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MANIA
PRESENTED BY. MEGHESH TOMAR
G.N.M 2ND YEAR
INSTITUTE OF NURSING & PARAMEDICAL SCIENCE
MANGALAYATAN UNIVERSITY
[ ALIGARH. UTTAR PRADESH ]
CONTE
NT
INTRODUCTION
MEANING
DEFINITION
CLASSIFICATION
ETIOLOGY /CAUSES /RISK FACTOR
TYPES
SIGN &SYMPTOMS
DIAGNOSTIC EVALUATION
TREATMENT
NURSING DIAGNOSIS
NURSING INTERVENTION
INTRODUCTION
• MANIA REFERS TO A SYNDROME IN WHICH
THE CENTRAL FEATURES ARE OVER ACTIVITY
MOOD CHANGES AND SELF IMPORTANT
IDEAS
MEANING
. MANIA WORD IS DERIVED FROM THE GREEK
WORD MANIA MEANS MADNESS, FRENZY
DEFINITION
MANIA IS A PSYCHOTIC MOOD DISORDER
CHARACTERISED BY SELF IMPORTANT IDEAS
HYPER ACTIVITY INCREASE PSYCHOMOTOR
ACTIVITY MOOD ELEVATION FLIGHT OF
IDEAS
CLASSIFICATON OF MANIA
MANIA IS CLASSIFIED ACCORDING TO ICD 10 F – 30 TO F – 39
F – 30 _ MANIC EPISODE
F – 30.0 _ HYPOMANIA
F - 30.1 _ MANIA WITHOUT PSYCHOTIC SYMPTOMS
F - 30.2 _ MANIA WITH PSYCHOTIC SYMTOPMS
F - 30.8 _ OTHER MANIC EPISODE
F - 30.9 _ UNSPECIFIED MANIC EPISODE
ETIOLOGY / CAUSES / RISK FACTORS
1. NEUROTRANSMITTER FACTORS
. NOR EPINEPHRINE
. INCREASE DOPAMINE
. DECREASESEROTONIN
2. GENETICS FACTORS
. DIZYGOTIC TWINS [ 14 TO 20 % ]
. MONOZYGOTIC TWINS [ 65 TO 67 % ]
. PARENTS [ 10 TO 15 % ]
. FAMILY HISTOSY [ 1 – 2 % ]
3. PSYCHOLOGICAL FACTORS
. STRESS
. DEPRESSION
. CHANGE IN LIFE
4. BIOCHEMICAL FACTORS
. INCREASE CATECHOLAMINE [ ]
. DECREASE CATECHOLAMINE [ ]
TYPES OF MANIA
1. HYPOMANIA
HYPOMANIA IS THE MILDEST FORM OF MANIA STAGE CHARACTERIZED BY
DECREASED SLEEP IRRITABILITY AND EUPHORIA
2. ACUTE MANIA
ACUTE MANIA IS THE SECOND STAGE TOWARDS A MANIC EPISODE
CHARACTERIZED BY LACK OF SLEEP, RASH, ACTION, LACK OF JUDGEMENT
3.DELIRIOUS MANIA
DELIRIOUS MANIA IS THE MOST SEVERE & THIRD STAGE OF MANIA
AND REQUIRES HOSPITALIZATION
SIGN & SYMPOTMS
1.EUPHORIA. EXCESSIVE HAPPINESS WITHOUT ANY REASON /CODITION
2.ELATION. INCREASE PSYCHOMOTOR ACTIVITY
3.EXALTATION. DELUSION OF GRANDUSITY
4.ECSTASY. EXTREME LEVEL OF HAPPINESS
5. SPEECH & THOUGHT
FLIGHT OF IDEAS
PRESSURE OF SPEECH
SPEAK LOUDLY
DELIUSION OF GRANDIOSITY
ARGUMENTASSIVE
. POOR JUDGEMENT
. IMPULSIVE BEHAVIOUR
. INSOMNIA
. ANOREXIA
. INSIGHT ABSENT
DIAGNOSTIC EVALUATION
. HISTORY COLLECTION
. PHYSICAL EXAMINATION
. PSYCHOLOGICAL TEST [ MANIA RATING SCALE ]
