Teaching Learning

Practice on
'MANIA"
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Register Number : 20N101141006

Name of the Teacher : Mrs. U.N. Srilakshmi Madam

Name of the Subject : Mental Health Nursing

Name of the Topic : "MANIA"

Duration : 45 min.

Group : 3rd Year B.Sc. (N)

Method of Teaching : Lecture & Discussion

Date : Nov 20, 2023

Venue : Lecture Hall-03, CRR College of Nursing

AV Aids : Leaflet, Tree Chart, Flannel Board, Flip Charts,

Flash Cards, Pamplet, Charts, OHP

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Geneal Objectives :-
By the End of the Class Student will be able to gain in depth knowledge about "Mania"

Specific objectives :
At the end of the class students will be able to gain knowledge.
➣ Define the mania ?
➣ What is the incidence rate of mania ?
➣ Enlist the causes of mania ?
➣ Classify the tyes of mania ?
➣ Explain the PathoPhysiology of mania ?
➣ Enlist the signs & symptoms of mania ?
➣ What are the diagnostic findings of mania ?
➣ Explain the treatment modalities of mania ?
➣ Describe the prevention, Nursing management of mania ?

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Sl. Specific Teaching &
Time Content AV Aids Evaluation
No. Objectives Learning Activity

INTRODUCTION :
1. 2 min. Introduce A Mania is a distrinct period during Teacher intro- Black What do you
the Topic duced about Board mean by
which there is an abnormally & persistently
mania mania
elevated, expansive irritable mood, This
period of abnormal mood must last atleast Student are
1 week. Listening
Mania refers to a syndrome in which
the central features are over activity, mood
change & self important ideas. The lifetime
risk of manic episode is about 0.8 - 1 %.
This disorder occur in episodes lasting
usually "3-4 months"

Mania is the mood of an abnormally

2. 3 min. Define the elevated arousal energy level. Teacher defining Flash What is the
mania Maina cards definition of
Mania is a state of extreme physical &
Student are Mania ?
emotional elevation.
The word is derive from the greek taking Notes
(Mania) meaning "Madness, Frenzy".
It is a psychiatric medical condition in
which client manifests a clinical syndrome
characterized by exteremly elevated mood,
energy, hyperactivity, unusual thought
process,with flight of ideas & acceleration in
speaking process.

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Sl. Specific Teaching &
Time Content AV Aids Evaluation
No. Objectives Learning Activity

INCIDENCE
3. 5 min. What is the Teacher explain- Flash What is the
- 0.6 - 1 % adults will have mania during
incidence rate ing about inci- cards incidence
their lifetime. dence rate rate ?
- Onset is the most common is late
adloscence or early adulthood. Students are
- Incidence is more in listening
- un married, separated / divorced.
- urban, upper socio economic groups
- Positive, Family History
- Drug induced maniac disturbances
- male, female ratio 1:1
CAUSES :
4. 5 min. Enlist the Teacher Tree What are the
causes of - Heredity / genetic (predisposition factors, explaing about chart causes of
Mania chromosomal abnormality) the causes of Mania ?
- Biochemical factors (interference in Mania
Neuro. transmitters functioning & Students are
regulattion) due to nordrealine & taking notes.
serotonin increasing.
- stressful events.
Ex. : Bereavement, anxiety, failure,
frustration, loss of loved ones.

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Sl. Specific Teaching &
Time Content AV Aids Evaluation
No. Objectives Learning Activity

- Neurological condition. Ex. : Multiple

Scelerosis, brain tumor, Epilepsy, brain
trauma.
- Metabolic disorders
Ex. : Hypoglycemia.
- Endocrine disorders.
Ex. : Hyperadreno corticalism, Hyper
thyroidism
- Drug induced - corticosteriods,
androgenic, steriods, L-dopa, anti
depressants, stimulants
- Co-morbid illness adversely effect the
outlook for Mania.
Ex. : alcoholism, substance abuse

MIXED STATE
5. 10 min. Classify the Teacher explain- Flash What are all
types of HYPO MANIA ing about types cards the types of
Mania ASSOCIATED BEHAVIOUR of Mania Mania.
DELIRIOUS MANI
Students are
listening
MIXED STATE
In a mixed state the individual has co-
occuring Maniac & depressive features.

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Sl. Specific Teaching &
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No. Objectives Learning Activity

HYPO MANIA
In hypomania there is less need for sleep
& both goal motivated behaviour &
metabolism increase.

ASSOCIATED BEHAVIOUR
A single Maniac episode is sufficient to
diagnose bipolar I disorder

DELIRIOUS MANIA
Rarely it will occur, client will be out of
contact with Internal world, word salad,
incoherent speech client will be active without
any goals.
- Hallucinations
- delusions
- self care deficits
- unable to concentrate

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Sl. Specific Teaching &
Time Content AV Aids Evaluation
No. Objectives Learning Activity
6. 5 min. Explain the Maina is highly consistent with
Teacher explain- Powe What is the
Patho dysfunction in the right prefrontal cortex ing about the rpoin Pathophysiol-
physiology of
Pathophysiology t ogy of
Mania ?
Deficits of serotonin found in the blood of Mania prese Mania ?
ntati
or cerebrospinal fluid.
Students are on
taking notes
Norepinephrine levels may be increased
in Mania. This catecholamine energizise the
body to mobilize during stress & inhibits
kindling.

Dysregulation of acetylcholine &

dopamine (also is being)

7. 3 min. Enlist the signs - Flight of ideas - thoughts racing in

Teachers explain- Chart What are the
& symptoms mind, rapid shift from one to another topic. ing about signs signs & symp-
of Mania - Pressure of speech - Speech is forceful, & symptoms of toms of
trong, difficult to interupt, uses playful Mania Mania?
language with rhyming, joking, teasing,
speaks loudly Students are
listening
- Clang association - there are ideas that
are related only by similar or rhyming
80emds'

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Sl. Specific Teaching &
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No. Objectives Learning Activity

- distractibility
- Increased sociabilites
- Impulsive behaviour
- Poor judgement
- Dressed up in gaudy & flamboyant
cloths although in severe mania thee are
poor selfcare.
- Decreased food intake due to
overactivity.
- Decreased attention & concentration.
- Poor judgement.
- Absent insight.

8. 5 min. What are the - ICD - 10 Teacher explain- Leaflet What are the
diagnostic
- Psychological test as young mania ing about the diagnostic
findings of
diagnostic find- tests used for
Mania ? rating scale.
ing. the Mania ?
- MSE (General appearance, behviour,
looks, dressing (Dopamine dressing), Students are
taking notes
grooming, attention,

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Sl. Specific Teaching &
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9. 10 min. Explain the PSYCHOPHARMACOLOGY : Teacher explain- Powe What are the
treatment
* MOOD STABILIZER ing the treatment rpoin treatment
modalties of modalities t modalities ?
mania - Lithium
prese
- Carbamazepine Students are ntatio
- Valproate taking notes n
Dose : Lithium Carbonate : 300-400 mg
Route : Oral
MDA : Accelerates pre-synaptic reuptake &
destruction of catecholamines like
norepinephrine inhibits the release of cate
cholamine at the synapse, decreased Post-
synaptic serotonin receptor's sensitivity.

ANTI-CONVULSANTS :-
- Gabapentin - 300 mg.
- Lamotrigine
Dose : 80 - 300 mg.
Route : Oral
MOA : Enhances the gaba release inhibites
PT2 induced clonic seizures.

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Sl. Specific Teaching &
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No. Objectives Learning Activity

ANTI PSYCHOTIC DRUGS :

A typhical - Olanzpine
Clozapine
Benzodiazepene's - Lorazepam
Dose: Olanzapine : 50-20 mg
Clozapine : 50 - 900 mg
MOA : Blocks the D2 receptors which all
mainly present in Mesolimbic mesocortical
sytem.
PSYCHOTHERAPHY :
🢫 Electro convulsive therapy
Artificial induction of grand mal
seizures through the application of electrical
current to brain.
Sessions : 6-12 treatments week / twice/ 3
times.
🢫 Supportive therapy
Advice the family members to be
supportive to the client & to place the client
in non-stimulating surrounding.

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Sl. Specific Teaching &
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No. Objectives Learning Activity

🢫 Family / Marital Therapy:

It is used to Decrease the intra
familial & interpersonals to reduce or
modify stressors the main purpose is to
ensure continuinty of treatment & adequate
during compliance.

10. 10 min. Describe the PREVENTION & NURSING Teacher explain- Bookl What are the
prevention & MANAGEMENT/ ing about preven- et preventive
nursing man-
INTERVENTION tion & nursing & measures for
agement of
intention of Mania ?
Mania ? - Develop a relationship with the person
Mania ?
based on Empathy & trust.
- Assist the person to decrease their
agitation & hyperactivity. Students are
listening
- Promote positive health behaviours,
including medication compliance &
healthy lifestyle.
- Provide for client physical safety /
those around.
- Remind the Client to respect distances,
between self & others.

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Sl. Specific Teaching &
Time Content AV Aids Evaluation
No. Objectives Learning Activity
- Classify the meaning of clients
communication.
- Prequently provide fringes foods that
are high in calorie & protein.
- Promote rest & sleep.
- Use short, simple sentences to
communicate
- Insure the person free from injury.

SUMMARY
It is a distinct period during which
there is an abnormally persistently elevated.
Expansive, irritable mood, its exact cause, it
is not known but factors are considered
responsible it is manifested by insomnia
irritable mood, treatment involves psycho
pharmacology, psychotherapy.

CONCLUSION :
At the end of the class the students
gains knowledge regarding the topic
"MANIA" its definition, causes, types,
patho physiology, signs & symptoms,
management & prevention.

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BIBILIOGRAPHY :
TEACHER REFERENCE :
- A TEXT BOOK OF PSYCHIATRY, 4TH EDITION, JAYPEE PUBLISHERS
- A TEXT BOOK OF PSYCHIATRY, BT BASVATHAPPA AUTHOR, JAYPEE PUBLISHERS
- A TEXT BOOK OF PSYCHIATRY, ALTB'S PUBLISHERS, SENTHI THIRUSANGU AUTHOR

STUDENT REFERENCE :
- K. LALITHA, MENTAL HEALTH & PSYCHIATRY NURSING 1ST EDITION
- K.P. NEERAJA, PSYCHIATRY MENTAL HEALTH NURSING
- R. SREEVANI, TEXT BOOK OF GUIDE OF MENTAL HEALTH NURSING

NET REFERENCES :
- http://www.slideshare.net
- http://en.wr.wikipedia.org/wiki/mania

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EVALUATION :
- Mania is a
a) abnormal record Elevation
b) Sadness
c) Happiness
d) Excitement

- What are the causes of Mania

a) Genetic Factors
b) Biochemical factors
c) drug toxicity
d) None of the above

- What are the types of Mania

a) Mixed Mania
b) Hypomania
c) Associated mania
d) All of the above

ASSIGNMENT :
* Assignment on types of Mania
* Assignment on Patho physiology of Mania

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