Abstract: Treatment for the Bipolar Disorder patient is one of the complex to accomplish. They have an increased risk for cardiovascular disease, obesity and diabetes. This is not only due to their manic and depressive behaviors but the pharmacological treatment they receive. Studies have shown that they receive less screening and treatment for these conditions (2). There seems to be a gap between the mental and physical health care that leads to these comorbidities which can result to premature death for Bipolar patients. Importance of a multidimensional care model for the treatment of a Bipolar Disorder patient especially with any or increased risk for cardiovascular disease, obesity and diabetes. Proper screening, medication reconciliation, and help from many health professionals can help increase their physical health as well as their quality of life. Bipolar Disorder (BD) patients have an increased risk for cardiovascular disease, obesity and diabetes. Cardiovascular disease is also the leading cause of premature mortality among individuals with bipolar disorder. These conditions can be worsened by psychiatric symptoms and unhealthy behaviors such as inactivity, overeating and tobacco use (3). Diabetes and CVD are closely linked to one another, therefore a patient would be at risk for one just by having another. BD patients are 30% less likely to receive care for CVD and diabetes and tests for blood glucose and lipid (2). It may be easier to tell if someone is obese but CVD and diabetes do not show symptoms until they have progressed and are commonly known as silent killers. Therefore, detailed screening is important before these diseases cause permanent damage such as a myocardial infarction, kidney damage or even worse death. Individuals with Bipolar Disorder receive fewer prevention interventions and have difficulty implementing lifestyle interventions that can modify risk factors (7). Obesity can be linked to the characteristics of bipolar disorder, such as binge eating, sedentary behavior, and treatment non-adherence which stems from the shifting symptoms of mania and depression (1). Bipolar patients are less likely to seek help from their general practitioner because of decreased awareness of cardiovascular risk factors and symptoms (7). In nursing, it is key to educate patients and to never assume what they have been taught before. BD patients are not properly screened or educated just because they have a mental illness. “Poor quality of medical care for persons with bipolar disorder has also been attributed to the organizational and professional separation of mental and physical health care and to lack of effective self-management strategies that target cardiovascular disease-related risk factors” (1). Bipolar Disorder medications lead to an increased risk for cardiovascular disease and patients lack proper screening and treatment for these conditions. CVD and diabetes are twice as prevalent in SMI and are related to unhealthy lifestyle behaviors and the use of antipsychotic medications (2). Antipsychotic medications also have adverse effects that contribute to these conditions. These medications can lead to elevated glucose and lipid tests but BD patients are lacking the proper screening to determine these findings (2). “Atypical antipsychotics, lithium, and other mood stabilizers is postulated as one important determinant of weight gain” (4). As mentioned before, weight gain will lead to obesity which will increase a patient's risk for diabetes and CVD. BD patients are also less likely to be prescribed blood pressure management or cardiovascular medications (7). The effect of not being prescribed these medications could lead to many severe life-threatening conditions, the most serious being death. Lithium is one of the most common drugs prescribed for Bipolar Disorder patients and it has a small therapeutic index which increases the risk of toxicity. When lithium is given with angiotensin converting
April 12, 2015
There are many people around the world suffering from some form of depression, and they are completely unaware that they have a condition that can be treated. Accepting the fact that there may be an underlying issue behind all the extreme highs and lows that never seem to fade away is half the battle. However, unipolar and bipolar disorders are similar yet remarkably different from most of the depression disorders. The unipolar…
Many people in America today have bipolar disorder and are not aware of it. Bipolar disorder is a serious disorder and can be very harmful. In the 1930’s scientists discovered that applying a small amount of electrical current to the brain caused seizures and changed brain chemistry. This was known as Electroconvulsive Therapy (ECT). Although this was abused in the past it remains a very effective treatment…
Bipolar As a Mental Illness
Bipolar is a mental illness, which affects individuals from different age groups, diverse backgrounds and of different genders. Karl Leonhard generated a new definition for “manic depression” by referring to the condition as bipolar disorder. Leonhard posited that the name befitted the disorder because bipolar patients display two different moods: the depressive and manic conditions. Naturally, normal individuals have a single personality that defines character, but people…
Special Populations Paper
May 24, 2012
Special Populations Paper
This paper will discuss various populations of people with special needs and the role of the case manager with regard to helping individuals live more productive lives in terms of coping with mental, physical, and developmental disabilities. Additionally, the paper will focus on materials researched to help the case manager direct the special needs of clients with disabilities as well as the personal attributes that…
Abnormal psychology and therapy.
Psychology/300 General psychology
April 9, 2015
Jennifer Murphy, Facilitator
University of phoenix
In this paper, we identify the types of Abnormal psychologies and therapy.
Abnormal psychology is the study of disorders that effect people mentally and physically causing obsessive and disruption patterns and habits to a persons well being and life style. The difference…
"Stress Can Make You Forgetful, Study Finds"
The Washington press has recently brought light to the highly sought about topic of stress. Many people understand what stress is, and have to deal with it daily. Many people do not know what causes stress, why we feel stressed, or even what is the purpose of stress. If you have ever been in a stressful situation at work, or had to complete a significant amount of homework for class, and you felt overwhelmed…
develop therapeutic relationships in a psychiatric setting.
5. Demonstrate ability to apply the nursing process to psychiatric problems.
6. Identify the roles of the various members of the psychiatric treatment team.
7. Identify legal and ethical issues in the delivery of nursing care in a psychiatric setting.
8. Participate in varying treatment modalities.
9. Identify needs for continued personal and professional growth in psychiatric nursing.
Instructions for VAMC 5E Assignment: Use online documents…
Week 5 - FINAL PAPER
PSY 303: Abnormal Psychology
Instructor: Dr. Edward Fischer
Client name: Ernest Hemingway
DOB: July 21, 1899
Race: White Ethnical affiliation: Caucasian
Residence: Ketchum, Idaho
Sex: Male Gender: Male Orientation: straight
Religious affiliation: Catholic
Marital status: Married # of children: 3
Education: High School
PRESENTING PROBLEM (Clearly specify the situations…
GS110 F14 Section 13
Instructor: Billie Gilliam
December 14, 2014
Psychological Disorders, Therapies, and Treatments
I have chosen these two topics for my paper because I have a child who suffers from a mental disorder. She has been diagnosed with bipolar depressive disorder (Also known as manic depressive disorder). She has been diagnosed wrongly for many years. We have been to many psychologists, psychiatrists, medical doctors, hospitals, and mental…
depression and he to struggle with this mental illness. The great musical composer Ludwig Von Beethoven was said to be bipolar, he would have fits of mania and it was during his down periods that most of his greatest works were composed. Sadly, that was also when he contemplated suicide, as he told his brothers in letters throughout his life. Scholars still debate what mental illness and issues plagues Charles Darwin. Darwin’s fear of people meant he would even avoid conversations with his own children,…