Directions:
In this discussion, you’ll describe a patient with a mood disorder and the appropriate nursing interventions. Please answer the following questions in your initial posting:
Describe a client from your clinical setting or previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications.
· Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members.
· Identify one effective nursing intervention and why you feel it worked.
· Overall, do you feel this client was kept safe? Why or why not?
· Please provide supporting evidence for your answers.
·200 words in APA format with only 2 references.
IMPORTANT NOTES THAT WILL GUIDE YOU WHEN WRITING THIS ASSIGNMENT
A client, who was experiencing a manic episode, was angry at me because they felt I wasn’t listening to them. They were also sad and confused about their feelings. It was difficult for me as the therapist to determine whether or not this client needed more time or if I should ask them if there was anything else we could do for them together.
A client had three mood stabilizers which led to increased anxiety and insomnia. The client was not given information about the side effects of the medication, and did not know how to reduce them. The client was also not given a choice about taking the medication; it had been prescribed by their doctor without any input from them at all. They were not given a choice about taking other medications either because they didn’t know what else might help with their depression symptoms.
A woman who had one manic episode came back in after her husband died. She had accused me of having ulterior motives when she came in, and then had me admit her without seeing the patient ahead of time. I felt that although her husband’s death did not have an impact on my practice, this was a professional situation where I was being undermined by a client who needed help and support from me.
I explained to this client that it is not my job to diagnose depression or mania before seeing them—it’s up to their physician if they are medically stable enough for treatment at this point in time. She agreed with me but still wanted to know why I hadn’t asked any questions about how he died (i..e., whether it was suicide).
A client from your clinical setting or previous experience who experienced depression or mania. The client was diagnosed with bipolar disorder, which is a mood disorder that causes extreme highs and lows in mood, energy and activity levels. Their symptoms included feeling depressed for more than two weeks at a time, having trouble sleeping and experiencing racing thoughts that made it difficult to concentrate on tasks. They also reported feeling irritable and angry when they were upset; being distracted by trivial things like TV shows or phone calls; losing interest in activities they enjoyed before their illness developed; experiencing extreme cravings for sweets (such as ice cream) which could lead to binge eating episodes; overeating despite being full because the food tasted so good!
If you are a mental health professional, or have been in the past, describe one client who experienced a mood disorder. Describe what it was like to work with that person and how you dealt with their illness.
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