What Is Bipolar Disorder - Free Essay Example

Sample details Pages: 6 Words: 1691 Downloads: 6 Date added: 2019/07/31 Category Medicine Essay Level High school Tags: Bipolar Disorder Essay Did you like this example? Introduction The following case study consists of 50 outpatients diagnosed with Bipolar Disorder Type 1. It focused on some patients who took their medications regularly and some who decided to treat their disorder non-pharmacologically. Some people prefer a spiritual or a finding of ones self approach for treatment. Overall this case study was performed to observe the patients perceptions of the disorder and the psychiatric medication management. Compare and Contrast According to my text book, less than 2% of the population are diagnosed with bipolar disorders. The case study claims that 4-17% are diagnosed with bipolar disorders. They both agree that if this disorder is treated properly with the correct medications, the effected person can live a pretty normal life, meaning they would have less severe and less frequent states of mania or depression. Both the text book and the case study agree on the type of medications that are taken for bipolar disorder. Individuals suffering from a bipolar disorder are usually prescribed antipsychotic mood stabilizers, anticonvulsive mood stabilizers, and lithium. Antipsychotic mood stabilizers are typically used as short-term treatment of hallucinations, delusions, or mania symptoms. Sometimes it is used long term to prevent future occurrences of mania or depression. Anticonvulsive mood stabilizers used to be prescribed to people who didnt respond to lithium, but now they are given with lithium, alone, or wit h an antipsychotic drug. They are used to treat or prevent mood or manic episodes. Lithium is a dangerous medication because it has a narrow margin of safety which is 0.6-1.2 mEq/L. Sometimes the doctor may refer the patient to a psychiatrist to talk about their behavior patterns, thought and feelings. The doctor may also run some lab test or a physical exam to find any other problems that could be the cause of your symptoms. An example of mood charting is having a patient keep a daily record of their moods, sleep patterns, or activity level. There are many other behaviors that are monitored that could help with finding the right treatment for the patient. (MFMER, 2018) The case study mentions some non-pharmacological treatments like massages and other stress relieving activities. Don’t waste time! Our writers will create an original "What Is Bipolar Disorder?" essay for you Create order Diagnostic/Laboratory Procedures The case study used the Structured Clinical Interview for DSM-5, the young mania rating scale (YMRS), and the Hamilton Depression Scale (Ham-D-17) to exclude any patients experiencing a current affective episode and to establish criteria for euthymia. The book recommends also using the DSM-5 diagnostic criteria for bipolar 1 disorder. It shows the subjective signs that a nurse should monitor. It shows signs of manic episodes, hypomanic episodes, major depressive episodes, and bipolar 1 disorder. (Box 28-6 pg. 1810). The YMRS is an eleven-question test with multiple answers used to measure how severe a manic episode is in children and young adults. The Ham-D-17 is also a questionnaire, but it is used to indicate depression and as a guide to evaluate recovery. According to webmd.com, the best way to diagnose bipolar disorder is by talking openly with a patient. The doctor must know the signs and symptoms the patient is experiencing to diagnose and treat the disorder. Other Therapies St. Johns Wort is known for its ability to naturally enhance a persons mood. St. Johns Wort would be beneficial when the person is in a depressive state. It could help them to feel happier and overcome that depressive episode. Patients should be notified about the dangers of this medicine. Studies have shown that St. Johns Wort can cause a potentially life-threatening increase in serotonin. Some reports have stated that it can worsen the symptoms of bipolar depression and schizophrenia (PubMed, 2017). Meditation is another way to boost a persons mood when they are in a depressive state. This is a great way to boost your mood because there are a variety of ways to do it. There is concentration meditation, mindfulness meditation, and yoga are also a form of meditation. Concentration meditation is exactly what it sounds like. Its is when you concentrate on one thing, like a candle flame, and dont like your mind think about anything else. This improves your ability to concentrate. Mindfu lness meditation is when you pay attention to your wandering thoughts and try not to judge them as good or bad. This meditation helps a person to not be so quick to judge something. Yoga is a way to free your mind through exercise and focus on nothing but that one pose and your breathing. Meditation has may benefits, lower blood pressure, improved blood circulation, less anxiety, lower blood cortisol levels, more feelings of well-being, less stress, and deeper relaxation. (Galam, 2018) Another nonpharmacological treatment for bipolar disorder is light therapy.It has been suggested that on dark days, the serotonin in your skin decreases. Serotonin is a chemical in the body that helps to regulate mood and social behavior. Light therapy is used to replace sunshine with a bright white light. It is usually