CASE 2 A.K. has been followed up with bipolar disorder for three years. He has not been to the hospital for control for a long time. He also discontinued lithium therapy, which he had to use...

CASE 2

A.K.  has been followed up with bipolar disorder for three years. He has not been to the hospital for control for a long time. He also discontinued lithium therapy, which he had to use continuously. 15 days ago, he started to talk a lot, wandering in the house until late and not allowing people to sleep.

When he was forced into hospital by relatives, he said that he was Rambo, and he had been sent here to be rescued from the agents. Although the weather was very cold he was wearing short sleeved and trunks, was walking around. He hadn't been washed in a long time and he smelled. From time to time he would speak to himself and say that his agent friends had given him new information. There were wounds on various parts of his body and he refused to be dressed. He said that a female patient in the ward, was his wife, and a male patient was an agent and tried to kidnap him. From time to time he was trying to walk and hit this patient. He did not eat or drink, saying that the food and drinks were poisonous. He has taken lithium since he was hospitalized.He had trouble sleeping after 12:00 at night, wandering around the service. His wife did not come to visit and said that she could not live with this disease and divorce even though he loved her husband.

a)According to the case given above, write down the areas where you think there is deterioration and write the signs of deterioration.

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   b) Read the case and write three nursing diagnoses with aims and nursing interventions for A. K.?
   

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   c) You are going to give psychoeducation to A.K. and his family. What are your topics in your psychoeducation program?
   

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   d) What should you consider in your patient using lithium? Write