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paper on Bipolar
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sspina1979 posted:
I am in a class in which I need to create a discharge plan for a patient with bipolar disorder, what meds are usually prescribed and their side effects.


Thank you
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reneegigliotti responded:
You haven't given enough information to adequately answer the question. First, what type of bipolar disorder (1 or 2), second was the pt recovering from a manic or depressive episode, third, was psychosis involved, fourth, what had the pt been on prior to admission, fifth, is this pt. newly diagnosed or is the diagnosis a long standing one, sixth, does the pt. have allergies, seventh, what comorbid medical conditions does the pt. have that may rule out some choices for medication, eigth, where there adverse events from previous medications taken, ninth, what was the effectiveness of previous medications tried, tenth, does the pt. have problems with medication compliance.

In other words, you cannot create a generic patient and make up a generic treatment plan. There is no such person as a generic patient. If there were, we wouldn't need psychiatrists. You could simply look up the diagnosis in column A and treatment in column B. Real people don't work that way.

Renee (a scientist and a person with bipolar 1 disorder)
 
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reneegigliotti replied to reneegigliotti's response:
If you wanted to create say a fictitous case history ie. 37 year old female diagnosed with bipolar 1 disorder at the age of 22 admitted for her first psychotic manic episode, has a history of chronic kidney disease, and is often non-compliant with treatment regiment. You might be able to construct a medication regiment based on this kind of case history. Otherwise, your question makes no sense


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