set in a box, similar to a desktop computer. It is believed to mimic sunshine and boost serotonin levels on dark and gloomy days. Acupuncture can also help to treat bipolar disorder Du ring a session of acupuncture, a provider will apply pressure to the skin with very fine needles. It helps the patients to respond to stress in a more positive way. It stimulates the central nervous system allowing endorphins to be released that may not be produced at normal rates in a bipolar patient. Cultural Considerations In Italy, health care providers have noticed that people with bipolar disorder tend to avoid doctor visits during the time of euphoric periods. Euphoric periods have two parts. In the beginning, the patient will feel like they are on top of the world, they will have a high level of confidence with all situations. It can be addictive. The second part of the euphoric period is completely different. The patient will begin to have bad judgement and perform out of the ordinary behavior. You may do things to harm yourself, your family, career, and all the things you care about. The patient wont be able to think or care about the consequences of their actions. (Fast,J.A., 2012) Since patients dont usually attend doctor visits during this phase, it makes it extremely hard to accurately diagnose bipolar disease. In fact, there is research showing that only 21.3% of patients that where prescribed anti-depressants for depression in Italy really had bipolar disorder. Since patients tend to visit the doctor during the depression state, it has been recommended to health care providers to consider bipolar disease with all patients that come in the office with signs and symptoms of depression. (Carta et al; 2011) Prevention/Promotion Teaching At this time, it is believed that bipolar disease is not preventable, but there are some non-pharmacological activities that can help to manage mood swings of this disorder. Eating healthy helps to prevent so many diseases and makes you feel better. It is believed to help manage mood swings in bipolar disease also. Eating healthy helps the brain and the nervous system to work efficiently. Studies have shown that a deficiency of vitamins and minerals in the body can lead to more frequent mood swings. Eating foods high in sugar and low in nutrients cause blood sugar levels to fluctuate causing mood swings. Bipolar disorder patients should manage the use of any mood-altering substance including caffeine and alcohol. A healthy diet consists of foods from all food groups each time you eat. An easy way to keep track of this is you want your plate to mimic a rainbow. You can do so by eating fruit, vegetables, dairy, grain, and protein. Eating healthy isnt easy in the beginning, you should start out with small things like filling half of your plate with fruits and vegetables. You can also ensure that half of your grains are whole grains. In the beginning, people make the mistake of trying to cut out all the bad foods that they crave (cookies, chips, ice cream) and end up falling short of their goal. Most of the time those who fall short end up splurging and gorging themselves in the exact foods that they were trying to cut out in the first place. Normally the fast-paced short cuts that are taken end up coming to just as fast of an end. There is a term the slow and steady win the race which can apply here. The goal is not to see how fast a person can change but how long they can maintain a positive co rrelated mood. Therefore, patients should allow themselves to eat the foods that they crave, but they should eat it in moderation, only one serving size. Sometimes it is easier to substitute a healthy food for a junk food if they are the same texture. For example, trading peanut butter for almond butter, or ice cream for yogurt. Conclusion Overall, bipolar disorder is a complex disorder because it varies from person to person, and there is no distinct cure. Depression, euphoric, or manic states can last for different amounts of time depending on the person. There are many pharmacological and non-pharmacological ways to treat this disorder. Antipsychotic medications are the most common drug given for this disorder. They are used to help control psychotic symptoms of bipolar disease like hallucinations and delusions. Non-pharmacological treatments are things like yoga and meditation which helps to clear and strengthen the mind. According to webmd.com, the best way to diagnose bipolar disease is by talking openly with the patient. Another way that is commonly used to diagnose this disorder is the DSM-5. It tells a list of the subjective signs that a nurse should monitor for in the patient. It shows signs of manic episodes, hypomanic episodes, major depressive episodes, and bipolar 1 disorder in general. References Vargas-Huacachina*, L. Huicochea  , C. Berlanga* and A. Fresan* Huicochea,V., Huicochea, L., Berlanga, C. (2014). Taking or not taking medications: psychiatric treatment perceptions in patients diagnosed with bipolar disorder. Clinical pharmacy and therapeutics, 39,pp.673-679 Retrieved from NCLIVE.com Trakalo, K. (2015) Nursing: a concept-based approach to learning. Boston, Massachusetts: Alexander, J. American psychiatric association. (2013) Desk reference to the diagnostic criteria from DSM-5th ed. Arlington, VA: American Psychiatric Publishing

The Characteristics Of William Tolkien s The Great...

