Mania ppt new

167,337 views 14 slides May 20, 2014
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mania
YAHAYA ABUBAKAR
JIKA
Bnsc
1

InstRUctIonAl oBJectIves
At the end of this class student
should be able to;
Define mania.
List the classification of mania.
List the signs and symptoms of
mania.
List the causes of mania.
List the treatment modalities of
mania.
2

introduction
A Mania is a distinct period 
during which there is an 
abnormally and persistently 
elevated, expansive, or irritable 
mood. This period of abnormal 
mood must last at least 1 week (or 
less if hospitalization is required).
3

definition
Mania is the mood of an
abnormally elevated arousal
energy level.
Mania is a state of extreme
physical and emotional elation.
The word is derives from
the Greek (mania) meaning
"madness, frenzy" 4

ClassifiCation
Mania can be classify into 3; these are
Mixed states; In a mixed state the
individual has co-occurring manic and
depressive features.
Hypomania; In hypomania, there is less
need for sleep and both goal-motivated
behavior and metabolism increase.
Associated disorders; A single manic
episode is sufficient to diagnose bipolar I
disorder
5

CaUsEs
The exert mechanism by which
mania occurs is not yet known.
Based on the mechanism of action of
antimanic agents and abnormalities
seen in patients experiencing a manic
episode the following factors are
noted
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CON’T
A person may experience mania as a
result of a range of factors, including:
stressful events
genetic factors
biochemical factors
(neurotransmitter abnormalities or
imbalances)
seasonal influences
bipolar affective disorder (BPAD).
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signs and symptoms
The mood disturbance must be accompanied by at
least three of the following symptoms;
Inflated self-esteem or grandiosity
Decreased need for sleep
pressure to keep talking
Flight of ideas
Distractibility
Increase in goal-directed activity or psychomotor
agitation
Excessive involvement in pleasurable activities that
have a high potential for painful consequences
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TreaTmenT modaliTies
There are basically 2 types
treatment modalities;
Psychological
Treatments
Organic Treatments
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Organic Treatments; this involve the used
of drugs
Mood stabilizers:
lithium (0.6—1.2 mEq/L)
carbamazepine (6—12 mg/L)
valproate (50—125 mg/L)
Anticonvulsants:
gabapentine
topiramate
lamotrigine
Agitated or psychotic patient –
coadministartion of
antipsychotics of second generation
(olanzapine, risperidone)
Benzodiazepines (lorazepam, clonazepam)
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nursing inTervenTion
Develop a relationship with the person based
on empathy and trust.
Ensure that the person remains free from
injury.
Assist the person to decrease their agitation
and hyperactivity.
Promote positive health behaviors, including
medication compliance and healthy lifestyle
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CON’T
Promote the person’s engagement with
their social and support network.
Ensure effective collaboration with other
relevant service providers, through
development of effective working
relationships and communication.
Support and promote self-care activities
for families and carers of the person with
mania. 12

SUMMARY
A Mania is a distinct period during 
which there is an abnormally and 
persistently elevated, expansive, or 
irritable mood. 
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