NR 603 Week 6 Mental Health Management Plan and Analysis - Primary Diagnosis; Bipolar Disorder
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| Institution | Chamberlain |
| Contributor | Hartnett Kara |
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Management Plan
Primary Diagnosis: Bipolar Disorder Recommended Diagnostic Testing
- Mood Disorder Questionnaire (Marzani, G., & Neff, 2021)
- Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5) (Marzani, G., & Neff, 2021)
- TSH (www.accessmedicine,2023)
- Toxicology screen (www.accessmedicine,2023)
Medications
1. Lithium is gold standard treatment and effective in mania or hypomania (www.accessmedicine, 2023).
300 mg PO 3 times daily, initially. Adjust dose by 300 mg every 3 days based on clinical response, tolerability, and serum lithium concentration. Usual dose: 600 mg PO 2 to 3 times daily (PDR.net).
Nonpharmacologic Interventions
- Electroconvulsive therapy is an effective for mania and depression (www.accessmedicine, 2023)
- Psychoeducation (www.accessmedicine, 2023)
- Cognitive behavior therapy (www.accessmedicine, 2023)
- Start an exercise regimen (www.accessmedicine, 2023)
- Improve nutritional consumption (www.accessmedicine, 2023)
- Developing good coping skills (www.accessmedicine, 2023)
Recommended follow-up schedule and referrals with rationale
- Lithium levels must be measured 5-7 days after starting the medication and after dose changes, bi weekly to monthly, and every six to twelve months if patients are stable (www.accessmedicine, 2023)
- Thyroid and kidney function panels should be drawn every 4-6 months to monitor effects of medication management (www.accessmedicine, 2023)
- Psychiatrist referral to help manage diagnosis and pharmacotherapy for continuous treatment that is necessary to prevent unfavorable patient outcomes (Marzani & Neff, 2021).
- Patient education that lithium is a risk to patients who can bear children and notify medical provider if patient is pregnant or planning a pregnancy (PDR.net, 2023)
Analysis Pathophysiology
Bipolar disorder is a genetic condition in which symptoms are displayed during stressful events or changes to daily routines (Marzani & Neff, 2021). Inflammation of the central nervous systems and peripheral nervous systems, abnormalities in endocrine and neuronal pathways, and
malfunction of the mitochondrial inheritance structures (Marzani & Neff, 2021).……….. Continue
| Instituition / Term | |
| Term | Nursing |
| Institution | Chamberlain |
| Contributor | Hartnett Kara |
