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Carleigh Charmo, Briceyda Pineda, Karen Pozo, Kimberly Pritchett

Bipolar Disorder and its Effects on the Family

Objectives

Manic

Depressive

Effects on the individual

Bipolar Disorder

  • Define bipolar disorder
  • Describe the difference between manic and depressive episodes
  • Discuss how bipolar disorder affects the individual and their family
  • Explain how nurses can help patients and their families cope
  • “Bipolar disorder, also known as manic-depressive illness, is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks” (NIMH, 2008).
  • This mental disorder often times goes undiagnosed because symptoms are difficult to identify (Mohr, 2013).
  • At risk for self-directed harm
  • May exhibit inappropriate behavior
  • Impaired social interaction
  • May have poor hygiene
  • Poor work or school performance
  • May affect financial stability
  • Medication adherence

Lowered self esteem

Thoughts of suicide or attempt

Decreased or increased appetite

Disturbed sleep

Feeling of worthlessness

Social withdrawal

Energy

Concentration

Anhedonia

Inflated self esteem

Euphoria

Sleep

Restless

Flight of ideas

Concentration

Hyperactive

Risk taking

Intrusive

Inappropriate laughing

Duration of a few days

to months

Summary: What have we learned?

Relevance to Nursing

  • "Due to the multidisciplinary nature of the treatment and management of bipolar disorder, nurses have a major role to play in providing frontline assessment services as well as psychosocial interventions" (Taylor, McDougall & Wellman, 2006, p.10).
  • Nurses should incorporate family teaching into the plan of care.

• Bipolar disorder consists of periods of mania and depression, which have distinct behaviors

• This disorder may have significant effects on the individual and on family dynamics

• Nurses have a role in educating the patient and their family concerning bipolar disorder

Case Study

Danielle is a 45 year old woman who was found by police going 80mph down main street. She claims to be the president's personal video assistant. Police take her to the ED and she is admitted involuntarily to the acute inpatient psych unit. Danielle's husband Roger says she has been depressed off and on since she was 25 and for the past 6 months he's noticed she has been eating less. Her temper is also short with the children. In an interview, the patient uses pressured speech and dismisses her husband's concerns. Her make-up is extravagant and her clothes are bold. (Mohr, 2013).

Effects on the family

  • Negatively effects family functioning
  • Family members constantly worry about safety of the relative
  • Financial burden due to the relative’s uncontrollable spending
  • Ineffective communication
  • Inability to understand bizarre behavior
  • Family worries about patient continuing medications

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