What is ECT Therapy?
Anergia, anxiety, slowed thinking/memory, pacing, wringing of hands, slow movements, headaches, backaches, malaise.
What is S/S of MDD?
Secondary suicide prevention.
What is:
Treatment/hospitalization & crisis intervention skills?
Family Hx, access to weapons, marriage, kids, substance use, chronic illness, male, profession, mood disorders, Caucasian, older age.
What is Risk Factors for Suicide?
Environmental suicide precautions.
What is:
Plastic utensils, door remains open, safety concerns?
Bipolar Disorder priority nursing interventions.
What is:
1. Prevention of injury is #1
2. Work to stabilize
HIS FACESS.
What is:
Hopelessness
Interest
Sleep
Fatigue
Activity
Concentration
Eating
Suicide
Sad Mood
Lithium therapeutic level.
What is 0.5-1.2?
Abnormal lack of energy.
What is Anergia?
Current/post hypomania episode, current/past MDD episode, BUT no mania.
What is Bipolar II Disorder?
Acute phase of MDD.
What is 6-12 weeks?
Multifaceted; genetic, biological, environmental & psychological.
Depression assessment steps.
What is:
H2T, MSE, risk of harm, use of drugs, Hx, religion & culture?
Genetics (80-90%), neuroendocrine & neurobiological.
What is Etiology for Bipolar Disorder?
Maintenance phase of MDD.
What is 1+ Year?
3 phases of depression.
What is:
Acute, Continuation & Maintenance?
Low mood, lack of interest, fatigue/loss of energy, trouble sleeping, hopelessness, eating changes, persistent thoughts of death/suicide, inability to concentrate, change in physical activity.
MUST HAVE 5/9 for >2 weeks.
Lack of pleasure.
What is Anhedonia?
Continuation phase of MDD.
What is 4-9 Months?
Effective mental healthcare, strong support system/connections, good problem solving/coping.
What is Protective Risk Factors for Suicide?
Tertiary suicide intervention.
What is:
Support for family of completed suicides?
Frequently talking/writing about death, reckless behavior, vocalization of hopelessness/worthlessness, heightened substance use, withdrawal.
What is Warning Signs of Suicide?
At least 1 week long manic episode that results in excessive activity or energy.
What is Bipolar I Disorder?
Primary suicide prevention.
What is:
Prevention, awareness & education?
Female, unmarried, low socioeconomic status, adverse childhood experiences, family hx, ineffective coping, substance use, no social support.