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NR 566 Week 7 PP Presentation Final Slide 1: Title Slide

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  • Title: Management of Bipolar Disorder, Type I in Primary Care
  • Presented by: Cameron Macchia, DNP, MSN, RN
  • Institution: Chamberlain College of Nursing
  • Course: NR-568 Advanced Pharmacology for Adult-Gerontology Primary Care
  • Date: December 12th, 2021

Slide 2: Introduction

  • Overview:
    • Bipolar Disorder, Type I is a severe psychiatric condition characterized by dramatic mood swings.
    • The disorder can significantly impact a patient’s quality of life.
    • This presentation will cover the clinical definition, etiology, management strategies, and community resources available for Bipolar Disorder, Type I.

Slide 3: Clinical Definition of Bipolar Disorder, Type I

  • Key Points:
    • Bipolar Disorder, Type I is marked by full-blown manic episodes, often followed by depressive episodes.
    • Manic episodes include symptoms like elevated mood, hyperactivity, and reduced need for sleep.
    • Depressive episodes involve prolonged periods of sadness and lack of energy.
    • Reference: Rosenthal & Burchum, 2021.

Slide 4: Etiology of Bipolar Disorder, Type I

  • Key Points:
    • The disorder is linked to disruptions in neuronal survival and growth.
    • Genetic factors play a significant role; family history increases risk.
    • Environmental triggers, such as stress or trauma, can exacerbate the condition.
    • Reference: NAMI, 2020.

Slide 5: Clinical Scenario Overview

  • Patient Profile:
    • 38-year-old female presents with erratic behavior, delusional thoughts, and severe financial recklessness.
    • Recent history of depressive episodes followed by a manic phase.
    • Social history includes challenges with employment, smoking, and heavy alcohol use.
    • Family history of mental health and substance abuse issues.

Slide 6: Pharmacological Management

  • Key Points:
    • First-line treatment: Mood stabilizers like Lithium.
    • Antipsychotics: Olanzapine or Quetiapine to manage acute mania.
    • Monitoring: Regular serum levels for Lithium; caution with antidepressants.
    • Reference: Rosenberg et al., 2020.

Slide 7: Psychosocial Interventions

  • Key Points:
    • Cognitive-Behavioral Therapy (CBT): Helps develop coping strategies.
    • Family Therapy: Involves educating family members to support the patient.
    • Patient Education: Emphasizes medication adherence, recognizing early signs, and lifestyle modifications.
    • Reference: Geddes & Miklowitz, 2013.

Slide 8: Coordination of Care

  • Key Points:
    • Collaboration between primary care providers and mental health specialists.
    • Regular communication and follow-up to adjust treatment plans as needed.
    • Importance of a multidisciplinary approach for comprehensive care.

Slide 9: Community Resources

  • Resources in Madison County:
    • Quinco Community Mental Health Center: Outpatient services.
    • Pathways Behavioral Health Services: Crisis intervention and assessments.
    • Jackson Area Council on Alcoholism and Drug Dependency (JACOA): Support for co-occurring disorders.
    • Perimeter Behavioral Hospital & McDowell Center for Children: Inpatient services for severe cases.

Slide 10: Conclusion

  • Summary:
    • Bipolar Disorder, Type I requires a comprehensive management plan.
    • Combining pharmacological treatment with psychosocial interventions and community resources is crucial.
    • Primary care providers play a vital role in coordinating care and ensuring patient adherence to treatment.
    • Continuous education and support can improve patient outcomes and quality of life.

Slide 11: References

  • List of References:
    • Geddes, J. R., & Miklowitz, D. J. (2013). The Lancet.
    • Goodwin, G. M., et al. (2016). Journal of Psychopharmacology.
    • NAMI. (2020). NAMI Blog.
    • Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s Pharmacotherapeutics.
    • Rosenberg, D., et al. (2020). Child and Adolescent Psychiatric Clinics of North America.

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