Bipolar Disorder 1 is, potentially disabling, and life-threatening in some cases; it is characterized by the alternating episodes of hypomania or mania-depression or the mixtures of depressive and manic features. This case study is based on the medical health scenario–Bi-Polar Disorder. This case study draws upon the relevant theoretical concepts about Bi-Polar disorder/Bipolar Disorder 1 supporting the shared decision-making process regarding the condition of James in the intervention and assessment planning to meet his needs. In the next section, the outline of James is given along with his journey that could be followed to meet his healthcare needs, complex health, and social care needs (Bobo, 2017). In the third section, the brief discussion is provided exploring the relevant theoretical concepts, critically reviewing the needs of James, critically discussing the local community services, and evaluating and considering the role of the nurse in a systematic assessment, evaluation of care, care delivery, and planning. Concluding remarks are given in the last section.

            Bipolar Disorder 1 presents many therapeutic challenges and diagnostic for the busy clinicians. Accurate and early diagnosis is important for bipolar disorders so that the outcomes of the treatment could be optimized. Bipolar disorders’adequate management requires psychosocial and pharmacotherapy interventions targeted to the illness’s specific phases. For each phase of illness, effective treatments are available, but incomplete response to treatment and mood episode relapse is common, especially in the phase of depression. Psychological functioning, suicide risk, and mood symptoms, therefore, must be reevaluated continually, and when compulsory, the care plan needs to be adjusted during the treatment in the long term.  Additional treatment is required by many patients of co morbid substance and psychiatric use management and disorders of the general medical conditions’ variety that is a commonly co-occurring chronic condition(Bobo, 2017).

Background of Mental Health Scenario–Bi-Polar Disorder

            James is the eldest in a child in the family having two younger brothers; his youngest brother has an Asperger's diagnosis and he is 50 years old, his mother died four years ago because of breast cancer. James finished in school with three A-levels and started studying medicine when he became ill for the first time. James, unfortunately, was unable to rejoin the university to complete his studies. According to the medical history of James, he neither drink alcohol nor the smoke and Appendectomy at the age of 8 years old. He is using Lithium 600mg BD medication.

            Currently, James is 48 years old man and he has a Bipolar Affective Disorders’ diagnosis. He has 28 years long history if Bipolar Disorder I and he has had so many admissions, most of them were under the Medical Health Act at the time when he has been so much grandiose, manic, and behaviors like leaving the house naked, excessive spending, painting the flat’s outside in the morning’s early hours. James has been under the CMHT Recovery team’s care for the previous three years since the last admission. Moreover, James has the noncompliance's history with medication normally as the psychosocial stressors’ result.

            Furthermore, James has been placed on Section 136 and is living in the safety’s local mental health unit place. At the local park, police had been called by the members of the public approximately by 4 pm expressing concerns that children were being upset by a man while using the paddling pool. Police, on the arrival, found that James was waving his arms while lying down near the paddling pool, screaming and shouting. He was wearing long shorts only and was sunburnt noticeably. One of the police officers were recognized by James from the last encounter and talked reluctantly to the officers. The wellbeing of James was the concern of the police and felt that further assessment was being warranted by him, this is why the police placed James under the Section 136. James, on the route to the mental health unit, continued to make multiple attempts to the leave the van of Police while shouting and whilst the vehicle was in the motion, it was claimed by James that he was invincible.

            Apparently, James is suffering from Bipolar Disorder 1 that is, potentially disabling, common, and life-threatening in some cases; it is characterized by the alternating episodes of hypomania or mania-depression or the mixtures of depressive and manic features. As we know that the bipolar person mood swings occur very fast and they can be happy or sad within no time, same happening to James. There are some of the symptoms also include that they do not sleep much or if they sleep they will sleep for a long period of time, and it seems like James did not have enough sleep. Numerous patients having the side effects of bipolar need the help so does James, the mental health scenario is discussed in detail in the next section.

Mental Health Scenario – Bi-Polar Disorder: James

Theoretical concepts  that  support  the  assessment Systematic approach in the assessment, planning, care delivery and evaluation of care for the Bi-Polar Disorder

 In this case to achieve shared decision making, the three-step model is suggested for the medical practice. It is also highlight that this is a basic model that demonstrates the procedure of affecting from preliminary to well-versed preferences. It is also acknowledge that this procedure as well has mental, societal and affecting issue that will manipulate this consideration space and that would be managed by an effectual  of the clinician-patient, looking for Epstein that has phrase a ‘shared mind’. 

