BIPOLAR DISORDER

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CASE STUDY

BIPOLAR DISORDER

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

I. INTRODUCTION

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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