精神科护理(双语)(第2版)PPT课件 Chapter 7 Nursing Management for Clients with Mood Disorders.pptx

Chapter7NursingManagementforClientswithMoodDisorders;LearningObjectives;Contents;Section1Introduction;Concepts;Section2Etiology;BiologicalTheories

PsychosocialTheories;Section3ClinicalManifestationofMoodDisorders;Hypomania

Maniawithoutpsycho

Maniawithpsycho

Recurrentmania;ClinicalManifestation;Manicepisode;IncreasedActivities:manicclientsclassicallyhaveabundantresourcesofenergyandengageinmultipleactivitiesandventures.Clientsaresocial,outgoing,andself-confidenceseemboundless.;DepressiveEpisode;Somaticsymptoms

Sleepdisturbance,includingproblemsinfallingasleep,problemsofstayingasleepwithfrequentawakeningsthroughoutthenight,earlymorningawakening.

Poorappetiteandweightloss.

Somaticsymptomscaninvolveeveryorgan,includingconstipation,decreasedlibido,impotence;menoschesis,etc.

Severesomaticproblemswouldhidedepressivesymptoms.;Section4Treatment;Treatmentofmooddisorder;Electroconvulsivetherapy(ECT)

ECTcanbeapplicableforseveremanicclients,clientswithactivelysuicidalideaanddepressiveormanicclientswhoareirresponsivetodrugs.

Psychotherapy

Psychotherapywouldbethroughoutthetreatment,includinginterpersonaltherapy,behavioraltherapyandcognitivetherapy.;Section5ApplicationoftheNursingProcess;ⅰ.NursingAssessment

ⅱ.NursingDiagnosis

ⅲ.NursingCarePlan;ⅰ.NursingAssessment

1.BiologicAssessment

2.PsychiatricAssessment

3.PsychosocialAssessment.

;ⅱ.NursingDiagnosis

Riskforviolence.

Riskforinjury

Sleeppatterndisturbance

Alterednutrition:lessthanbodyrequirements

Self-caredeficit:hygiene/clothing/feeding

Personalidentitydisturbancerelatedtothecontentofgrandiosedelusion

Constipationrelatedtoirregulardailylife,lackofwater

;ⅲ.NursingCarePlan

1.OutcomeIdentification

Theclientcouldreceivethetreatmentandcarethroughthegoodnurse-clientrelationship.

Theclientwilllearntocontrolhisorher