system_disorder_form Depression.pdf - ACTIVE LEARNING TEMPLATE System Disorder Rachel Vance STUDENT NAME Depression DISORDER\/DISEASE PROCESS REVIEW

system_disorder_form Depression.pdf - ACTIVE LEARNING...

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Unformatted text preview: ACTIVE LEARNING TEMPLATE: System Disorder Rachel Vance STUDENT NAME______________________________________ Depression DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________ 2(Ch 13 ATI) Alterations in Health (Diagnosis) -Depressed mood; trouble or excessive sleep; indecisive, decreased concentration, increase or decrease in weight of more than 5% total body weight, suicidal ideations Pathophysiology Related to Client Problem -Seratonin deficiency related to: mood, sex drive, sleep, hunger, and pain perception -Norpinephrine deficiency: decreased attention and decreased behavior, mood, or energy level Health Promotion and Disease Prevention -Work with client to evaluate distortions causing negative self-perception like over-generalizations and self-blame ASSESSMENT Risk Factors -Family history -History of depression (over age 65) -Neurotransmitter deficiency -Female-adverse childhood experiences -Stressful life events -Substace abuse, anxiety, other disorders Laboratory Tests Screen and Assess for signs/symptoms -Beck Depression Inventory -Hamilton Depression Scale -Geriatric Depression Scale -Patient Health Questionnaire (PHQ-9) -Zung Self-rating depression scale SAFETY CONSIDERATIONS Expected Findings -depressed mood and anhedonia -little interest or enjoyment in doing things -feeling of hopelessness -decreased or increased appetite -trouble falling asleep or sleeping too much -trouble concentrating, slow moving -suicidal ideations Diagnostic Procedures -Evaluate risk of self-harm or harm to others -May be secondary to meds., other psychiatric disorders -Assess patients history of depression -Assess support systems, family and significant others PATIENT-CENTERED CARE Nursing Care -Suicide Risk -Patient's self-care -Communication -Maintain safe environment -Counseling Therapeutic Procedures -Electroconclusive therapy -Transcranial Magnetic Stimulation -Vagas nerve stimulation -relate therapeutically even if pt. is unable or unwilling -give enough time to respond ACTIVE LEARNING TEMPLATES -maintenance of safe environment -remain with client during depressive episodes -perform suicide risk evaluation Complications Medications -Selective Seratonin Uptake Inhibitors (SSRI): Setraline - Tricyclic Antidepressant -Monoamine Oxidase Inhibitors (MOI) -Atyplical Antidepressants -Seratonin Norepinephrine Reuptake Inhibitor (SNRI): venaflaxine Client Education Continuation phase followed by the maintenance phase -review manifestations with the client and family to identify relapse -explain benefits of adhering to therapy -30 min physical activity 3-5 days/week Interprofessional Care Psychotherapy by a trained therapist therapy, group therapy, and interpersonal therapy -Don't discontinue medication suddenly -therapeutic effects can take several weeks to reach full therapuetic effect -avoid hazardpis activity due to potential adverse effect (sedation) -avoid alcohol while taking antidepressant -prolonged depression can lead to immunosupression -notify provider if suicidal thoughts Therapeutic Procedure  A11 ...
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