. E E G ELECTRO ENEEPHALOGRAPHY
TREATMENT
1.PHARMACOTHERAPY
. MOOD STABILIZER
LITHIUM CARBONATE 900 – 1500MG/DAY
CARBOMAZEPINE 600 – 1800MG/DAY
SODIUM VALPORATE 600 – 2600MG/DAY
2. E C T ELECTROCONVULSIVE THERAPY
3. PSYCHOSOCIAL THERAPY
INDIVIDUAL THERAPY
BEHAVIOUR THERAPY
FAMILY THERAPY
MUSIC THERAPY
NURSING DIAGNOSIS
. HIGH RISK OF INJURI RELATED TO EXTREME HYPER – ACTIVITY IMPULSIVE
BEHAVIOUR
. HIGH RISK FOR VOILENCE – SELF DIRECTED OR INDIRECTED AT OTHERS
. SELF ESTEEM DISTURBANCE RELATED TO UNMUTE DEPENDENCY NEED
LACK OF POSITIVE FEEDBACK
. ALTERED FAMILY PROCESS RELATED TO EUPHORIC GRANDIOSE IDEAS
MANIPULATIVE BEHAVIOURS
NURSING INTERVENTION
. PHYSICAL EXERCISE CAN DECREASE STRESS AND PROVIDE FOCCUS
. THE NURSE PRIORITY IS TO PROTECT THE PATIENT AND OTHER FROM HARM
. DEVELOPED A RELATIONSHIP WITH THE PERSON BASED ON EMPATHY AND
TRUST
. USE SHORT SIMPLE COMMUNICATION
. PROMOTE REST AND SLEEP
. CLARIFY THE MEANING OF CLIENT COMMUNICATION
. PROVIDE THE HEALTHY FOOD HIGH CALORIES AND PROTEINS
. ADMINISTER MEDICINES OF CORRECT TIME
MANIA

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MANIA

  • 1. MANIA PRESENTED BY. MEGHESH TOMAR G.N.M 2ND YEAR INSTITUTE OF NURSING & PARAMEDICAL SCIENCE MANGALAYATAN UNIVERSITY [ ALIGARH. UTTAR PRADESH ]
  • 2. CONTE NT INTRODUCTION MEANING DEFINITION CLASSIFICATION ETIOLOGY /CAUSES /RISK FACTOR TYPES SIGN &SYMPTOMS DIAGNOSTIC EVALUATION TREATMENT NURSING DIAGNOSIS NURSING INTERVENTION
  • 3. INTRODUCTION • MANIA REFERS TO A SYNDROME IN WHICH THE CENTRAL FEATURES ARE OVER ACTIVITY MOOD CHANGES AND SELF IMPORTANT IDEAS
  • 4. MEANING . MANIA WORD IS DERIVED FROM THE GREEK WORD MANIA MEANS MADNESS, FRENZY
  • 5. DEFINITION MANIA IS A PSYCHOTIC MOOD DISORDER CHARACTERISED BY SELF IMPORTANT IDEAS HYPER ACTIVITY INCREASE PSYCHOMOTOR ACTIVITY MOOD ELEVATION FLIGHT OF IDEAS
  • 6. CLASSIFICATON OF MANIA MANIA IS CLASSIFIED ACCORDING TO ICD 10 F – 30 TO F – 39 F – 30 _ MANIC EPISODE F – 30.0 _ HYPOMANIA F - 30.1 _ MANIA WITHOUT PSYCHOTIC SYMPTOMS F - 30.2 _ MANIA WITH PSYCHOTIC SYMTOPMS F - 30.8 _ OTHER MANIC EPISODE F - 30.9 _ UNSPECIFIED MANIC EPISODE
