Nursing Care Plan for Depression
I. Major Problems
Depression with suicidal risk
II. The occurrence of the process of problem
Depression is a natural kind of feeling or emotion is accompanied by psychological components: a sense of hard, gloomy, sad, frustrated and unhappy, and somatic components: anorexia, constipation, skin moist (coldness), blood pressure and pulse rate decreased slightly.
Depression is caused by many factors, among others: heriditer factors and genetic, constitutional factors, pramorbid personality factors, physical factors, psycho-biological factors, neurological factors, biochemical factors in the body, electrolyte balance factor and so on.
Depression is usually triggered by physical trauma such as suicide, infectious diseases, surgeon’s, accidents, labor and so on, as well as psychic factors such as loss of affection or self-esteem and the result of hard work.
Depression is a normal reaction when it takes place within a short time in the presence of a clear precipitating factors, duration and depth of the depression according to the originators of factors. Symptoms of psychotic depression is when the complaint in question no longer compatible with reality, not able to assess the reality and can not be understood by others.
Nursing Assessment for Depression – Nursing Care Plan for Depression
a. Subjective data:
Not able to express their opinions and lazy talk. Frequently expressed somatic complaints. Felt he was no longer useful, does not mean, there is no purpose in life, feeling hopeless and suicidal.
b. Objective data:
Body movements are inhibited, the body is curved and when sitting in a slumped position, facial expression moody, slow gait with the steps being dragged. It can sometimes happen stupor. Patients seem lazy, tired, no appetite, difficulty sleeping and crying. Thought process too late, as if his mind is empty, impaired concentration, had no interest, can not think, do not have imagination. In patients with depressive psychosis there is a deep feeling of guilt, no sense (irrational), delusions of sin, depersonalization, and hallucinations. Sometimes the patient rather hostile, irritable and do not like to be disturbed.
2. Maladaptive coping
a. Subjective data: state of hopelessness and helplessness, unhappy, hopeless.
b. Objective data: look sad, irritable, restless, unable to control impulses.
Nursing Diagnosis for Depression – Nursing Care Plan for Depression
1. Risk of self harm related to depression.
2. Depression related to maladaptive coping.
Nursing Interventions for Depression – Nursing Care Plan for Depression
a. General purpose: The client does not self harm.
b. Specific objectives:
1. Clients can build a trusting relationship
1.1. Introduce yourself to the client
1.2. Do it as often as possible interactions with patients with empathy
1.3. Listen to the statements of patients with long-suffering and more empathetic to use non-verbal language. For example: a touch, a nod.
1.4. Note the patient’s speech and give a response in accordance with her wishes
1.5. Spoke in a low voice, clear, concise, simple and easy to understand
1.6. Thank the patient what it is without comparing it with others.
2. Clients can use adaptive coping
2.1. Give a boost to express his feelings and said that nurses understand what patients feel.
2.2. Ask the patient the usual way to overcome feeling sad / painful
2.3. Discuss with patients the benefits of commonly used coping
2.4. With patients looking for alternatives, coping.
2.5. Encourage the patient to choose the most appropriate coping and acceptable
2.6. Encourage patients to try coping the selected
Of 2.7. Instruct the patient to try other alternatives in solving problems.
3. Clients are protected from self-injuring behavior
3.1. Monitor carefully the risk of suicide / self-mutilation.
3.2. Keep and store the tools that can be used olch patients to injure themselves / others, in a safe and locked.
3.3. Keep the tool material harm to the patient.
3.4. Supervise and place the patient in the room that easily monitored by the nurse / attendant.
4. Clients can improve self-esteem
4.1. Helps to understand that the client can overcome despair.
4.2. Review and muster the internal resources of individuals.
4.3. Helps identify the sources of hope (eg, interpersonal relationships, beliefs, things to be resolved).
5. Clients can use the social support
5.1. Review and take advantage of external sources of individuals (those nearest health care team, support groups, religious affiliation).
5.2. Review the supporting belief systems (values, past experiences, religious activities, religious beliefs).
5.3. Do the references as indicated (eg, religious counseling).
6. Clients can use the drug properly and appropriately
6.1. Discuss about the drug (name, dosage, frequency, effects and side effects of medication).
6.2. Bantu use the drug with the principle of 5 correct (right patient, medication, dosage, manner, time).
6.3. Encourage talk about the effects and side effects are felt.
6.4. Give positive reinforcement when using the drug properly.