There are said to be three key steps of clinical practice shared decision making, that is: choice talk, option talk and decision talk, where supports of the clinician consideration all through the procedure. The Choice talk concern with the step of ensuring that the patients be acquainted with all of the reasonable option is obtainable. The Option talks concern with the work of allowing for the preferences and decide what is good for the patient. The model sketches a process, even though it is significant to be familiar with that the model is not regulatory— some of the clinical connections are by requirement fluid. All of the shared Decision support tools offer critical input into the procedure. This model of the decision making also likely to help the professional to understand the needs of the customers and make an effort to fulfill all  of the needs of the customers.

            In the systematic approach you have to manage for the bipolar disorder patient's examples the systematic approach could be explained as to fulfill the psychological needs of the bipolar patients, these patient need to be given proper care so that they will continue their life with ease and so that they can live like a proper normal person. Like the confusion talk about over the rest issue of the specialist need to plan such timetable and influence the best condition for the patient so he to can without much of a stretch appreciate the rest so his psyche can be loosened up additional (Suppes & Dennehy, 2010).

            As we know that the bipolar person mood swings occur very fast and they can be happy or sad within no time. Most of the people with this disorder have no friends. Like the disorder discuss above the sleep disorder of the doctor have to plan such schedule and make the best condition for the patient so he can easily enjoy the sleep so his mind can be relaxed more. Numerous patients having the side effects of bipolar need the help. While the overseer must be stern and exact with the strategies, the medical attendant can occupy from that way and utilize the abilities to help the recovery of the patient. (Benita Wilson, 2014).

 While making the decision about the treatment of the James it is very important, to talk to the friends and the relatives of the James. Because the mental disorder to the James 28 years old so it would be very critical for the doctors to treat him.  

The effective decision in order to prevent Bi-Polar Disorder Discuss  how  effective  decision  making  may  prevent  deterioration  /  crisis,  enhance  coping  and  /  or  recovery  or  contribute  to  good  end  of  life  care  for  the  patient under  consideration

            The complex needs of the bipolar patients is varies depending on the symptoms of the   mental disorder. The patient of the bipolar needs the maximum support of the family and care in the relationships. In the severe situation the bipolar patient needs to get complete treatment from the psychologist to get out of the trauma. The patients need the maximum care and support of the love one in order to relax their mind.  The Shared decision-making is said to be the whole process of the interaction between the doctors and patients, in which both of them are likely to play their part in the whole process of the decision making.

        In the shared decision making process the doctors and likely to consult with the bipolar Patient through the interaction and effective communication to suggest a treatment for the illness. The shared decision making is help the patient to know about his problems and how he is likely to get out of the situation. the shared decision making process is also likely to help the patient to get out of the crises more effective and it also enhance the chances of the better recovery and health care of the  patient.

            As the case of bipolar disorder is very sensitive, it is necessary to take only the precise steps towards the patient. Even the slightest stumble can result in dire consequences. Thus, a well-planned approach can produce effective results. Since the relapses are critical, there are some effective steps to prevent. Usually, patients don't know much about their own disorder. They erroneous concepts concerning the trigger of disorder make them produce the same results again. (Suppes & Dennehy, 2010).

If the program is focusing on a sole individual, it is significant for the group to know the needs and unique traits of the patient by assessing the behaviours. Personal assessment fills the gaps that are unnecessary for the prevention. Not every other patient has the same swings and triggers. They change as the patients change. The program that is focusing on groups instead of certain patients, they should focus on the discussions including the relevance of the symptoms. There are, after all, some patients that possess almost the same conditions of the bipolar disorder. Knowing the relevance can then be helpful (Young, et al., 2010).

The local community services for the healthcare and social care needs for Bi-Polar Disorder patient

         It needs to be concerned that local community services should be active for the health care and social care needs so that Bi-Polar Disorder patients can be effectively treated and so that they could be effectively values in the society or community. In this way, patients can enjoy their lives. It is known that patients with the Bi-Polar Disorder are facing issues related to the clinical risk factors and also there can be some of the socioeconomic factors. It should be worried that neighborhood network administrations ought to be dynamic for the human services and social care needs with the goal that Bi-Polar Disorder patients can be successfully treated thus that they could be adequately esteemed in the general public or network.

            It is analyzed that Bi-Polar Disorder patients have a lower life expectancy and they have the poorer physical health outcomes, therefore, it is needed for them to be treated in a good way from the society.  There is a need to give the compelling condition and care. In any case, the correspondence should be done among experts that how physical medicinal services and neighbourhood network administrations should be given to the patients. However, the communication needs to be done among professionals that how physical health care and local community services need to be given to the patients.

            It is worried about the wellbeing framework factors that if patients are given viable condition or on the off chance that they are given the help, at that point they could feel much improved. . It is worried that the nearby network needs to remain dynamic constantly. There is a need to provide the effective environment and care as patients counselling need to be done, people can speak with the patients so that they could easily share what is in their mind and so that people could stay relaxed.  (Benita Wilson, 2014).