Throughout his work, Tolkien exemplifies the characteristics found in accepted works of literature and asserts himself as a literary author. One method of assessing literary merit is to measure prestige. While it may seem to be a trivial test at first, it is an oddly potent one. People whose voices are respected (scholars, critics, other writers, the kind of people who set the agenda for cultural norms of literary greatness) take Tolkien’s work seriously. Uniformly, no, but broadly yes. W.H. Auden is the foremost example of someone unimpeachably in the â€Å"establishment†, as it were, to push for recognition of Tolkien s artistry, and by and large he succeeded. And he s not the only one, though honestly, one should care a lot less about who thinks Tolkien was sublime or rubbish and pay more attention to why. So there has to be some artistry to recognize. Does it have craftsmanship? Is it well written? Does the author attend carefully to the mechanics of storytelling and the nuances of prosody? Undoubtedly yes, one could argue this is the area that puts Tolkien several leagues above his later imitators in commercial fantasy. One can think of a few good studies that dive right into Tolkien s sentence structure and dialogue and examine just how careful and varied it is. Tom Shippey s book Author of the Century has a whole chapter that is about the different voices in the Council of Elrond—how, for instance, the diction of the Dwarves reflects the culture of the Dwarves, and

Worst Decision of My Life Free Essays

My senior year of high school was coming to a close. Everyone was in anticipation for Graduation and the school year to come to an end. My parents had been planning a trip to Florida for quite some time now and I couldn’t Walt for them to leave. We will write a custom essay sample on Worst Decision of My Life or any similar topic only for you Order Now I decided to plan a party for Friday night even though my parents had specifically told me not to have a bunch of people over. I could hardly sleep Thursday night because I was so excited for what the following night might have in store. Up until Friday, I had only told my closest friends about the party o that the whole school doesn’t show up at my house. As Friday went on I continued to tell more people and word spread like a wild fire on a dry, hot day. I was almost tempted to throw off the party because by the end of the school day it seemed like everyone had heard about it. I decided to throw the party anyway because it was nearing the end of the school year and we had to go out with a bash. People started showing up at my house around 8:00. Everything was going smoothly until about 10:00, when what seemed to be fifty kids showed up from my high school within a ten minute span. I knew It was going to be a problem but since I was already a little buzzed, I let them all come In. My street was full of cars parked all the way up and down the road. In the basement the music was blaring and everyone was dancing having a good time. There were beer cans littered everywhere with the trash can overflowing with cans, bottles, and red solo cups. There was a distinct strong smell of sweat mixed with the spilt beer all over the ping pong table and floor. As you would walk across the basement floor, you could feel the soles of your shoes sticking to the round from all the spillage. As you walk out into the garage, there are cigarette butts scattered throughout, with a dense cloud of smoke that filled the air. I had to keep the garage closed so that the neighbors couldn’t see what was going on. Atone point around midnight, things took a turn for the worse. People started getting out of control. All of us where underage, and could barely handle our liquor. It all started when someone began projectile vomiting all over the basement couch. All I could think at that point was that my parents are going to kill me. Just moments after that, omen tripped down the stairs and put a massive hole In the wall. The hole was so big that I you could fit a fridge through it. At that point I was fed up and started directing people out. When I thought it was all finally over, as I was telling people to leave, a fight broke out. To this day, I still have no idea what started the fight. The fight moved outside to the front yard to my dismay. The neighbors heard the commotion and came outside and immediately called the cops. When the cops showed up, pretty much everyone was gone except a few of my friends who were taming the night and the kid who got beat up. After the cop talked to the boy who got in the fight, he came up to my house and knocked on the door. My heart was racing as I answered the door, knowing that there were consequences to come. Luckily, I didn’t get Into any trouble with the law, but In no way could I avoid having to make that call to my parents who were trying to have a good time on vacation. It was almost two In the morning when called and as soon as my dad answered he knew something was wrong. How to cite Worst Decision of My Life, Papers