Holistic Assessment and Planning for Bipolar- myassignmenthelp

Question: Discuss about theHolistic Assessment and Planning for Bipolar Disorder. Answer: Introduction In the presented case study, the 42 years old male patient experienced bipolar disorder manifested with the manic episode. The reason for patients admission in the medical facility attributes to his psychological outbursts and aberrant behavior that eventually resulted in his transfer to the mental health setting by the local police. Patients clinical history revealed the elevated intensity of his psychosocial deterioration warranting the administration of person-centered, holistic and culturally appropriate nursing care interventions for the systematic enhancement of his psychosocial outcomes. The systematic analysis of this case study includes the description of the mental status examination, clinical formulation table, nursing plan, clinical handover, pattern of therapeutic relationship with the treated patient, cultural safety convention and recovery-oriented nursing care interventions. The case analysis considered the conventions of cultural safety that requires implementation f or the enhancement of the mental health of the admitted patient. The barriers to the establishment of mental well-being as well as the key-mental issues of the patient are discussed in length in accordance with the standards of mental health practice. The Mental Status Examination (MSE) Attributes Description Level of consciousness Patient appeared occupied with uncontrolled emotions outside the field of his consciousness. His level of his emotional activation and behavioral imbalance was evident by pressure of speech and irrational thoughts(Lee, Kim, Lee, 2016). Appearance and general behavior Patient presented in shorts and a bright multi-colored shirt. He appeared overwhelmed and influenced with positive emotions. Speech and motor activity Patient exhibited the pattern of abrupt conversation and severe mood variability that evidently indicated his motor hyperactivity pattern (Krane-Gartiser, et al., 2016). Affect and mood Patient appeared in a dysregulated mood as well as euthymic state, reflected by his functional disturbances(Kumar, Sinha, Mondal, 2016). Thought and perception Patient exhibited the pattern of disturbed thought process reflected by the unscrambling of negative sentences that evidentially indicated the existence of his negative cognition(Miklowitz, Alatiq, Geddes, Goodwin, Williams, 2010). Attitude and insight Patients stereotypical attitude was exhibited the pattern of his aggressive, illogical and dangerous behavior. Patients manic state was indicative of his unmet personal needs(Hajda, et al., 2016). Patient exhibited impaired insight substantiated with the state of hypersexuality, humor, euphoria and grandiosity(Cassidy, 2010). Attention The patient appeared influenced by the pattern of sustained attention interrupted by euthymic periods, thereby indicating his cognitive vulnerability (Ancn, et al., 2010). Language Patient reportedly made personal and offensive comments to the medical staff and appeared violent and loud in speech. Memory Patient reportedly exhibit the pattern of memory loss during MSE Constructional ability and praxis Normal Abstract reasoning Normal Clinical Formulation Table Attributes Biological Psychological Social Predisposing Patient did not exhibit family history of any psychological disorder. Unremarkable family history of any psychological stress. Patient did not experience any social manifestation. Precipitating No known history of utilization of psychotropic drugs. However, the state of patients sleeplessness increased his psychological stress and disrupted the sleep physiology. This psychosomatic disturbance appeared to precipitate his bipolar disorder. Patient experienced the pattern of distress under the influence of psychosocial circumstances. His desire of gaining sexual gains and false claims apparently exhibited the state of his uncontrolled emotions that proved to be the precipitating factors of his bipolar manifestations. Patient experienced the risk of losing his present job because of recession and major restructuring in his company Perpetuating No apparent perpetuating factor noticed during the clinical investigation. Inconsistent insight and aberrant behavior. The state of patients euphoria and illusion substantially perpetuates his bipolar manifestations. Emotional and physical distances from the spouse. The absence of a strong family support system appeared to be the perpetuating factor of patients bipolar complications. Protective No apparent protective factor recorded during the clinical investigation. Patient appears educated with a well-to-do social and professional background. Stable pattern of the social circle and relationship with spouse. Nursing Care Plan Nursing Care Needs Explanation Nursing Intervention Rationale Ineffective coping and absence of self-esteem The pattern of euphoria and abrupt behavioral pattern exhibited by the patient indicates the state of his mental imbalance as well as disturbance of thoughts that significantly perpetuate his bipolar disease complications. Resultantly, patient experiences reduction in self-esteem and fails to cope with the emotional inconsistencies. Resultantly, these psychosocial deficits require systematic mitigation on highest priority. The nurse professional requires undertaking systematic exploration of patients perceptions and beliefs, economic circumstances, problem solving skills and deteriorated self-concept. Accordingly, the nurse needs to administer various physical and mental interventions for encouraging patients participation in various social activities like exercise, outing and excursion. The emotional and psychosocial interventions substantially improve coping skills and enhance the pattern of patients self-esteem across the community environment (Labrague, McEnroe-Petitte, Al , Fronda , Obeidat, 2017). Self-directed risk of aggression, violence and resultant injury Patients manic state substantiates the pattern of his irritation, mood deterioration, anger and frustration. Resultantly, the patient remains occupied with the offensive tendency of attacking himself or other people in his immediate surroundings. Therefore, this psychological condition requires mitigation on highest priority. The nurse professional requires administering cognitive behavioral therapy (CBT) for controlling the state of patients self-directed violence. CBT proves to be a highly influential technique requiring administration for controlling the pattern of patients self-directed aggression and the resultant risk of trauma(Chen , et al., 2014). Clinical Handover Luis is a 42 years old male who is a known case of bipolar disorder and admitted to the mental health facility because of his manic episode. The patient experiences the state of mental inconsistency substantiated by the pattern of his behavioural and emotional imbalances and pressured speech pattern. The serious and abrupt mood variations of the patient are indicative of his negative emotional pattern and facilitate the pattern of his aggressive and violent behaviour. The patient appears euthymic and focuses too much on his self-perceived notions. His deleterious thoughts evidentially elevate the risk of self-inflicted injuries. The