Posted: September 7th, 2022

Assessing and Treating Patients with Bipolar Disorder

Assessing and Treating Patients with Bipolar Disorder
Introduction
The case includes an Asian American girl who has bipolar dysfunction. The situation results in a shift in temper and power, resulting in mania and melancholy. Therapy of the situation is critical to alleviate the signs and allow the sufferers to take part in every day actions. The primary determination is to prescribe Lithium 300mg orally. The drug has fewer unintended effects and is efficient as in comparison with the opposite two medication. The anticipated consequence is that the affected person will expertise higher sleep, lessened hyperactivity, and psychological standing ranking rating. Observing moral issues is important, together with confidentiality, knowledgeable consent, do-no-harm moral precept, and accountability. The aim of the essay is to evaluate and deal with an Asian American girl who has bipolar dysfunction.
Choice One
The primary determination is to prescribe Lithium 300mg orally.
The Rationale for the Choice
The explanation for prescribing Lithium is because of the drug’s reputation in treating bipolar dysfunction amongst adults and youngsters 12 years and older (Rosenblat, 2019). Lithium has few unintended effects in comparison with different medication used for the remedy of bipolar dysfunction. Lithium helps to scale back the severity and frequency of mania (Rosenblat, 2019). For instance, research present that Lithium reduces the chance of suicidal ideas amongst sufferers with bipolar dysfunction.
The Different Two Choices
The explanation for not choosing Risperdal 1 mg orally BID or Seroquel XR 100 mg orally at HS is that the 2 medication set off extra unintended effects than Lithium. For instance, Risperdal has antihistaminic properties that will set off a sedating impact and intrude with hormones that regulate blood circulation and stress (Rosenblat, 2019). Seroquel XR causes unintended effects reminiscent of issue swallowing, tremors, constipation, suicidal ideas, and nausea. The 2 medication aren’t probably the most preferable as the primary line of remedy for bipolar dysfunction (Rosenblat, 2019). Risperdal 1 mg orally BID or Seroquel XR 100 mg orally aren’t the preferable first line of remedy for bipolar dysfunction. The medication could be preferable provided that the affected person makes no progress after taking Lithium.
Anticipated Outcomes
The anticipated consequence is to enhance the affected person’s well being situation by relieving the severity of the signs. For instance, I count on that the affected person’s sleeping schedule will enhance. The affected person ought to report enhancements in sleep. One other anticipated consequence is to scale back the hyperactivity of the affected person. Lithium improves the signs of bipolar dysfunction, reminiscent of hyperactivity (Malhi et al., 2017). For instance, when she visits the workplace, she isn’t settled and is in denial that she is bipolar. Different areas of enchancment embody dressing code and speech. One other anticipated consequence is that the affected person will adhere to the Lithium remedy.
Choice Two
The second determination is to extend to Lithium 450mg orally.
Rationale
The explanation for persevering with the remedy is because it generated constructive outcomes. After the 4 weeks, the shopper’s hyperactivity has lessened whereas their sleep has improved (Malhi et al., 2017). Persevering with with the remedy is crucial since altering the drug after 4 weeks. Psychological medication are efficient after a interval of 4 to eight weeks. Altering the drug can improve the chance of well being problems. The affected person ought to proceed taking the remedy for an additional 4 weeks. Another excuse to proceed with the remedy is minimal unintended effects (Tondo et al., 2017). The shopper didn’t report any opposed problems. Lithium is not like Risperdal 1 mg orally BID or Seroquel XR 100 mg orally, which set off extreme unintended effects.
The Different Choices
It isn’t preferable to pick the opposite two choices, together with Risperdal 1 mg orally BID or Seroquel XR 100 mg orally. The reason being that altering psychiatric medication inside few weeks can set off well being problems (Tondo et al., 2017). Another excuse is that polypharmacy isn’t an choice within the remedy of psychological issues. The affected person ought to proceed with Lithium 300mg since it’s already producing high quality outcomes. Proof-based observe reveals that practitioners mustn’t introduce two medication for a similar goal on the identical time (Tondo et al., 2017). The introduction of two medication will confuse the practitioners if sufferers have some reactions or unintended effects.
Anticipated Outcomes
The anticipated consequence is that the affected person will proceed to expertise reduction from the extreme signs reported throughout the first day of reporting to the clinic. For instance, the affected person ought to have a greater sleep expertise. It’s anticipated that the shopper will change the attitude of sleep. One other anticipated consequence is that the affected person ought to expertise low hyperactivity. For instance, when she visits the workplace subsequent time, she needs to be settled with none intention to play with the gadgets on the desk. Enhancements within the affected person ought to exhibit that she is recovering (Baldessarini et al., 2021). The affected person ought to have a greater Younger Mania Score Scale (YMRS) scale rating.
Choice Three
The third determination is to proceed with Lithium 450mg orally.
Rationale
The rationale for growing the drug is because of improve the method of restoration. Proof-based observe reveals that growing the dose will enhance restoration if a drug isn’t triggering unintended effects (Baldessarini et al., 2021). Growing the power of the remedy is essential to make sure a fast restoration. Another excuse for sustaining the drug is as a result of the affected person has not reported any opposed well being outcomes, reminiscent of unintended effects (Baldessarini et al., 2021). Delicate unintended effects don’t have an effect on the restoration course of.
Anticipated Outcomes
The anticipated consequence is that the affected person will expertise minimal or no hyperactivity. Within the 12th week of taking the remedy, the affected person ought to expertise a full restoration. One other anticipated consequence is that she ought to get pleasure from high quality and routine sleep. It’s anticipated that the affected person can have a greater gown code to match occasions and days. The speech ought to enhance to exhibit the effectiveness of the remedy (Baldessarini et al., 2021). The affected person ought to have a greater Younger Mania Score Scale (YMRS) scale rating.
The Different Two Choices
The opposite two choices aren’t preferable in offering care because the present remedy is already providing high quality well being outcomes (Baldessarini et al., 2021). The affected person ought to proceed with the present drug till full restoration. It’s justifiable to introduce a brand new drug if the present one isn’t producing the anticipated outcomes.
Moral Issues
Moral and authorized issues are important to make sure the standard of care. The primary consideration is the affected person’s knowledgeable consent (Voltelen et al., 2018). The shopper ought to have all of the details about analysis and remedy and consent to the remedy. One other consideration is to respect the shopper’s autonomy. The shopper ought to take part within the decision-making course of. The practitioner ought to observe the do-no-harm moral precept of providing high quality care to the affected person with out subjecting them to dangerous medical procedures or drugs. For instance, a healthcare employee ought to Assessment the affected person’s medical historical past to guage allergic reactions to a selected remedy. The affected person ought to proceed having fun with confidentiality as prescribed within the HIPPA ideas (Ingham-Broomfiel, 2017). In accordance with HIPPA ideas, nurses ought to shield affected person’s knowledge from entry by unauthorized third events (Ingham-Broomfiel, 2017). The shopper’s well being standing ought to stay non-public until there are compelling authorized causes to reveal the knowledge.
Practitioners ought to use the very best data to offer high quality care. Utilizing the very best data will stop opposed outcomes that may undermine affected person restoration. A practitioner needs to be accountable for the healthcare selections provided (Ingham-Broomfiel, 2017). The practitioner ought to observe veracity by remaining truthful to the sufferers. Beneficence is one other moral consideration that includes exhibiting kindness and charity to the affected person (Voltelen et al., 2018). Kindness and charity are required to advertise a pleasant healthcare surroundings. Observing moral issues in nursing is critical to make sure the availability of high quality and skilled care.
Conclusion
Provision of care to sufferers with bipolar dysfunction is a fancy encounter with many choices to make. The selections contain selecting the right remedy for the affected person and observing moral issues. Within the present case examine, the affected person requires Lithium 300mg orally as a substitute of Risperdal 1 mg orally BID or Seroquel XR 100 mg orally at HS. The opposite two medication aren’t preferable since evidence-based observe reveals they set off opposed unintended effects. It’s anticipated that the affected person ought to report again to the clinic after 4 weeks. Enhancements ought to embody lowered hyperactivity, higher sleep, and a greater Younger Mania Score Scale (YMRS) scale rating.

