Exploring Collaborative Care for Bipolar Affective Disorder Patients

This essay provides an in-depth analysis of collaborative care frameworks and nursing models for patients with Bipolar Affective Disorder, highlighting five key areas for effective treatment and management. It explores strategies for self-management, coping mechanisms, the impact of stigma, the role of technology and telehealth, and the importance of maintaining professional boundaries. The essay also discusses legal, regulatory, policy, and ethical frameworks relevant to the condition, including the National Service Framework for Mental Health (NSFMS). Furthermore, it critically examines the significance of supporting self-management and collaborative working in improving patient outcomes and addressing health inequalities, emphasizing the need for a holistic and collaborative approach to care. The essay concludes with a reflection on learning and future practice, underscoring the importance of evidence-based interventions and patient-centered care.

Working Collaboratively with
People with Long Term
Conditions

EXECUTIVE SUMMARY
The essay has been analysing the frameworks and nursing model for the patient having
Bipolar Affective Disorder. Five key areas has been mentioned and drawn for the analysis of
how effectively the mental illness can be cured and what are the strategies which are to be
addressed and taken into consideration. Further, the two key areas which are supporting self-
management and coping strategies has been framed and the other collaborative working.
Moreover, reflection on the learning and future practice has been analysed along with issues
relating to health improvement and health inequalities.

Collaborative working is defined as the environment which supports people, professionals,
and patients within the care system (Ashford, Brown and et.al., 2019).
Thus, the essay will analyse the frameworks and nursing model for the patient having
Bipolar Affective Disorder. Five key areas will be mentioned and drawn for the analysis of how
effectively the mental illness can be cured and what are the strategies which are to be addressed
and taken into consideration. Further, the two key areas which are supporting self-management
and coping strategies will be framed and the other collaborative working will be taken.
Moreover, reflection on the learning and future practice will be analysed along with issues
relating to health improvement and health inequalities.
Application of evidence and guidance for long term conditions
Bipolar Affective Disorder is the complex and chronic disorder of mood which is
characterized by mood, hypomanic and depressive episodes which are relevant to substantial
symptoms which are present between major mood episodes. This is represented in the mood
manner of what is the behaviour of individuals and people when they are having different moods
and this is considered as that they are facing Bipolar Affective Disorder (Jain and Mitra, 2021).
Maniac episodes include symptoms such as high energy, loss of touch with reality and reduced
need for sleep. Depressive episodes include low self-esteem and motivation which an individual
is suffering through. These are some major symptoms which are addressed within the aspects as
to what are the symptoms which an individual is facing in the Bipolar Affective Disorder at
large.
Demonstrating knowledge of legal, regulatory and policy and ethical frameworks and
guidelines
Bipolar affective disorder follows the legal, regulatory and policy guidelines along with
ethical frameworks which are mentioned here and are related to how effectively the guidelines
are framed -
 By formulating a treatment plan such that proper care and services are provided and are
taken into consideration at large scale (Menear, Blanchette and et.al., 2019).
 Proper instruments for evaluation are considered and are utilized within the treatment
plan.

 Proper following of rules and regulations have been addressed and are considered at large
scale as to how the screening of Bipolar Affective Disorder is identified within the
individuals and people.
Therefore, there are also some ethical frameworks which are followed within the process of how
effectively and in appropriate manner the Bipolar Affective Disorder among the people is
identified so that it can be cured effectively and in appropriate manner.
Identifying two policies and frameworks for care management in Bipolar Affective
Disorder
There is one major framework which is related to care management in Bipolar Affective
Disorder (Fortney, Pyne and et.al., 2018). This framework is described as –
 National Service Framework for Mental Health (NSFMS)
This is the major National Service Framework for Mental Health (NSFMS) which helps in
setting the standards of quality for mental health among which one is Bipolar Affective Disorder.
The aim is to achieve and put into practice the services which are being framed and formulated
under it. It helps in reducing the discrimination among the individuals and the different groups
which are facing the mental health problems at large scale. The services are accessible within
this framework so that the Bipolar Affective Disorder is being treated effectively and in
appropriate manner. There are different ranges of services within the Bipolar Affective Disorder
mental health issue to prevent the crises wherever possible.
Ideas in relations to discussing application of framework or nursing model for young
people
The nurses take care of the patients having Bipolar Affective Disorder which helps in
ensuring and making them realise the aspects of providing them proper services within the
framework of National Service Framework for Mental Health (NSFMS) (Yeoh, Wong and et.al.,
2018). The application of framework of National Service Framework for Mental Health
(NSFMS) is analysed and is used for the care services to be provided to the mental health
patients who are suffering from Bipolar Affective Disorder. This framework helps in diagnosing
the patients having the mental health problems specifically having Bipolar Affective Disorder.

