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NURSING CARE PLAN – Bipolar Disoder

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: Disturbed Sleep Bipolar disorder After 8 Hours, INDEPENDENT After 8 hours of
Pattern related involves periods Patient will be • Assess past • Sleep patterns Nursing
“ Hindi na sya to hyperactivity of excitability able to report patterns of sleep in are unique to Interventions, the
makatulog ilang (mania) feeling rested and normal environment: each individual. patient was able to
gabi na.” (He’s alternating with show amount, bedtime show improvement
having a hard periods of improvement in rituals, depth, in his sleeping
time sleeping depression. The sleep/rest pattern. length, positions, pattern.
lately) as "mood swings" aids, and interfering
verbalized by between mania agents.
mother. and depression • Document nursing • Often, the
can be very or caregiver patient’s
abrupt. Mania is observations of perception of the
the signature sleeping and problem may
OBJECTIVE: characteristic of wakeful behaviors. differ from
bipolar disorder Record number of objective
• restlessness and, depending sleep hours. Note evaluation.
noted on its severity, is physical (e.g., noise,
• dark circles how the disorder pain or discomfort,
under eyes is classified. urinary frequency)
• irritability People commonly and/or psychological
noted experience an (e.g., fear, anxiety)
• frequent increase in circumstances that
change of energy and a interrupt sleep.
mood noted decreased need • Instruct patient to • This promotes
for sleep. follow as consistent regulation of the
• V/S taken as a daily schedule for circadian rhythm,
follows retiring and arising and reduces the
as possible. energy required
T: 36.5˚C for adaptation to
P: 54 changes.
R: 12 • Avoid including in • Gastric digestion
BP: 110/ 80 the meal alcohol or and stimulation
caffeine as well as from caffeine
heavy meal and nicotine can
disturb sleep.
• Increase daytime • This reduces
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physical activities as stress and

indicated. promotes sleep.

• Recommend an
environment • To promote
conducive to sleep sleep
or rest (e.g., quiet,
comfortable
temperature,
ventilation,
darkness, closed
door).

COLLABORATIVE
• Administer
sedatives as • Different drugs
ordered. are prescribed
depending on
whether the
patient has
trouble falling
asleep or staying
asleep