Student Nurses Community

NURSING CARE PLAN Bipolar Disorder

ASSESSMENT

DIGNOSIS

INFERENCE

SUBJECTIVE:

Disturbed
Sleep
Pattern
related to
hyperactivit
y

Bipolar
disorder
involves
periods of
excitability
(mania)
alternating
with periods of
depression.
The mood
swings
between
mania and
depression
can be very
abrupt. Mania
is the
signature
characteristic
of bipolar
disorder and,
depending on

Hindi na siya
makatulog, ilang
gabi na. (Hes
having a hard
time sleeping
lately.) as
verbalized by
the mother.
OBJECTIVE:

Restlessnes
s noted
Dark circles
under eyes
Irritability
noted
Frequent
change of
mood noted

PLANNING

INTERVENTIO
N

RATIONALE

EVALUATI
ON

After 8 Hours,
INDEPENDENT
Sleep patterns
Patient will be Assess past
are unique to
able to report
patterns of
each
feeling rested
sleep in normal
individual.
and show
environment:
improvement
amount,
Often, the
in sleep/rest
bedtime rituals,
patients
pattern.
depth, length,
perception of
positions, aids,
the problem
and interfering
may differ
agents.
from
objective
Document
evaluation.
nursing or
caregiver
This promotes
observations of
regulation of
sleeping
the circadian
wakeful
rhythm, and
behaviors.
reduces the
Record number
energy
of sleep hours.
required for
Note physical
adaptation to

After 8
hours of
Nursing
Interventio
ns, the
patient was
able to
show
improveme
nt in his
sleeping
problem.

V/S taken as
follows
T: 36.5 C
P: 54
R: 12
BP: 110/80

its severity, is
how the
disorder is
classified.
People
commonly
experience an
increase in
energy and a
decreased
need for sleep.

(e.g. noise,
changes.
pain or
Gastric
discomfort,
digestion and
urinary
stimulation
frequency)
from caffeine
and/or
and nicotine
psychological
can disturb
(e.g. fear,
sleep.
anxiety)
circumstances
that interrupt
sleep.
Instruct patient
to follow as
consistent a
daily schedule
for retiring and
arising as
possible.
Avoid including in
the meal
alcohol or
caffeine as well
as heavy meal.
Increase daytime
physical
activities.