I. General Objective

I.
GENERAL OBJECTIVE:
This study aims to broaden the student’s knowledge about Bipolar Affective Disorder,
and it is designed to promote skills, gain understanding and provide efficient nursing
care management in handling patient with Bipolar Affective Disorder.
II. SPECIFIC OBJECTIVES:
 To understand the characteristic and diagnostic criteria of Bipolar Affective
Disorder Manic Type (Bipolar Type 1)
 To discuss the pathophysiology of the brain related to the disease process.
 To trace the psychopathology of the disorder and its effect on the cognitive,
perceptive, and neurological changes in patient with Bipolar Affective
Disorder.
 To implement necessary nursing care and prioritize patient’s needs utilizing
nursing modalities as well as in drugs in managing patient with Bipolar
Affective Disorder.
 To present drug studies given to a patient as a part of treatment regimen.
 To provide recommendations to ensure the continuity of the nursing care
management.
INTRODUCTION
Bipolar affective disorder (BPAD) is a psychological illness that involves severe mood
swings. These mood swings take the form of depression or mania and may last for several
months at a time. During the time of depression patients often have great sadness, guilt, no
appetite, poor sleep and cannot enjoy themselves. Mania is the opposite of this with patients
experiencing erratic and excited behaviour.
Bipolar disorder is a mental health condition that's known for its periods of both mania
and depression. The diagnosis for bipolar disorder requires at least one depressive and one
manic or hypomanic episode. The manic episode may have been preceded by and may be
followed by hypomanic or major depressive episodes. The occurrence of the manic and major
depressive episode(s) is not better explained by schizoaffective disorder, schizophreniform
disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and
other psychotic disorder.
EPIDEMIOLOGY
Globally, the lifelong prevalence rate of bipolar disorder is 0.3–1.5%. In cross-

sectional, face-to-face household surveys of more than 61,000 adults across 11
countries, Merikangas et al, using the World Mental Health version of the World Health
Organization Composite International Diagnostic Interview, version 3.0, determined that
the aggregate lifetime prevalences were 0.6% for BPI, 0.4% for BPII, 1.4% for
subthreshold bipolar disorder, and 2.4% for bipolar spectrum. Yutzy and colleagues
reported an increase in the prevalence of BPI and BPII in recent years. This prevalence
ranged from 0.4% to 1.6% between the mid1970s and 2000; by the late 1990s to the
2000s, the prevalence had the climbed from approximately 5% to 7%.
RATIONALE FOR CHOOSING THE CASE
The group chose the case Bipolar Affective Disorder because we observed that
our patient is unique from other patients. In this regard, the group decided to further
enhance our knowledge, skills and attitude in the care of patient with Bipolar Affective
Disorder focusing on the proper management, treatment and nursing interventions
applying the nursing process. Furthermore, as future nurses, the group would like to
raise awareness on mental health in the community by providing education on mental
health and increasing awareness on mental illness to bring down the walls of stigma
and reduce number of mental illness in the community.
PATIENT PROFILE
A. PATIENT’S PROFILE:
NAME J.D.A
AGE  46 years old (upon admission)
 46 years old (present)
BIRTHDAY February 09, 1973
ADDRESS Lucena City, Quezon
CITIZENSHIP Filipino
RELIGION Catholic
ADMISSION June 22, 2019 | 2:13 AM
HOSPITAL National Center for Mental Health,
Barangay Mauay, City of
Mandaluyong
PAVILION Pavilion 21 – Male Cost Recovery
Ward
B. Admitting Diagnosis
Bipolar Affective Disorder current Episode Manic with Psychotic Symptoms
C. Admitting Complaints:
 According to the informant:

‘’Namamato”, “Sigaw ng sigaw”, “Ayaw uminom ng gamot’’
“Magpapakamatay daw sya’’, “Di sumusunod’’
 According to the patient :

“Ako ang doctor”, “Ako ang Ms. Universe”
D. Past and Present History
1996 – Patient had difficulty in school. He studied Agriculture for 2 years and shifted in
Business Management he was able to finish the course and he studied again he took up
Education and he was also able to finish the course
2012 – Patient had been mentally ill. He had several previous admissions and
consultation at various institution and with various psychiatrist
2018 - His last admission at NCMH was from February 22 to April 4 2018. He was
discharged improved and maintained Lithium carbonate 450mg BID and another
unrecalled medication. He had no follow-ups at NCHM out with follows-up with a private
psychiatrist. He was functional at home able to do household chores and care for self.
2019 – One month PTA, he refused to take medications because he verbalized that he
has no illness. He was also turned down by a man he was interested in, he was then
noted with poor sleep, more talkative than usual and grandiose. He claimed that he won
the miss universe contest. He also started wandering in the community.
2019 – 3 days PTA he became assaultive by throwing rocks and shouting at the people
in the community. Due to persistence of symptoms, he was brought at NCMH for consult
and was admitted June 22, 2019 subsequently for treatment and management.
E. Personal and Social History:

 Patient was non-smoker, not an alcohol beverage drinker, denied illicit
substance use.
F. Family History
 Patient has a family history of diabetes and hypertension on his maternal
side. His brother died with history of diabetes.

I. General Objective

Uploaded by

Copyright:

Available Formats

I. General Objective

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

I. General Objective

Uploaded by

Copyright:

Available Formats

I.

Globally, the lifelong prevalence rate of bipolar disorder is 0.3–1.5%. In cross-

RATIONALE FOR CHOOSING THE CASE

 According to the informant:

 According to the patient :

D. Past and Present History

E. Personal and Social History:

You might also like