In this article, the author, Kathryn Murphy, discussed the nature of bipolar disorder.
There are evidences that this illess is hereditary and is said to affect both men and women of various ages. In addition, Murphy says that “the mood instability of bipolar disorder is linked to chemical changes in the brain” and that “the resulting phases of mania, depression, or a mix of both can last days to months and vary in intensity” (58). She discussed that persons diagnosed with bipolar disorder have high risks of committing suicide, violence and addiction due to mood instability. However, there are various means to manage the moods, among which is medication therapy.
Lithium (Eskalith), divalproex (Depakote), and carbamazepine (Tegretol) are commonly used as first-line mood stabilizers, and other anticonvulsants, antipsychotics, and antidepressants may be prescribed. Psychotherapy and electroconvulsive therapy (ECT) also may play a role in therapy. (Murphy 60)
Aside from these, Murphy discussed how nurses should intervene by ensuring safety of the patient, administering medications, and monitoring the patient’s response (Murphy 62). The nurse should provide the patient with information on his/her medication “including the expected effects, adverse reactions, and signs and symptoms of toxicity” (Murphy 62). Moreover, the patient and his/her family should be informed about how to manage and cope with the illness.
Generally, the article is helpful especially on intervention. It specifically warned of extreme possible circumstances of dealing with a patient with bipolar disorder. It also provided ways to prevent these from happening and how to go about these in case they occur.
Murphy, Kathryn. “Managing the Ups ad Downs of Bipolar Discord.” Nursing2006 36 (2006): 58-64.