References
Baldessarini, R. J., Tondo, L., & Vázquez, G. H. (2021). Commentary: Lithium remedy for bipolar dysfunction. Bipolar Problems, 23(1), 93-94.
Ingham-Broomfield, R. (2017). A nurses’ information to moral issues and the method for moral approval of nursing analysis. Australian Journal of Superior Nursing, 35(1), 40-47.
Malhi, G. S., Gessler, D., & Outhred, T. (2017). Using lithium for the remedy of bipolar dysfunction: suggestions from medical observe tips. Journal of Affective Problems, 217, 266-280.
Rosenblat, J. D. (2019). Concentrating on the immune system within the remedy of bipolar dysfunction. Psychopharmacology, 1-13.
Tondo, L., Abramowicz, M., Alda, M., Bauer, M., Bocchetta, A., Bolzani, L., … & Baldessarini, R. J. (2017). Lengthy-term lithium remedy in bipolar dysfunction: results on glomerular filtration fee and different metabolic parameters. Worldwide Journal of Bipolar Problems, 5(1), 1-12.
Voltelen, B., Konradsen, H., & Ostergaard, B. (2018). Moral issues when conducting joint interviews with shut kinfolk or household: an integrative Assessment. Scandinavian Journal of Caring Sciences, 32(2), 515-526.

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