[angel008]

HI,

im doing a presentation on an aggressive male who has bipolar disorder. his diagnosis is risk of violence towards others, impaired social interactions, impaired verbal communications,possible sleep pattern disturbance. i need a "needs framework, wherby i should prioratise my nursing dignosis, and WHY????

HELP!!!any ideas anyone.

[all_dressed_in_white]

Have you looked at any needs hierarchies? ie. Maslow's? They might help.
Off the top of my head I'd say 1. other's safety 2. sleep 3. communication. 4. social. Safety always comes first. There can be no balanced behaviour without sleep. Communication btwn client and staff ensures better care. Social is more of a long term maintanace issue.
The unfortunate, but convienient answer is of course meds, but that isnt for us to say i spose. We just get to work thru the communication and social issues.
umm... needs framework? Look up Maslow.. he should lead you to a few others aswell.. but i recon figure out u'r own rationales then find someone elses research that said the same thing - to back u up, reference etc. And of course, to check that u'r on the right track.
Just a few thoughts.
I know how frustrating it is when u have no idea where to start and no one seems to help.
good luck.