Legal considerations
Legal considerations If you’re involved in end-of-life care, you’ll be better able to act as an advocate for your patient and his family if you have a working knowledge of…
Ethical considerations
Ethical considerations When caring for dying patients, you’ll almost certainly encounter ethical challenges as varied as the patients themselves. However, certain topics tend to arise over and over. Some of…
Essential communication skills
Essential communication skills When a patient is dying, compassionate communication becomes a clinical skill as important as assessment, drug administration, and physical intervention. The fact is that nurses are in…
Concepts of palliative care
Concepts of palliative care Depending on the circumstances and the setting in which your patient dies, end-of-life care may last moments or months. It may involve complex drug regimens and…
Pregnancy and Elevated Mood
Pregnancy and Elevated Mood Caring for an elevated mood patient who wishes to become pregnant or becomes pregnant requires skill, tact, and an ability to work cooperatively with the woman…
Elevated Mood and Substance Abuse
Elevated Mood and Substance Abuse The frequent comorbidity of substance abuse with bipolar disorder has long been known (1,2,3). Data from the National Epidemiological Survey on Alcohol-Related Conditions (NESARC) show…
Medical Conditions and Elevated Mood
Medical Conditions and Elevated Mood Diagnosable medical conditions have at least two interfaces with elevated mood. The first is when the medical condition is causative for the onset of elevated…
Sleep and Hypomania—The ABCs of Getting your ZZZs
Sleep and Hypomania—The ABCs of Getting your ZZZs The prevalence and consequences of insomnia and poor quality sleep are well known. Worldwide, >60 million adults are affected by sleep disorders…
Agitated Activation, Anxiety, and Elevated Mood
Agitated Activation, Anxiety, and Elevated Mood The likelihood that patients with hypomania will present for clinical care in the depressed state has been discussed in Chapter 4. This section now…
Roughening— When Treatment Fails
Roughening— When Treatment Fails Once patients with elevated mood are stabilized with psychotherapy, psychoeducation, lifestyle management, and medication, they may remain stable for an extended period. It is not uncommon,…
