Bipolar 1

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  • Bipolar 1
    • Defintion
      • Bipolar is a disorder that affects your moods, swinging from one extreme to the other, causing depression and mania.
    • Potential impacts
      • Physical
        • Harm themselves in states of depression, dont sleep in mania, so sleep deprived, hyperactivity increases chance of injury, lack of appetite in depression can cause malnutrition.
      • Intellectual
        • When depressed they find it hard to concentrate, so cannot work, cant remember things, affect intellectual ability, medication can affect functioning.
      • Emotional
        • Depression can make them feel sad and hopeless, leading to suicidal thoughts, knowing they have to leave work causes sadness, knowing they wont be invited out or visited can cause sadness, loneliness.
      • Social
        • Not many friends as they may find it hard to deal with, friends wont invite them out due to mood changes and dangerous behaviours, friends may be scared when in depression that they may be harmed themselves, socially excluded and isolated.
      • Financial
        • Loss of earnings if leave job due to illness, in states of mania they can overspend and have loss of earnings.
      • Effects on family/carer
        • May find it hard to cope with when depressed and anxious they will harm themselves, might not know how to deal with them when manic, as they know it will have serious consequences, hard to see family member like that and not be able to help, may cause them to have financial problems if they have to help them, may be scared that they will harm them when in depression.
    • Causes
      • Physical-chemical imbalance in the brain.
      • Social: If you have problems with your social relationships.
      • Environmental: Stressful environment.
      • Family history.
    • Progression
      • Long term disorder, no cure. Effective treatments and self help techniques help, eating well, staying active, avoid drugs and alcohol, avoid stress.
    • Symptoms
      • Feeling very happy or overjoyed, talking quickly, full of energy, self-important, easily irritated, halluciations,not wanting to sleep, doing things with bad consequences like spending large amounts of money.
      • Depression
        • Feeling sad and hopeless, lacking energy, hard to concentrate, cannot remember things, feeling guilty, lack of appetite, difficulty sleeping, suicidal thoughts.
      • Mania
    • Barriers
      • Employment
        • Lack of opportunities due to discrimination: If employer knows, wont be offered promotions.
        • Lack of flexibility: Due to absences when they are unwell or in bad states of either mania or depression.
      • Societal
        • Resulting from ignorance, prejudice and discrimination: People may have lack of knowledge of mental health so may discriminate against them.
        • Social exclusion: Friends dont want to socialise when in a particular state.
      • Economic
        • Potential loss of earnings: If they had to leave their job or overspending in mania.
        • Requirement for support not provided by state: May need specialist care thats not provided by state so have to pay.
    • Risks
      • Bullying: Laugh at behaviour.
      • Abuse: Due to lack of knowledge.
      • Stress: Having the condition, as never know how they are going to feel, also in mania they can make drastic decision like overspending.
      • Self harm: During depression.
      • Isolation/social exclusion: Friends feel awkward around them, depressed they dont want to leave their house.
    • Legislation
      • Equality act: protects people from being discriminated against, helps to protect them and makes them feel safe. Same opportunities as everyone else.
      • Mental Health act: Protects the rights of people with mental health difficulties, protects them from exploitation by others. Protects society from dangerous behaviour, creating conflicts.
      • Mental capacity act: Covers major decisions about property, financial affairs, health and welfare and where they live. Helps make decision if they cannot, always in their best interests.
      • Policies/codes of practice
        • Workplace bullying policy: Anti-bullying policy to keep employees happy and safe at work.
        • Workplace equal opportunities policy: Ensures that all employees have equal opportunities and are treated the same.
    • Service provision
      • Hospital admission: Voluntarily or compulsory under the Mental health  act. Protects individual and ensure they are safe.
      • Assertive outreach teams: Provide intensive treatment and rehabilitation and also provide rapid help in a crisis.
      • Social services: Needed if they have children, ensuring that they are safe and looked after.
      • Acute day hospital:Alternative to inpatient care in a hospital, visiting as often as necessary.
      • Domiciliary care: day to day home tasks like cooking and cleaning.
    • Practitioners
      • GP: Prescribe medication and refer them to specialists.
      • Psychiatrist: Diagnose the condition and assess state of mind, psychological treatments and medications to help.
      • Community mental health nurse: Provide them with medication, counselling or other mental health treatments, help with relationships and employment.
      • Healthcare assistant/support worker: Provide them with support both emotionally and practically.
    • PsychologicalLQF
      • Occupation: Interest or hobby to keep them motivated and not bored.
      • Approval: Helps to motivate them and helps with their mood, like not taking drugs.
      • Psychological security: Need to know they are safe at all times.
      • Equitable treatment: Treated the same as everyone else.
      • Confidentiality: May not want everyone at work to know.
    • Physical LQF
      • Nutrition: Lack of appetite so need good nutrition.
      • Physical safety and hygiene: Need to be safe.
      • Exercise: Regular exercise as it helps to stay fit and reduce some symptoms.
    • Caring skills
      • Observation: To notice mood swings.
      • Communication: Others know how they are feeling.
      • Encouraging: Help them avoid alcohol and drugs.
      • Creating trust: So they know they will be looked after and safe.
      • Reducing negative feelings and behaviours: If in depression they should stay calm and relaxed.
      • Gaining compliance: When trying to persuade them to not indulge in risk taking behaviour, like spending money.
      • Modelling: To see what behaviour is acceptable in social situations.

Comments

Sam Morran

A little difficult to follow but that is because there is so much information included.  Worth taking the time to look at though - it is quite thorough.

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