The final variance is that the primary caregivers have a deficiency of resources and education in order to provide the best possible care to their child. This is a care and system related variance since it relates to the care of the individual and focuses on the faults in the healthcare system regarding available mental health information and support. Often information and pamphlets are given to caregivers when their child is first diagnosed with bipolar disorder. Though caregivers feel the provided information is a good beginning, it leaves them feeling inadequate and confused about how to care for their child later (Harden, 2005). It is a constant struggle to acquire information and in order to be advocates for their children they are forced to educate themselves (Wade, 2006). Parents have to research current and new laws regarding mental illness, making it a continuous battle for their child against the system (Wade).

      Additionally, due to the newness of the diagnosis of bipolar in children and unfamiliarity with the psychiatric medical field, parents feel that their children are merely guinea pigs and thus very critical about the new medical treatments their child receives (Harden, 2005). There is an overall lack of trust in psychiatry and this is escalated when psychiatrists are unable to provide detailed explanations as to why their children are undergoing certain treatment regimens (Harden). A lack of communication among health professionals and educators concerns families, increases tension, and impedes on the care process (Wade, 2006). The shortage of available information is a disheartening aspect family’s face when attempting to support their loved one. The following nursing interventions will focus on the final variance, which include the primary caregiver’s decreased availability of instruction and guidance in treating bipolar disorder in their children.

Intervention

 It is vital that nurses intervene in supporting those caring for children with bipolar disorder. The appropriate nursing intervention plan is to assist the primary giver through education regarding the disease and treatment options. The nurse should also advise them of support and therapy programs in the local area. Finally, the nurse can invite and help arrange the collaboration of their care with interdisciplinary teams in order to create the ideal care management program for their child’s illness. This intervention plan incorporates numerous ways that a nurse can directly contribute to the care of the client and their caregivers.

      The first stage of the intervention plan is to educate the primary caregivers on the signs and symptoms of bipolar disorder and treatment options available. Nurses must assist in the identification of bipolar symptoms to reassure that the proper diagnosis has been made (Apps et al., 2008). It is necessary for the nurse to be educated about the social, emotional, and academic influence bipolar disorder will have on the family (Olson & Pacheco, 2005). Olson and Pacheco focus on the importance of having a support system, using a calm voice, positive reinforcement, and assisting with organizational strategies. The signs and symptoms of bipolar disorder are overwhelming. Therefore, assisting in the understanding of what normal child behavior is in contrast to the behaviors exemplified by a child with bipolar disorder can relieve stress (Apps et al.).

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