Insomnia and nausea 2
This exercise involves dispensing a prescription whilst considering patient preferences. There is no errors or issues with this prescriptions and it should be dispensed.
As the patient has been taking their current medication for some time, it is important to tailor the counselling to the patient’s current circumstances.
Certain trigger factors can affect the stability of a patient suffering from Bipolar disorder. These include a lack of sleep (which can also be a sign a manic episode), sensory overload (dealines), stress (e.g. work related), illicit drugs or alcohol (3-4 glasses of wine after dinner). Given that some of these factors relate to the patients current circumstance, it would appropriate to highlight these to the patient so they can reflect on their current daily activities.
It would also be important to promote good sleep hygiene. This might inlcude:
limiting caffiene late in the day
limiting screen time late in the day
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