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LECTSTEPHEN
Bipolar
Depression/Man
ia
UNFOLDING
Reasoning
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Brenden
Manahan,
35 years
old
Primary Concept
Mood and Affect
Interrelated Concepts
(In order of emphasis)
1. Psychosis
2. Clinical Judgment
3. Patient Education
4. Communication
History of Present Problem:
Bipolar Depression/Mania
Brenden Manahan is a 35-year-old male, who has been admitted to the crisis intervention
unit for exacerbation of his bipolar disorder. He was admitted on a 501 (involuntary
inpatient admission, patient has been deemed either dangerous to self or others) and
brought to the hospital by police because his mother feared for his safety. In the past few
weeks he stopped taking his medication because he feared that his mother was poisoning
him.
Brenden has not slept in the past four days due to racing thoughts. He believes that he is
the head of the CIA and told his mother that he needed her car to go to CIA headquarters
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in McLean, Virginia, and fire everyone. When the police arrived they noted that Brenden
was speaking at a very rapid rate and pace and was becoming increasingly agitated. He
began yelling that the police where there to poison him and prevent him from returning to
his job.
He has been admitted to the locked mental health unit for evaluation of his mental
capacity and stabilization. Brenden will participate in the following education groups:
medication education, and bipolar illness education. The goal is to resume lithium
carbonate and divalproex sodium.
Personal/Social History:
Brenden was diagnosed at 19 with bipolar I, and subsequently has been admitted six
times due to non-adherence to the medication regimen. Brenden is divorced and has a 3-
year-old son who lives with his mother. He was recently in court to have his visitations
reduced to one supervised visit a week. He lives with his mother, who is supportive.
What data from the histories is important and RELEVANT and has clinical significance for the
nurse?
RELEVANT Data from Present Clinical Significance:
Problem:
· Exacerbation of BD · Reason why patient is admitted
· Dangerous to self · Clinical staff is aware and can protect
and others themselves and the patient if patient is
dangerous
· Non-adherent to med
regimen · Evidence as to why the patient is
behaving the way they are
· Sleep deprived
· Can administer medications that can
· Agitated help the patient get some rest
· Can administer medication that can
calm the patient down
RELEVANT Data from Social Clinical Significance:
History:
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LECTSTEPHEN
Bipolar
Depression/Man
ia
UNFOLDING
Reasoning
Downloaded by: dennys |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Brenden
Manahan,
35 years
old
Primary Concept
Mood and Affect
Interrelated Concepts
(In order of emphasis)
1. Psychosis
2. Clinical Judgment
3. Patient Education
4. Communication
History of Present Problem:
Bipolar Depression/Mania
Brenden Manahan is a 35-year-old male, who has been admitted to the crisis intervention
unit for exacerbation of his bipolar disorder. He was admitted on a 501 (involuntary
inpatient admission, patient has been deemed either dangerous to self or others) and
brought to the hospital by police because his mother feared for his safety. In the past few
weeks he stopped taking his medication because he feared that his mother was poisoning
him.
Brenden has not slept in the past four days due to racing thoughts. He believes that he is
the head of the CIA and told his mother that he needed her car to go to CIA headquarters
Downloaded by: dennys |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
in McLean, Virginia, and fire everyone. When the police arrived they noted that Brenden
was speaking at a very rapid rate and pace and was becoming increasingly agitated. He
began yelling that the police where there to poison him and prevent him from returning to
his job.
He has been admitted to the locked mental health unit for evaluation of his mental
capacity and stabilization. Brenden will participate in the following education groups:
medication education, and bipolar illness education. The goal is to resume lithium
carbonate and divalproex sodium.
Personal/Social History:
Brenden was diagnosed at 19 with bipolar I, and subsequently has been admitted six
times due to non-adherence to the medication regimen. Brenden is divorced and has a 3-
year-old son who lives with his mother. He was recently in court to have his visitations
reduced to one supervised visit a week. He lives with his mother, who is supportive.
What data from the histories is important and RELEVANT and has clinical significance for the
nurse?
RELEVANT Data from Present Clinical Significance:
Problem:
· Exacerbation of BD · Reason why patient is admitted
· Dangerous to self · Clinical staff is aware and can protect
and others themselves and the patient if patient is
dangerous
· Non-adherent to med
regimen · Evidence as to why the patient is
behaving the way they are
· Sleep deprived
· Can administer medications that can
· Agitated help the patient get some rest
· Can administer medication that can
calm the patient down
RELEVANT Data from Social Clinical Significance:
History:
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