Week Four Pre Class assignment on Depression, Bipolar and Suicide. Ch 18- Emotional Responses and Mood Disorders p 289 and ATI Ch 12 p 981. Review in the book - Do not write an answer. the differences between grief and maladaptive grief? 2. In both books it lists comorbidity of depression with other psychiatric illnesses. Pick one comordity and explain the relationship with depression. 3. Review and know the differences between Postpartum blues, post partum depression, and post partum pyschosis ,dysthmic disorder and SAD- seasonal affective disorder. DO not write an answer. 4. In the ATI book, Under MDD it lists the different phases of treatment for this disease. review the treatment options and especially note the time tables. Do you agree with this? explain your answer. 5. Review on pg 100 in ATI- some of the risk factors for MDD and list 3 that you found surprising.6. When assessing a patient for MDD what are some of the subjective data we look for? Identify what is anergia and anhedonia and anorexia.7. What were some of the objective symptoms that you observed in clinical today of patients who were depressed MDD? List at least five. 8. When working with patients who are depressed- what type of nursing care interventions did you use or observe others use in clinical this week? List at least five. 9. Review the anti depressant medications in ATI pg 102. -Name one of the SSRI meds and what is serotonin syndrome? -Name one of the TCA meds and what is what is a side effect of this med? -Name one of the MAOI's meds and what is hypertensive crisis? and what foods should be avoided and why? -Name one of the atypical antidepressants and explain any conditions to be aware of. 10. Be familiar with some of the treatment options and or procedures for MDD patients? We will be reviewing them in class- be ready to share. No written answer needed.Bipolar disorder pg 295 and ATI pg 1081. List three behaviors associated with Bipolar disorder and briefly explain. p 108 ATI2. Review the various bipolar disorders and be ready to discuss them. No written ans 3. List some of the comorbidities with Bipolar disorder. 4. Under the list of clinical manifestations ATI pg 110- list any of these that you are not familiar with or need more information especially regarding sleep and circadian rhythms disruption. Bring your questions to class. 5. Review Table 18-3 and list anything that surprises you or did not know as it relates to Mood disorders. 6. List several nursing interventions that are useful with bipolar patients who are exhibiting manic behavior versus hypomanic behavior . 7. Several medications work well with Bipolar patients. Name some of them and one effect and one side effect. 8. List 2-3 items to teach the client and family regarding depression or bipolar disorder. Suicidal Behavior- Stuart -pg 323 and ATI - pg 284 1. Review direct and indirect self destructive behavior. no written answer needed. 2. Is self injurious behavior a sign that the person is suicidal? 3. Review and define the different suicidal behaviors on pg 326 in textbook. 4. Review the risk factors in ATI pg 284-5- List several that you are unfamiliar with. 5. Review the nursing care list on ATI pg 286. Identify which section you are most comfortable with and why. 6. Review the list of medications that can be used to prevent suicide. Why do you think that these type of medications work so well? Review the material on neurotransmitters and what is happening physiologically with this type of patient. 7. Discuss some of your thoughts about working with a patient who is suicidal or has tried to commit suicide in the past. Would it be hard?