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Asked by MagistrateWillpower8588

Topic: Bipolar

Background:

 

Lucas Callahan is 25-year-old and brought to the ER by the police at 1130 pm for erratic behavior. In the parking lot. He reports of not sleeping for past 4 days, sleeps only for a couple of hours when patient sleep and has feeling of euphoria and high energy in the past week. 

Background – Diagnosed with depression 3 years ago after a suicide attempt and prescribed with antidepressant drug. He stopped his meds 4 months ago after starting them and never talked to his doctor and not even visited for consultation. There is some reason that he never mentions about the side effect of medication. He does not take any medications like vitamins and supplement. He is not currently on suicidal and denies depression. He has not been sleeping very much. Stated as euphoric and energetic for the past days. He has no allergies. Patient drinks 4-6 glasses of alcohol per week with occasion use of cocaine. Reports low appetite.  The virtual patient was diagnosed in bipolar disorder. The patient is very cooperative, but becomes upset when asked the same questions again and again. The patient has a huge scratch on his back. He has a history of substance use and hasn’t slept in four days. Patient is well-educated and well-informed, yet he doesn’t understand why he can’t sleep.

 

1. How would Addiction and also Cognition be an important concept in this scenario? 

 

2. What are some abnormal signs and symptoms and thoroughly explains how they would prioritize care of this patient.

 

3. How would you change your interventions if you had a second chance to care for this patient?

 

4. How would you apply what you have learned from this scenario to future patients?

SCIENCE
HEALTH SCIENCE
NURSING
BSN 246

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