Professional Documents
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Mania
Unit :
Topic : Mania
No. of students : 40
A.V aids : Power point presentation, black board, chart, Flash card.
General objective : At the end of the class students will be able to acquire in-depth
At the end of the seminar the group will be able to gain the knowledge regarding the Mania and its
SPECIFIC OBJECTIVE:-
Define Mania.
Explain Classification of Mania.
.
Describe about relaxation therapy and clinical application of the relaxation therapy, limitation of relaxation
therapy.
To describe about meditation and breathing clinical application of meditation and limitation of meditation.
To explain about yoga.
To describe about imagery, clinical application of imagery and limitation of imagery.
To explain about prayer.
To describe about music therapy.
To explain about humor and laughter.
To describe about hypnosis.
To explain about aromatherapy.
To explain about training-specific therapy.
To describe about biofeedback.
To describe about therapeutic touch.
To describe about chiropractic therapy.
To explain about traditional Chinese medicine.
To tell about acupuncture.
To describe about herbal therapy.
To explain about nurse role in complementary and alternative therapy.
TEACHING
SR TIME SPECIFIC CONTENT AV AIDS LEARNING EVALUATI
NO OBJECTIVE ACTIVITY ON
1
2 min Introduces the INTRODUCTION LCD Lecture cum Introduction
topic. discussion. of maia?
Mania is a psychological condition that causes a
person to experience unreasonable euphoria, very
intense moods, hyperactivity, and delusions. Mania
(or manic episodes) is a common symptom of bipolar
disorder. Mania can be a dangerous condition for
several reasons. People may not sleep or eat while in
a manic episode.
ETIOLOGY :
1. Neurotransmitter and Structural
Hypotheses
2. Genetic Considerations
Monozygotic (identical) twins have a higher
rate of incidence than normal siblings and
other close relatives.
Siblings and close relatives have a higher
incidence of manic-depressive illness than a
general population, and cyclothymic
characteristics are common among family
members of bipolar patients.
First degree relative: 5-10% chance
Identical twin with bipolar disorders:
About 40-70% chances
3. Psychodynamic Theories
4. Seasonal Influences
Pathophysiologi LCD
5 min Manic episode peak during spring/summer and Lecture cum Explain the
cal mechanism
of mania to a lesser extent. discussion. pathophysiol
ogical
mechanism
5. Stressful event of mania?
Death of loved one
Financial stress
Stressful relationship
Illness condition like hypothyroidism
PATHOPHYSIOLOGICAL MECHANISM
The mechanism underlying mania is unknown,
but the neurocognitive profile of mania is
highly consistent with dysfunction in the right
per-frontal cortex, a common findings in
neuroimaging studies.
Neurochemical influences of neurotransmitter
5 min (chemical messengers) focus on serotonin and LCD
Enlist the Lecture cum
norepinephrine as the two major biogenic Which are
clinical features discussion.
of Mania. amines implicated in mood disorder. the clinical
features of
Deficits of serotonin found in the blood in the mania?
blood or cerebrospinal fluid occur in people
with mania.
Norepinephrine levels may increased in mania.
This catecholamine energizes the body to
mobilize during stress and inhibits kindling.
Other Features
Increased sociabilities
Impulsive behavior
Disinhibition
Hypersexual and promiscuous behavior
3 min LCD
Enlist the Poor judgment Lecture cum
diagnosis discussion.
evaluation for Which are
mania High-risk activities (buying sprees, reckless the
diagnostic
driving, foolish business investments, evaluation
distributing money or articles to unknown for mania?
persons)
Dressed up in gaudy and flamboyant clothes
although in severe n mania there may be poor
self-care
Decreased need for sleep (<3 hours)
Decreased food intake due to over-activity LCD
Lecture cum
5 min Decreased attention and concentration Poor discussion
Treatment judgment Explain the
modalities for treatment
Absent insight
Mania for mania?
Symptoms of hypomania
Boorish behavior
Impaired concentration and attention
Inability to settle down to work
Diagnosis of Mania
Psychological test such as young Mania Rating
Scale
ICD 10 diagnostic criteria
Based on sign and symptoms
The physician or psychiatrist can evaluate a
patient for mania by asking questions and
discussing symptoms
Direct observation
Treatment modalities
Pharmacotherapy LCD Lecture cum
3 min discussion.
Mood stabilizers:
Nursing Discuss the
management for Lithium: 900-2100 mg/day nursing
mania management
Carbamazepine: 600-1800 mg/day for mania?
Sodium valproate: 600-2600 mg/day
Anticonvulsants:
LCD
Nursing diagnosis I
High-risk for injury related to extreme hyperactivity
and impulsive behavior, evidenced by lack of control
over purposeless and potentially injurious
movements.
Nursing diagnosis II
High-risk of violence; self-directed or directed at
others related to manic excitement, delusional
thinking and hallucinations.
Nursing diagnosis III
Altered nutrition, less than body requirements related
to refusal or inability to sit still long enough to eat,
evidenced by weight loss, amenorrhea.
Nursing diagnosis IV
Impaired social interaction related to egocentric and
narcissistic behavior, evidenced by inability to
develop satisfying relationships manipulation of
others for own desire
Nursing diagnosis V
Self-esteem disturbance related to unmet dependency
needs, lack of positive feedback, unrealistic self-
expectations
Nursing diagnosis VI
Altered family processes related to euphoric mood
and grandiose ideas, manipulative behavior, refusal
to accept responsibility for own actions.
Text books
1. Townsend c Mary, text book on
“Psychiatric Mental Health Nursing.” Jaypee
publications. 5 edition, page 322-335
th