  • 7. ETIOLOGY / CAUSES / RISK FACTORS 1. NEUROTRANSMITTER FACTORS . NOR EPINEPHRINE . INCREASE DOPAMINE . DECREASESEROTONIN 2. GENETICS FACTORS . DIZYGOTIC TWINS [ 14 TO 20 % ] . MONOZYGOTIC TWINS [ 65 TO 67 % ] . PARENTS [ 10 TO 15 % ] . FAMILY HISTOSY [ 1 – 2 % ]
  • 8. 3. PSYCHOLOGICAL FACTORS . STRESS . DEPRESSION . CHANGE IN LIFE 4. BIOCHEMICAL FACTORS . INCREASE CATECHOLAMINE [ ] . DECREASE CATECHOLAMINE [ ]
  • 9. TYPES OF MANIA 1. HYPOMANIA HYPOMANIA IS THE MILDEST FORM OF MANIA STAGE CHARACTERIZED BY DECREASED SLEEP IRRITABILITY AND EUPHORIA 2. ACUTE MANIA ACUTE MANIA IS THE SECOND STAGE TOWARDS A MANIC EPISODE CHARACTERIZED BY LACK OF SLEEP, RASH, ACTION, LACK OF JUDGEMENT
  • 10. 3.DELIRIOUS MANIA DELIRIOUS MANIA IS THE MOST SEVERE & THIRD STAGE OF MANIA AND REQUIRES HOSPITALIZATION SIGN & SYMPOTMS 1.EUPHORIA. EXCESSIVE HAPPINESS WITHOUT ANY REASON /CODITION 2.ELATION. INCREASE PSYCHOMOTOR ACTIVITY 3.EXALTATION. DELUSION OF GRANDUSITY 4.ECSTASY. EXTREME LEVEL OF HAPPINESS
  • 11. 5. SPEECH & THOUGHT FLIGHT OF IDEAS PRESSURE OF SPEECH SPEAK LOUDLY DELIUSION OF GRANDIOSITY ARGUMENTASSIVE . POOR JUDGEMENT . IMPULSIVE BEHAVIOUR . INSOMNIA . ANOREXIA . INSIGHT ABSENT
  • 12. DIAGNOSTIC EVALUATION . HISTORY COLLECTION . PHYSICAL EXAMINATION . PSYCHOLOGICAL TEST [ MANIA RATING SCALE ] . E E G ELECTRO ENEEPHALOGRAPHY
  • 13. TREATMENT 1.PHARMACOTHERAPY . MOOD STABILIZER LITHIUM CARBONATE 900 – 1500MG/DAY CARBOMAZEPINE 600 – 1800MG/DAY SODIUM VALPORATE 600 – 2600MG/DAY 2. E C T ELECTROCONVULSIVE THERAPY 3. PSYCHOSOCIAL THERAPY INDIVIDUAL THERAPY BEHAVIOUR THERAPY FAMILY THERAPY MUSIC THERAPY
  • 14. NURSING DIAGNOSIS . HIGH RISK OF INJURI RELATED TO EXTREME HYPER – ACTIVITY IMPULSIVE BEHAVIOUR . HIGH RISK FOR VOILENCE – SELF DIRECTED OR INDIRECTED AT OTHERS . SELF ESTEEM DISTURBANCE RELATED TO UNMUTE DEPENDENCY NEED LACK OF POSITIVE FEEDBACK . ALTERED FAMILY PROCESS RELATED TO EUPHORIC GRANDIOSE IDEAS MANIPULATIVE BEHAVIOURS
  • 15. NURSING INTERVENTION . PHYSICAL EXERCISE CAN DECREASE STRESS AND PROVIDE FOCCUS . THE NURSE PRIORITY IS TO PROTECT THE PATIENT AND OTHER FROM HARM . DEVELOPED A RELATIONSHIP WITH THE PERSON BASED ON EMPATHY AND TRUST . USE SHORT SIMPLE COMMUNICATION . PROMOTE REST AND SLEEP . CLARIFY THE MEANING OF CLIENT COMMUNICATION . PROVIDE THE HEALTHY FOOD HIGH CALORIES AND PROTEINS . ADMINISTER MEDICINES OF CORRECT TIME