech Restlessness Sexually promiscuous Significant decrease in appetite Unlimited energy Urgent motor activity Inappropriate dress Initiation of activity Pressured speech Restlessness Sexually promiscuous Significant decrease in appetite Unlimited energy Urgent motor activity DEPRESSSIONDecrease in activities of daily living Decrease emotion and physical activity Easily fatigued Inability to make decisions Internalizing hostility Introverted personality Lack of energy Lack of initiative Lack of self–confidence Lack of sexual interest Withdrawn from groups INTERVENTION Remove hazardous objects from the environment. Assess the client closely for fatigue. Use comfort measures to promote sleep. Provide frequent rest periods. Monitor the client’s sleep patterns Provide a private room if possible Administer a hypnotic or sedative medication as prescribed. Encourage the client to ventilate feelings. Use calm, slow interactions. Help the client focus on one topic during the conversation Ignore or distract the present reality of the client Do not argue with the client Limit group activities to assess the client’s tolerance level Provide high–calorie finger foods and fluids Supervise the client’s choice of clothing Reduce environmental stimuli Set limits on inappropriate behaviors Provide physical activities and outlets for tension Avoid competitive games Provide gross motor activities such as walking and writing Provide structured activities or one-to-one activities with the nurse Provide simple and direct explanations for routine procedures Supervise the administration of medication. client from grandiose thinking.

1. BIPOLAR DISORDER

2. DESCRIPTION
 Bipolar disorder is characterized by episodes of
mania and depression with periods of
normal mood and activity in between.
 The medication of choice is lithium carbonate,
which can be toxic and therefore requires
the regular monitoring of serum lithium levels.

3. ASSESSMENT OF BIPOLAR DISORDER
MANIA
 Becomes angry quickly
 Delusional self-confidence
 Distracted by environmental stimuli
 Extroverted personality
 Flight of ideas
 Grandiose and persecutory delusions
 High and unstable affect
 Inability to eat or sleep because of involvement
in more important things.
 Inability to sleep yet still active
 Inappropriate affect

4.  Inappropriate dress
 Initiation of activity
 Pressured speech
 Restlessness
 Sexually promiscuous
 Significant decrease in appetite
 Unlimited energy
 Urgent motor activity

5. DEPRESSION
 Decrease in activities of daily living
 Decrease emotion and physical activity
 Easily fatigued
 Inability to make decisions
 Internalizing hostility
 Introverted personality
 Lack of energy
 Lack of initiative
 Lack of self –confidence
 Lack of sexual interest
 Withdrawn from groups

6. INTERVENTION
 Remove hazardous objects from the environment.
 Assess the client closely for fatigue.
 Use comfort measures to promote sleep.
 Provide frequent rest periods.
 Monitor the client’s sleep patterns
 Provide a private room if possible
 Administer a hypnotic or sedative medication as prescribed.
 Encourage the client to ventilate feelings.
 Use calm , slow interactions.
 Help the client focus on one topic during the conversation
 Ignore or distract the client from grandiose thinking.

7.  Present reality to the client
 Do not argue with the client
 Limit group activities assess the client’s tolerance level
 Provide high –calorie finger foods and fluids
 Supervise the client’s choice of clothing
 Reduce environmental stimuli
 Set limits on inappropriate behaviors
 Provide physical activities and outlets for tension
 Avoid competitive games
 Provide gross motor activities such as walking and writing
 Provide structured activities or one to one activities with the nurse
 Provide simple and direct explanations for routine procedures
 Supervise the administration of medication.