The care services are analysed and are created in a major manner within the framework to
address and to evaluate that the patients are being treated in appropriate manner.
This framework helps in creating value for how the services are to be provided to the
Bipolar affective Disorder. With the help of this framework patients are following the rules and
regulations which are framed within the aspect of considering all services which are drawn in the
Bipolar Affective Disorder. This framework also ensures that the services are provided to the
patients so that they are able to take care of themselves in an appropriate manner and are
following all aspects of the framework drawn within National Service Framework for Mental
Health (NSFMS) (Ballo, Profili and et.al., 2018). This is how the mental health patients are taken
care of within the National Service Framework for Mental Health (NSFMS) framework drawing
attention towards and creating value of their life in which the nurses are providing the services
and are considering that all rules and regulations within the framework are being followed at
large scale in taking care of the Bipolar Affective Disorder patients.
Explaining the five areas by referring to the condition of Bipolar Affective Disorder
There are some five areas which are to be explained for the condition of Bipolar Affective
Disorder and these are explained as below –
Supporting Self-Management and Coping Strategies – Monitoring of the mood helps in
understanding self and helps in managing the mood swings which occur in the illness. Practising
of healthy sleep habits helps in managing the disorder. Along with this, maintaining the regular
schedules on the daily routines helps in addressing how the self-management can be done
(Michalak, Morton and et.al., 2019). The coping strategies include – taking time for making the
decisions, building of support network which is good, exercising on a regular basis, limiting the
stress helps in understanding the coping strategies for the Bipolar Affective Disorder.
The Impact of Stigma and Discrimination – The impact of stigma due to Bipolar Affective
Disorder is huge and is portrayed as having mental illness at large scale. Younger people which
are chosen for this disorder are often called as crazy and are not able or allowed to live
independently. There is an unfair treatment to individuals which are having severe mental illness
and are facing the discrimination in the community and society. There is more of psychological

impact on the younger patients and they are suffering from the ill treatment of the society and
community at large scale in an ineffective manner.
Collaborative Working – There is collaborative care for the patient which is being served by
treating the patient having Bipolar Affective Disorder. By providing collaborative care to the
patient with the help of collaborative working the patients of this disease can be taken care and
treated in a very skilled and effective manner (Bauer, Hodsdon and et.al., 2018). Collaborative
care helps in providing the services and safety to the young patients so that they are able to
provide effective care for the treatment by collaboratively working within teams at large scale.
By collaborative working safe environment is provided to the patients so that they are treated
under care and patience.
Technology and Telehealth – Technology and telehealth services helps in providing aspects as
to how the care services and needs and fulfilled and provided to the younger patients at large
scale. Mobile phones, internet, computer, laptops provide the service users in taking care of the
patients and providing them all effective measures of how significantly the patients are treated
with Bipolar Affective Disorder. Telehealth has found to be effective and efficient in delivering
the health care services. Technology has been found to be effective as there has been upgradation
in the technology at large scale in an effective manner. Three has been rapid increase in the
technology and telehealth services which helps in ensuring the care has been provided to patients
having Bipolar Affective Disorder.
Maintaining and Setting Boundaries in Professional Practice – It is very important to set
boundaries and maintain the professional practice which helps in addressing the aspects of how
the patients are treated and provided care concerning the mental illness which is Bipolar
Affective Disorder (Warwick, Tai and Mansell, 2019).There should be professional boundaries
which helps in addressing that there should be space between the nurse power and patient’s
vulnerability. This helps in maintaining the professional boundaries within the practice which is
taken into consideration at large scale. The access of personal information should be accessible
and managed by the nurses so that proper care services are provided to the patients.
Critically discussing two areas in detail to the patient’s condition
The two areas which are taken into consideration for the patient’s condition having Bipolar
Affective Disorder is –

