Nursing Care for Bipolar Disorder Singapore

Nursing Care for Bipolar Disorder Singapore


Bipolar disorder is a psychiatric condition in which the patient experiences mood swings specifically episode of happiness and sadness. Happiness or mania may produce extreme pleasure to bipolar patients while sadness or depression may lead to hopeless or disinterests to certain daily activities. This psyche problem can occur frequently and may require treatment. But proper clinical diagnosis is important prior to medical treatment.

Types and Symptoms

According to DSM-5 or the holy bible of the psychiatrists, there are specific types and criteria for bipolar disorder. The main types or class are Bipolar I disorder, Bipolar II disorder and Cyclothymic disorder. If there is one episode of euphoria or mania, then it is classified as Bipolar I disorder. If there is an episode of sadness for minimum of 2 weeks and a hypomania episode for four days, then it is a sign of Bipolar II disorder. Lastly, if there are manic and depressive symptoms for two years, then it is a cyclothymic disorder.

Additional med ical symptoms of bipolar disorder may inc lude the following: psychosis, anxiety, catatonia, mood swing episodes to name a few. Immediate hospitalization is required if they are a threat to others and to their own self as well.

Online health journals and resources attribute this condition to inherited gene or genome among men and women. Moreover, abnormality in production of neurotransmitters also determines the outcome of this disorder.

Nursing Care Plan

The nurse can implement a nursing care plan suitable for a patient with this condition. Usually patients who are at man ic episodes are at risk for violence with other people. So first, the nurse should provide a safe environment. Nurses should remove harmful and sharp objects that are destructive to others. The nur sing staff can also encourage the client to practice vent out his or her feelings to lessen the anxiety. Lastly, drugs such as Librium can be use to control the mood of the patient. Nurses can also refer the patient to a psychiatrist who can perform various types of mental treatment such as CBT (cognitive behavioral therapy), IPRST (interpersonal and social rhythm therapy, psychotherapy or psych o education. Other forms of treatment may be through ECT or electroconvulsive therapy and TMS or transcranial magnetic stimulation.


Bipolar is manageable if there is proper diagnosis and treatment regimen. For nurses caring for them, they must provide excellent service and pract ice patience. News, online article, new database, and other alt map data about bipolar disorders are available online and can be accessed at home.

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