What Are nursing interventions for Avery Vergara?
Diagnosis: bipolar disorder DOB: 6/5/1986: 8094539 Room: 107 Day 11500 Avery Vergara, 38 - year - old male, is brought to the mental health facility by his spouse who states he has been displaying manifestations of mania over the past few weeks. The spouse states that Avery was diagnosed with bipolar disorder two years ago, after experiencing several episodes of mania that were followed by stages of major depression. The spouse believes her husband has stopped taking their prescribed medications. She states, He never sleeps, hasnt eaten in days, and just talks all the time. He comes up with all of these ideas about writing and producing screenplays. I dont remember the last time he had a shower. And then today I got a call from his boss at work. Apparently, he just walked off the job with no notice to anyone. No one could find him, and he wouldnt answer his cell phone. It took hours, but I finally found him at home curled up in a ball on the bed, asleep. He had walked over ten miles to get home.According to the spouse, Averys bipolar episodes follow a familiar pattern of mania for a couple of weeks, then he gets irritable and anxious, and then goes into a terrible depression. He will hardly get out of bed. Im just afraid that is where we are heading again. Thats why I brought him in . While the spouse is speaking Avery is pacing around the room. He looks unkept, clothes are dirty. He states, I dont know what shes talking about. Ive been feeling great lately.Mental HealthTime spent: 00: 02: 17Day 11530Avery is being admitted to the facility for observation. While he is escorted to his room, the nurse continues to interview his spouse. She reports that "our marriage is not going well. I'm just exhausted trying to keep up with his moods. I think the stress of us fighting may have brought on his mania, along with him not taking his meds.He doesn't like the way the lithium makes him feel, and he's angry that it causes him to gain weight. He's starting to get irritable and angry. And he's drinking alcohol again. It scares me ."The nurse reviews Avery's medical record and the provider's notes on the diagnosis of bipolar disorder.Family history:Father - antisocial personality disorderMother - depressive disorder, alcohol use disorderPaternal grandmother - bipolar disorderSocial history:Works as an electrician for a solar panel installation company.Assessment:Client admitted for observation following several weeks of manic behavior reported by spouse which includes flight of ideas, impaired concentration, sleeping only 2 - 3 hr per night, lack of nutritional food and liquid intake, nonstop physical activity, constant loud verbalization, lack of personal hygiene, impaired socialization, and increased alcohol substance use.Scores 23 on the Altman Self - Rating Mania Scale (ASRM)Client displays increased intelligence.Spouse states periods of mania can quickly develop into severe stages of depression indicating rapid cycling.Medical history:None other than current complaintNo current medication prescriptionsImpression:Bipolar I DisorderAd