Supporting Self – Management and Coping Strategies – It is very important the patient takes
care of themselves while dealing with the Bipolar Affective Disorder and this helps in addressing
the fact that it is very necessary for the patients to take care of their mental health and follow
effective self-management routines which helps in knowing the aspects of taking care of mental
health in an appropriate manner. Supporting self-management is an important routine which
helps the Bipolar patient to take care of themselves by managing their regular moods and
framing the schedules of how effectively the treatment of Bipolar Affective Disorder is managed
and is created at large scale (Lobban Akers and et.al., 2020). By building a support network
helps in paving ways for curing the mental illness patient is suffering from so that proper care
and treatment measures are known.
The coping strategies are described as –
 Controlling the stress help in managing the moods in an effective and positive manner.
 Practising the habits of sleeping in a healthy way helps in facing the problem of having
Bipolar Affective Disorder.
 Avoidance of alcohol, drugs and caffeine will help in removing the aspects of having
mental illness which is Bipolar Affective Disorder.
 Exercising regularly so that there are no chances of having the mental illness to be faced
by the patient.
 By taking time in decision making process so that this coping strategy becomes stronger.
Therefore, these are some of the coping strategies which should be addressed and taken into
action for recovering and providing the treatment for Bipolar Affective Disorder in an effective
and appropriate manner.
Collaborative Working – With the help of collaborative working, the care services are made
available for the patient having bipolar Affective Disorder. There are certain nurses which are
framed for the analysis of how effectively and in appropriate manner the collaborative working is
supported at large scale. The collaborative working helps in understanding and analysing the
different measures as to how treatment plan by the nurse is framed for the patient having Bipolar
Affective Disorder (Morton and Murray, 2020). The collaborative working help in knowing that
there are certain work processes which should be undertaken within the framework of
collaborative working so that there are no failures observed in the practice and the treatment
takes place in an effective and significant manner at large scale. The aspects of framing of plan is

being done which helps in keeping the significance of how effectively the standards are
maintained while performing the practice and working with the nurses.
Reflecting on the learning practice and how it is influencing the future practice
I have learned that it is very important to take care of patients having Bipolar Disorder.
Special care, services and facilities are to be provided to the patients such that it helps them to
recover soon from the mental illness. The learning practice in which I am involved is nursing and
to take care of how patient with Bipolar Disorder are provided care and concern. I have bene
practising all the professional healthcare standards and policies while taking care of the patient
having the mental illness. This practice is influencing the future by addressing the key measures
and aspects which are enabling to understand the mental illness regarding the Bipolar Affective
Disorder. The future practice is improved by learning and utilizing the skills and knowledge at
large scale. This practice will help in taking care of the patients and will be able to address the
aspects of knowing major services and facilities to be provided to the patients having the
problems related to mental illness.
Reflecting on learning how issues are influenced relating to health improvement and health
inequalities for individual living with long term condition
There is high influence on issues relating to health improvement and health and health
inequalities which are being addressed as to how effectively the care services are being
undertaken and the issues are impacting these care services at large scale. The issues are
influenced relating to health improvement and there are health disparities which includes access
to care, quality of care, limited personal support system, health behaviours, language barriers are
the major concern as to how effectively and in appropriate manner the issues are addressed to be
solved and this concerns the long term illness and condition to which the patient is living which
is Bipolar Affective Disorder (Murnane, Walker and et.al., 2018). This impacts the issues
negatively and have been addressing it in the negative manner and have been impacting it in the
aspects of how health can be improved of the Bipolar Affective Disorder patient. Thus, the
patient in this long term condition faces many issues.
Thus, it is concluded from the above essay that frameworks and nursing model was
applied for the patient having Bipolar Affective Disorder. Five key areas were mentioned and

drawn for the analysis of how effectively the mental illness can be cured and what are the
strategies which are to be addressed and taken into consideration. Further, the two key areas
which were supporting self-management and coping strategies were framed and the other
collaborative working was taken (Murnane, Walker and et.al., 2018). Moreover, reflection on the
learning and future practice was analysed along with issues relating to health improvement and
health inequalities were addressed.

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