patient lacks effective coping skills warranted for dealing with his psychosocial circumstances and exhibits diminished pattern of self-esteem. He does not exhibit any family history of psychological disorder and remains socially connected with his friends and peers. The marital relationship of the patient with his wife remains at risk because of his fals e apprehensions and abnormal behavior. Patient needs to comply effectively on the prescribed medications and requires regular nursing care for controlling his psychological symptoms. Part 2 (Therapeutic Engagement and Clinical Interpretation) The Therapeutic Relationship The nurse professional requires establishing the pattern of a therapeutic alliance with the treated patient in the context of improving the level of his trust, confidence and satisfaction on the recommended psychotherapeutic interventions (Sylvia, et al., 2013). In the presented clinical scenario, the nurse professional needs to identify the individual perceptions, culture, concerns, beliefs, difficulties, treatment challenges and environmental constraints faced by the patient while configuring a protective environment. Accordingly, nurse professionals need to dominate the thought process of the patient with the utilization of motivational interventions in the context of overcoming his psychosocial deficits and associated mental manifestations (Manetta, Gentile, Gillig, 2011). Registered nurse understanding the pattern of patients resistant behavior and psychosocial conflicts through the utilization of a therapeutic relationship. The nurse professional must administer a therapeutic dialogue with the treated patient in the context of evaluating the causative factors of his behavioral disruptions and enhancing his compliance to the recommended therapeutic interventions. The nurse professional requires understanding the pattern of patients violent behavior and his individualized psychosocial requirements through the systematic utilization of therapeutic communication. The assessment of patients dangerous indicators, safety risks, social support system, opinions and strengths are highly required by the nurse professional in the context of administering holistic healthcare interventions for reducing the risk of self-inflicted injuries (Usta Taleb, 2014). The nurse professional requires utilizing therapeutic communication for the effective administration of cognitive behavioral intervention to the treated patient (Ardito Rabellino, 2011). The cognitive intervention with the configuration of the therapeutic relationship assists the nurse professional in reducing th e orientation of the treated patient towards practicing violent approaches that substantially decrease the risk of experiencing self-inflicted injuries. Cultural Safety Culturally safe nursing interventions require utilization with the objective of preserving the beliefs and practices of the treated patients while effectively including them in the process of their medical decision-making (Vogel, 2015). In the presented case scenario, the patient might prove to be overenthusiastic in terms of disclosing personal matters in front of public. Dysfunctional beliefs of the patient might also prove to be the greatest barrier in administering goal oriented nursing care interventions in the mental healthcare setting (Geddes Miklowitz, 2013). The nurse professional in the presented case scenario would require developing the pattern of cultural connectedness with the treated patient. This cultural connectedness is evidentially warranted for the systematic administration of culturally competent biopsychosocial interventions in the context of acquiring the desirable treatment outcomes. In the presented case scenario, the nurse professional needs to consider the cultural background of the treated patient for customizing the nursing interventions in accordance with his individualized requirements and self-care needs. Accordingly, the nurse professional would enhance the activities of daily living of the treated patient while effectively increasing his trust and confidence on the recommended psychosocial and therapeutic remediation. This will substantially influence patients thought process and assist in reducing the intensity of his bipolar manifestations. Recovery-Oriented Nursing Care The recovery-oriented nursing care model effectively considers entire aspects of patients healthcare with the objective of developing the pattern of self-sufficiency and self-efficacy in the treated patient (Cleary, Lees, Molloy, Escott, Sayers, 2017). The nurse professional requires exploring the social support systems of the treated patient (in the presented case scenario) with the objective of enhancing the power of patients medical decision-making. The registered nurse needs to increase the confidence of the treated patient and develop the elements of self-confidence, accountability and reliability with the systematic utilization of value-driven behavioral strategies (AGDOH, 2017). The nurse professional requires undertaking the systematic evaluation of the pattern of patients psychological strengths and weaknesses as well as social engagement and familial controversies. The assessment of these attributes is necessarily required for enhancing the pattern of patients positive bel ief and adding value and meaning in his life to the desirable extent (AGDOH, 2017). The utilization of person-centered, holistic and culturally appropriate nursing care interventions is necessarily required for enhancing the pattern of patients individual autonomy for improving the pattern of his self-perception and associated psychosocial outcomes. The development of a positive healing culture for the treated patient is highly warranted for improving his speech and communication pattern, rights and attitudes and respect and dignity in the context of effectively controlling his behavioral outcomes. The systematic partnering of the treated patient, his friends and family members in the process of medical decision making is necessarily required for providing him the best treatment choices in the mental healthcare setting (AGDOH, 2017). The eventual empowerment of the treated patient would assist him in making calculated healthcare choices for the systematic acquisition of the goal ori ented mental health outcomes. Accordingly, the patient would be able to control and mitigate the perpetuating and precipitating factors of his bipolar disorder (AGDOH, 2017). The pattern of courteous interactions with the treated patient would assist in the systematic evaluation of the recovery process and enhance his quality of life and associated wellness-outcomes. The periodic discussion regarding the social matters, family relationships, economic constraints and behavioral constraints with the treated patient will eventually create a sense of recovery in the treated patient (AGDOH, 2017). Resultantly, the patient will attempt to develop purpose and focus in life while systematically mitigating the bipolar symptomatology. Bibliography AGDOH. (2017). Principles of recovery oriented mental health practice. Retrieved from https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-n-servst10-toc~mental-pubs-n-servst10-pri Ancn , I., Santos , J. L., Teijeira , C., Snchez-Morla , E. 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