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| Mania introduction, defination , nag management | ONI |
Introduction of mania
Mania is a psychological condition that causes a person to
experience unreasonable euphoria. Mania is a dangerous condition in
which patient may not sleep &eat while in a manic episode. It is moody
disorder.
Defination of mania
Mania is a mood affective disorder , hyperactivity are present into
the patient characterised by increase psychomotor activity , irritation or
expensive behaviour.
Causes of mania
-: Stressful life events.
-: Using recreational drugs or alcohol.
-: Seasonal changes.
-: Changes in sleep patterns & lack of sleep.
Sign and symptoms of mania
-: Increase psychomotor activity.
-: Aggressiveness.
-: Pressure speak.
-: Speak are loudly.
-: Flight of idea.
-: Illogical thinking.
-: Loss of hunger.
-: Attention are distrub.
-: Improper judgement.
-: Loss of sleep.
-: Decrease the understanding level.
-: Irritability.
-: Expensive behaviour.
-: Increase the energy level.
-: Increase goal directed activity.
-: Patient feel hallucination.
-: Unrealistic plann regarding goal.
-: Frequently goal are charges.
-: Abnormal dressing sense.
-: Delusion of grandiosity.
-: Deattech with the reality.
-: Excessive good & bad emotions. ( cry &
laughing)
Stages of mania
Stage of mania also as affective symptoms of mania.
Stage of mania are divided into four (4) types according to
severity of manic episode.
-: Stage I - Euphoria
-: Stage II - Elatation
-: Stage III - Exaltation
-: Stage IV - Ecstasy
(1) Stage I ( Euphoria) :- It is the first stage of
manic episode in which starts and aries psychological well
being and happiness with on going events.
(2) Stage II (Elatation) :- It is second stage of manic episode. Joy full moment are increase with psychomotor activity.
(3) Stage III (Exaltation) :-Increase the psychomotor activity with delusion of
grandiosity.
(4) Stage IV (Ecstasy) :- Severe elevation of mood and Person are deattech with the reality and unaware about the Surrounding environment.
Management of mania
(1) Mood stabilizer drugs like____
- Lithium
- Lorazepam
(2) Psychotherapy____
- Aroma therapy.
- Individual support therapy.
- Relaxation therapy.
- CBT .
(3) Physical therapy______
If the patient behavior is more aggressive not controll by psychotherapy
and drugs then some time electro convulsion therapy (ECT) are used.
Nursing diagnosis of mania
- Risk for injury related to hyperactivity.
- Impaired social interaction related to manic behaviour.
- Risk of violence related to manic episode.
- Impaired nutrition less than body recruitment related to refusal.
- Disturbed sensory perception related to sleep deprivation psychotic process.
-
Disturbed thought processes related to psychotic process.
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