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Case Study Psychiatric Chizo
Case Study Psychiatric Chizo
Department of nursing
Tripoli Campus
Case Study
Date: 21/12/2019
Outline:
1. Disease report
2. Subjective assessment
3. Care plan
1. Disease report:
Definition:
Types:
According to the American Psychiatric Association, there are four major categories of
bipolar disorder: bipolar I disorder, bipolar II disorder, cyclothymic disorder, and bipolar
disorder due to another medical or substance abuse disorder.
Causes:
Bipolar disorder seems too often run in families and there appears to be a genetic part to
this mood disorder. There is also growing evidence that environment and lifestyle issues
have an effect on the disorder's severity. Stressful life events -- or alcohol or drug abuse
-- can make bipolar disorder more difficult to treat.
People who experience traumatic events are at higher risk for developing bipolar
disorder. Childhood factors such as sexual or physical abuse, neglect, the death of a
parent, or other traumatic events can increase the risk of bipolar disorder later in life. ...
Lack of sleep can also increase risk of a manic episode
Virtually anyone can develop bipolar I disorder. About 2.5% of the U.S. population
suffers from bipolar disorder -- almost 6 million people.
Most people are in their teens or early 20s when symptoms of bipolar disorder first
appear. Nearly everyone with bipolar I disorder develops it before age 50. People with an
immediate family member who has bipolar are at higher risk
Inflated self-image
Substance abuse
Untreated, an episode of mania can last anywhere from a few days to several months.
Most commonly, symptoms continue for a few weeks to a few months. Depression may
follow shortly after, or not appear for weeks or months. Many people with bipolar I
disorder experience long periods without symptoms in between episodes
Everyone goes through normal ups and downs, but bipolar disorder is different. The
range of mood changes can be extreme. Occasionally, bipolar symptoms can appear in
children. Although the symptoms come and go, bipolar disorder usually requires lifetime
treatment and does not go away on its own.
How often do mood swings occur in bipolar?
This change or “mood swing” can last for hours, days, weeks, or even months. Typically,
someone with bipolar disorder experiences one or two cycles a year, with manic episodes
generally occurring in the spring or fall.
However, most lab tests or imaging tests are not useful in diagnosing bipolar disorder. In
fact, the most important diagnostic tool may be talking openly with the doctor about your
mood swings, behaviors, and lifestyle habits.
While a physical examination can reveal a patient’s overall state of health, the doctor
must hear about the bipolar signs and symptoms from the patient in order to effectively
diagnose and treat bipolar disorder.
Treatment:
2. Subjective assessment:
My patient has bipolar disorder where she suffers from depression and she had a relapse
17 times till now.
She started having the bipolar disorder for the first time when she was twenty three years
old where in the risk factors of this disorder is that it starts at the age of twenties.
She also faced sexual abuse when she was eight years old.
When my patient became 14 years old ,there was a political conflict in the city and her
family faced problems where she started to feel hyperactive.
My patient also has a family history of bipolar where her aunt has it and her sister too.
During manic episodes, my patient suffer from the sign of feeling sad and hopeless and
empty.
My patient had the last relapse of bipolar for 3 months before she admitted to the hospital
My patient had mood swings where she was sad and depressed then suddenly she
became hyperactive
Cause of admission:
Patient admitted to HPC Hospital in 18/7/2019 through the admission door with her
family under the psychologist doctors named Dr Dory Gergi
Symptoms of admission:
Emotional
Isolated
Persecution
Aggressive
Hopeless
Current medications:
Prometal 25 mg 3/day
3. Nursing diagnosis: