PSYCH 209 - Bipolar Depression/Mania - Brenden Manahan, 35 years old. Case Study Week 2.
Brenden Manahan, 35 years old
Primary Concept
Mood and Affect
Interrelated Concepts (In order of emphasis)
1. Psychosis
2.
...
PSYCH 209 - Bipolar Depression/Mania - Brenden Manahan, 35 years old. Case Study Week 2.
Brenden Manahan, 35 years old
Primary Concept
Mood and Affect
Interrelated Concepts (In order of emphasis)
1. Psychosis
2. Clinical Judgment
3. Patient Education
4. Communication
© 2016 Keith Rischer/www.KeithRN.com
Brenden Manahan is a 35-year-old male, who has been admitted to the crisis intervention unit for exacerbation of his bipolar disorder. He
was admitted on a 501 (involuntary inpatient admission, patient has been deemed either dangerous to self or others) and brought to the hospital
by police because his mother feared for his safety. In the past few weeks he stopped taking his medication because he feared that his
mother was poisoning him.
Brenden has not slept in the past four days due to racing thoughts. He believes that he is the head of the CIA and told his
mother that he needed her car to go to CIA headquarters in McLean, Virginia, and fire everyone. When the police arrived, they
noted that Brenden was speaking at a very rapid rate and pace and was becoming increasingly agitated. He began yelling that the
police where there to poison him and prevent him from returning to his job.
He has been admitted to the locked mental health unit for evaluation of his mental capacity and stabilization. Brenden will participate in
the following education groups: medication education, and bipolar illness education. The goal is to resume lithium carbonate and
divalproex sodium.
Personal/Social History:
Brenden was diagnosed at 19 with bipolar I, and subsequently has been admitted six times due to non-adherence to the medication
regimen. Brenden is divorced and has a 3-year-old son who lives with his mother. He was recently in court to have his visitations
reduced to one supervised visit a week. He lives with his mother, who is supportive.
What data from the histories is important and RELEVANT and has clinical significance for the nurse?
RELEVANT Data from Present Problem: Clinical Significance:
-Patient has been admitted to the crisis
intervention unit on a 501 (involuntary
inpatient admission because he is deemed a
danger to self to others) related to an acute
exacerbation go his bipolar disorder. He
was also brought by the police.
-Patient has stopped taking his medication
in the past few weeks because he fears his
mother has poisoned them
-Patient has not slept in the last 4 days due
to racing thoughts
- Believes he is the head of the CIA and
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