-Ms. Sucheta Panchal

M. Sc Nursing 1st yr

PRESENTATIONON

MOOD DISORDER

Functional psychiatric disorders characterized by a disturbance of mood, accompanied by a full or partial manic or depressive syndrome, which is not due to any other physical or mental disorder.

MOOD DISORDER

MANIC EPISODE

DEPRESSIVE EPISODE

BIPOLAR MOOD DISORDER

RECURRENT DEPRESSIVE DISORDER

PERSISTENT MOOD DISORDER

MANIC DISORDER

A syndrome characterized by the central features such as over activity, mood change (elation or irritability) and self important ideas.

CLASSIFICATION OF MANIC EPISODE

Hypomania

Mania with psychotic symptoms

Mania without psychotic symptoms

Manic episode unspecified

DEPRESSIVE DISORDER

A widespread mental health problem affecting many people and characterized by sadness, helplessness, worthlessness, suicidal ideation and some psychotic features

CLASSIFICATION OF DEPRESSIVE EPISODE

Mild depression

Moderate depression

Severe depression

Severe depression with psychotic symptoms

BIPOLAR MOOD (AFFECTIVE) DISORDER

A disorder characterized by recurrent episodes of mania and depression in the same patient at different times.

CLASSIFICATION OF BIPOLAR MOOD DISORDER

Bipolar I =

Bipolar II =

severe mania + severe depression

hypomania + severe depression

RECURRENT DEPRESSIVE DISORDER

Recurrent depressive episodes specified as mild, moderate, severe episode with or without psychotic symptoms and in remission.

PERSISTENT MOOD DISORDER

A disorder characterized by symptoms of persistent mood which lasts for more than 2 years.

CYCLOTHYMIA:

A persistent instability in mood with numerous periods of mild elation or mild depression

DYSTHYMIA:

A chronic mild depressive state persisting for months or years.

NURSING MANAGEMENT

FOR

MOOD DISORDER

Assessment

Nursing diagnosis

Nursing interventions

NURSING MANAGEMENT FOR MANIC EPISODE

EXCITEMENT

High risk for injury related to extreme hyperactivity and impulsive behavior, evidenced by lack of control over purposeless and potentially injurious movements.

High risk for violence; self directed or directed at others related to manic excitement, delusional thinking And hallucinations.

Altered nutrition, less than body requirements related to refusal or inability to sit still long enough to eat, evidenced by weight loss, amenorrhea.

Impaired social interaction related to egocentric and narcissistic behavior, evidenced by inability to develop satisfying relationships and manipulations of others for own desires.

HYPOMANIA

Risk for injury related to inability to perceive potentially harmful situations evidenced by impulsive behavior

Impaired social interaction related to short attention spasm, high level of distractibility and labile mood, evidenced by insufficient or excessive quantity or ineffective quality of social exchange.

NURSING MANAGEMENT FOR DEPRESSIVE EPISODE

High risk for self directed violence related to depressed mood, feelings of worthlessness and anger directed inward on the self.

Dysfunctional grieving related to real or perceived loss, bereavement evidenced by denial or loss, inappropriate expression of anger, inability to carry out activities of daily living.

Powerlessness related to dysfunctional grieving process, life style of helplessness, evidenced by feelings of lack of control over life situations, over dependence on others to fulfill needs.

Altered sleep and rest related to depressed mood and depressive cognitions, evidenced by difficulty in falling asleep, early morning awakening, verbal complaints of not felling well rested.