BiPolar Disorder

pdf

School

Chamberlain College of Nursing *

*We aren’t endorsed by this school

Course

1234132

Subject

Psychology

Date

Feb 20, 2024

Type

pdf

Pages

Uploaded by GeneralNewtMaster347

BIPOLAR BIPOLAR DISORDER DISORDER PAST MEDICAL HISTORY CHEIF COMPLAINT Patient presents with an increase of nervousness, tremors, rapid-pressured speech, and impulsiveness. History of Present illness SOCIAL HISTORY Mrs. H was a full time worker at a local coffee shop but was recenty fired due to tardiness and forgetfulness. Mrs. H graduated highschool but has reported difficulty furthering her education and making friends. FAMILY MEDICAL HISTORY Her mother and father are relatively healthy aside from her fathers hypertension and her mothers frequent “ crying episodes.” Depression, Elevated Mood, Impulsivity, Mania/Hypomania, Mood Cycles, Risky Behaviors Mrs. H is a 33yr old female with a history of bipolar disorder and frequent manic episodes. She reports that as of a month ago she lost her job and has been living from one friends house to another. She states that her world is falling apart and she does not know how to get help. Lynn ann Blix Chamberlain University CURRENT MEDICATIONS Valproic acid - 750mg BID Risperidone - 2mg daily Trazodone - 50mg PRN HS

Mrs. H will require extensive treatment for her whole life based on her clinical presentation and diagnosis. A person with a chronic condition such as depression must be treated adequately, as often as necessary to achieve stability. The Tennessee Department of Mental Health and Substance Abuse offers a wide variety of services for persons with mental health disabilities. There are group counseling centers, counselors, and other services offered at no cost. As an NP it is essential to know what community resources are available. That way they can be shared with patients. NP’s need to recognize an increase in manic episodes or declines in daily functioning. Np’s can refer patients for treatment as both in and out patients. Patient’s can also be referred for counseling and other psychiatric treatments. WAYS TO HELP COMMUNITY RESOURCES HOW DO THESE FACTORS IMPACT THE PATIENT IN THE SCENARIO YOU PROVIDED? INTERVENTION OF MEDICATIONS T his patients medication regimen needs intervention. She appears to need dosing adjusting and an evaluation of medication compliance. TENNESSEE REGULATIONS Any practitioner that holds DEA clearance may prescribe psychiatric medications as long as they follow the prescribing guidelines and maintain supervision by a physician (TN.gov, 2023). AFFORDIABLE CARE ACT According to Novak, the Affordable Care Act promotes services for persons with psychiatric conditions at the same level of cost as any other condition. (2018). Tennessee law states that providers who do not adhere to practice guidelines will be charged with a felony and or face prosecution. HELP FOR MRS. H In this clinical scenario Mrs. H would benefit from group therapy and one on one counseling. Having someone to talk with to process emotions, especially during periods of high stress have higher outcomes of controlled breakthrough behaviors ( Malhotra , 2017) LEGAL & ETHICAL CONSIDERATIONS 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 Tennessee law requires that providers must keep specific details of persons with mental illness and submit cases to NICS. This ensures that persons with mental illness do not ever own a legal firearm (TN.gov, 2023). Failure to comply will result in fines, prosecution, and loss of licensing.

References: TN.Gov. (2023). 2022 legislative summary - tennessee state government - tn.gov. Tennessee Department of Mental Health and Substance Abuse. https://www.tn.gov/content/dam/tn/mentalhealth/documents/2022_TDMHSAS_Legislative_Su mmary.pdf Novak, P., Anderson, A. C., & Chen, J. (2018). Changes in health insurance coverage and barriers to health care access among individuals with serious psychological distress following the Affordable Care Act. Administration and Policy in Mental Health and Mental Health Services Research, 45(6), 924–932. https://doi.org/10.1007/s10488-018-0875-9 Mental Health Services for adults. Tennessee State Government - TN.gov. (2023). https://www.tn.gov/behavioral-health/mental-health-services/adults.html Malhotra, S., & Sahoo, S. (2017). Rebuilding the brain with psychotherapy. Indian Journal of Psychiatry, 0(0), 0. https://doi.org/10.4103/0019-5545.217299

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Related Documents

Article Summary - original draft.docx

What is the meaning of a word or phrase.docx

Theoretical Orientation Paper.docx

What is confidence.docx

HUSS125 Assessment Questions Tamara Phairr.docx

PSYC-209 W20 Final Exam (CH. 1-11) - 100 questions - Multiple Choice - No Time Limit - Open Book_ Cr

SPD-500-RS-Developmental-Milestones.pptx final.pptx

ArticleReview 5.docx

Topic 5 DQ 1.docx

Topic 4 DQ 2.docx

Case Study_ Bianca Chandler.pdf

PSY260_Project_Two_Milestone.docx

Recommended textbooks for you

Ciccarelli: Psychology_5 (5th Edition)

Psychology

ISBN:9780134477961

Author:Saundra K. Ciccarelli, J. Noland White

Publisher:PEARSON

Cognitive Psychology

Psychology

ISBN:9781337408271

Author:Goldstein, E. Bruce.

Publisher:Cengage Learning,

Introduction to Psychology: Gateways to Mind and ...

Psychology

ISBN:9781337565691

Author:Dennis Coon, John O. Mitterer, Tanya S. Martini

Publisher:Cengage Learning

Psychology in Your Life (Second Edition)

Psychology

ISBN:9780393265156

Author:Sarah Grison, Michael Gazzaniga

Publisher:W. W. Norton & Company

Cognitive Psychology: Connecting Mind, Research a...

Psychology

ISBN:9781285763880

Author:E. Bruce Goldstein

Publisher:Cengage Learning

Theories of Personality (MindTap Course List)

Psychology

ISBN:9781305652958

Author:Duane P. Schultz, Sydney Ellen Schultz

Publisher:Cengage Learning

SEE MORE TEXTBOOKS

Recommended textbooks for you

Ciccarelli: Psychology_5 (5th Edition)
Psychology
ISBN:9780134477961
Author:Saundra K. Ciccarelli, J. Noland White
Publisher:PEARSON
Cognitive Psychology
Psychology
ISBN:9781337408271
Author:Goldstein, E. Bruce.
Publisher:Cengage Learning,
Introduction to Psychology: Gateways to Mind and ...
Psychology
ISBN:9781337565691
Author:Dennis Coon, John O. Mitterer, Tanya S. Martini
Publisher:Cengage Learning
Psychology in Your Life (Second Edition)
Psychology
ISBN:9780393265156
Author:Sarah Grison, Michael Gazzaniga
Publisher:W. W. Norton & Company
Cognitive Psychology: Connecting Mind, Research a...
Psychology
ISBN:9781285763880
Author:E. Bruce Goldstein
Publisher:Cengage Learning
Theories of Personality (MindTap Course List)
Psychology
ISBN:9781305652958
Author:Duane P. Schultz, Sydney Ellen Schultz
Publisher:Cengage Learning