The assessment skills in nurse's and their role in the systematic assessment of Bi-Polar Disorder patient Critically  analyses  how  the  focus  of  the  role  of  the  nurse  changes  to  reflect  the  changes  in  dependency  levels.

            The role of the nurse in the case of the systematic assessment is very important for the prioritize treatment of the patients of the bipolar disorder. It is estimated that nurses need to focus on the arranged approach so that there could be an effective testament and proficient outcomes in the treatment of the patients.  The Nurses are also responsible to treat the patients; as there are some viable strides to avoid. Care coordination should be there to engage the patient in the overall treatment. It is also very important for the nurses to know about the dependency level of the patient   and rise their support and care towards the patient depending on the level of dependency. For the better assessment  of the patient it is also very important for the nurse to have focus on all of the problems of the patient and make the appropriate plan for the treatment of the issue.  It is realized that patients with the Bi-Polar Disorder are confronting issues identified with the clinical hazard factors and furthermore there can be a portion of the financial elements. Notwithstanding, the nurses need to actively participate in this way, Bi-Polar Disorder patients or with the given case of the James it is broke down that these patients should be dealt with adequately by the general public or network (Suppes & Dennehy, 2010).

            They have difficulties communicating with others and it prevents them from opening up and telling what is it that they are actually keeping inside of them. Nurses not only support the caretakers but also offer this companionship to the patients. Since patients having the manifestations of bipolar issue display, therefore, there is a need for some particular temperaments, and nurses need to seek higher education as it will be useful for the guardian to experience a self-assessment. When it comes to the nurses having relevant and necessary information about the disorder and their characteristics can be quite useful. After all, they are standing almost on the same ground as the caretaker. While the caretaker has to be stern and precise with the methods, the nurse can divert from that path and use the skills to boost the rehabilitation of the patient. Many patients having the symptoms of bipolar need the support. Since it is about psychological treatment, the role of the nurse is almost like a booster. Not only do they help in the progress of the systematic approach but also the mental support that the patients need (Suppes & Dennehy, 2010).

            With their soft behavior and actions, they offer the reliance that many patients envy.  In many ways, nurses can help in the rehabilitation. Nurses should assess and observe the patients effectively so that the program that is concentrating on bunches rather than specific patients, they should centre on the discourses including the pertinence of the manifestations. So it is obvious the nurse must use the focused systematic patient assessment approach in order to identify all of the risk on time and also better support the patient in the overall process of the treatment.

Conclusion on Mental Health Scenario–Bi-Polar Disorder

        It is concluded that this case study is based on the medical health scenario – Bi-Polar Disorder. This case study has drawn upon the relevant theoretical concepts about Bi-Polar disorder/Bipolar Disorder 1 supporting the shared decision-making process regarding the condition of James in the intervention and assessment planning to meet his needs. Bipolar Disorder 1 presents many therapeutic challenges and diagnostic for the busy clinicians. According to the medical history of James, he neither drinks alcohol nor the smoke and Appendectomy at the age of 8 years old. He is using Lithium 600mg BD medication. Currently, James is 48 years old man and he has a Bipolar Affective Disorders’ diagnosis. He has 28 years long history if Bipolar Disorder I and he has had so many admissions, most of them were under the Medical Health Act at the time when he has been so much grandiose, manic, and behaviors like leaving the house naked, excessive spending, painting the flat’s outside in the morning’s early hours.

           It is also acknowledge that this procedure as well has mental, societal and affecting issue that will manipulate this consideration space and that would be managed by an effectual  of the clinician-patient, looking for Epstein that has phrase a ‘shared mind’. The model sketches a process, even though it is significant to be familiar with that the model is not regulatory— some of the clinical connections are by requirement fluid. The patients need the maximum care and support of the love one in order to relax their mind.  The Shared decision-making is said to be the whole process of the interaction between the doctors and patients, in which both of them are likely to play their part in the whole process of the decision making. There is a need to give the compelling condition and care. In any case, the correspondence should be done among experts that how physical medicinal services and neighborhood network administrations should be given to the patients. The Nurses are also responsible to treat the patients; as there are some viable strides to avoid. It is also very important for the nurses to know about the dependency level of the patient   and raise their support and care towards the patient depending on the level of dependency.

        It is recommended that an accurate and early diagnosis is important for bipolar disorders so that the outcomes of the treatment could be optimized. The person treating such patient should try to become friends with him or her and enough sleep must be ensured for such patients. Moreover, the planning of the systematic approach must be formulated that how to deal with them and how to make them relax by treating them in a very sensitive manner.