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Bipolar NCP

The nursing care plan addresses a patient experiencing disturbed sleep patterns related to bipolar disorder. Bipolar disorder involves periods of excitability and alternating periods of depression. The plan involves assessing the patient's sleep patterns after 8 hours and documenting any improvements. Interventions include assessing past sleep patterns, avoiding stimulants before bed, increasing daytime activity, and recommending a sleep-conducive environment. Sedatives may be administered as ordered to help the patient fall and stay asleep. The overall goal is to promote regular sleep patterns and reduce stress.

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15K views2 pages

Bipolar NCP

The nursing care plan addresses a patient experiencing disturbed sleep patterns related to bipolar disorder. Bipolar disorder involves periods of excitability and alternating periods of depression. The plan involves assessing the patient's sleep patterns after 8 hours and documenting any improvements. Interventions include assessing past sleep patterns, avoiding stimulants before bed, increasing daytime activity, and recommending a sleep-conducive environment. Sedatives may be administered as ordered to help the patient fall and stay asleep. The overall goal is to promote regular sleep patterns and reduce stress.

Uploaded by

weehdinga
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Student Nurses’ Community

NURSING CARE PLAN – Bipolar Disoder


ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: Disturbed Sleep Bipolar disorder After 8 Hours, INDEPENDENT After 8 hours of
Pattern related involves periods Patient will be • Assess past • Sleep patterns Nursing
“ Hindi na sya to hyperactivity of excitability able to report patterns of sleep in are unique to Interventions, the
makatulog ilang (mania) feeling rested and normal environment: each individual. patient was able to
gabi na.” (He’s alternating with show amount, bedtime show improvement
having a hard periods of improvement in rituals, depth, in his sleeping
time sleeping depression. The sleep/rest pattern. length, positions, pattern.
lately) as "mood swings" aids, and interfering
verbalized by between mania agents.
mother. and depression • Document nursing • Often, the
can be very or caregiver patient’s
abrupt. Mania is observations of perception of the
the signature sleeping and problem may
OBJECTIVE: characteristic of wakeful behaviors. differ from
bipolar disorder Record number of objective
• restlessness and, depending sleep hours. Note evaluation.
noted on its severity, is physical (e.g., noise,
• dark circles how the disorder pain or discomfort,
under eyes is classified. urinary frequency)
• irritability People commonly and/or psychological
noted experience an (e.g., fear, anxiety)
• frequent increase in circumstances that
change of energy and a interrupt sleep.
mood noted decreased need • Instruct patient to • This promotes
for sleep. follow as consistent regulation of the
• V/S taken as a daily schedule for circadian rhythm,
follows retiring and arising and reduces the
as possible. energy required
T: 36.5˚C for adaptation to
P: 54 changes.
R: 12 • Avoid including in • Gastric digestion
BP: 110/ 80 the meal alcohol or and stimulation
caffeine as well as from caffeine
heavy meal and nicotine can
disturb sleep.
• Increase daytime • This reduces
Student Nurses’ Community

physical activities as stress and


indicated. promotes sleep.

• Recommend an
environment • To promote
conducive to sleep sleep
or rest (e.g., quiet,
comfortable
temperature,
ventilation,
darkness, closed
door).

COLLABORATIVE
• Administer
sedatives as • Different drugs
ordered. are prescribed
depending on
whether the
patient has
trouble falling
asleep or staying
asleep

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