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Study Guide
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General objective:
To provide knowledge about bipolar in relation to the condition of the client including
history, assessment, treatment and management.
Specific objectives:
To define bipolar disorder and identify the course of the disease process
To show concepts/ theories of nursing
To identify the anatomy and physiology of the brain emphasizing nuerotransmitters
To understand the pharmacological treatment
To analyze the altered physiology of the nuerotransmitters and the like
To examine and correlate actual assessment findings to the assessment of the patient
with bipolar disorder
To appreciate nursing interventions to put into practice in rendering care to the elderly
Background of the Study
When broadly defined, 4% of people experience bipolar at some point in their
life. The lifetime prevalence of bipolar disorder type I, which includes at least a lifetime
manic episode, has generally been estimated at 2%.A reanalysis of data from the
National Epidemiological Catchment Area survey in the United States, however,
suggested that 0.8 percent experience a manic episode at least once (the diagnostic
threshold for bipolar I) and 0.5 a hypomanic episode (the diagnostic threshold for
bipolar II or cyclothymia). Including sub-threshold diagnostic criteria, such as one or two
symptoms over a short time-period, an additional 5.1 percent of the population, adding
up to a total of 6.4 percent, were classed as having a bipolar spectrum disorder b. A
more recent analysis of data from a second US National Comorbidity Survey found that
1% met lifetime prevalence criteria for bipolar 1, 1.1% for bipolar II, and 2.4% for
subthreshold symptoms.
On a strictly biological level, a person's ethnicity does not play a role in their risk of
developing a bipolar disorder. Skin color does not mean a person is more or less likely to
develop a condition or disease. However, racial stereotypes may play a role in the
diagnoses of bipolar disorder.
The onset of bipolar disorder tends to occur later in women than men, and women
more often have a seasonal pattern of the mood disturbance. Women experience
depressive episodes, mixed mania, and rapid cycling more often than men. Bipolar II

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