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A nursing care plan for a male client with bipolar I disorder should include:

A nursing care plan for a male client with bipolar I disorder should include: Correct Answer Providing a structured environment

Concept:

  • Bipolar disorder is a mental disorder that includes mania and depression
  • This is one of the most common disorders that can be observed in most of the population
  • During the manic phase, the person will be elated and joyful whereas during the depression phase person will be isolated and may not show interest in any the physical activities
  • Nursing care for these patients includes:
    • meeting their nutritional needs
    • meeting elimination needs
    • providing physical safety
    • providing a healthy environment
    • regulating their activities
    • engaging them in various activities
    • redirecting their energy into useful ways
    • observing the surrounding environment for harmful objects
    • educating the client and family regarding their condition 
    • educating the importance of usage of medication according to the regimen4

Additional Information

  • BPAD is a manic depressive disorder
  • The mania will also have the following stages
    • hypomania
    • acute mania
    • delirious mania
  • Types of BPAD
    • bipolar -I
    • bipolar-II
    • cyclothymic
    • unspecified
    • rapid cycling
  • Symptoms will vary based on the phase during the "high" phase
    • extreme happiness
    • restlessness
    • joyful
    • wanted to decorate nice and attractive
    • high sex drive
    • less interest in sleep
    • less appetite
    • being easily distracted
  • Symptoms during "low"
    • sadness
    • loss of energy
    • isolated
    • inability to feel pleasure
    • suicidal tendencies
    • irritability

 

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