Nursing 411 care of patients with mood disorders

Nursing 411 care of patients with mood disorders - Click to...

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Click to edit Master subtitle style SAFETY Model developed System: The Nursing Care of Mood Disorders 11 SAFETY Model developed by Zager & Manning 2009
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SAFETY Model developed S AFETY – System Specific Physiology Diseases - Disease Etiology / Physiology Nursing Management Dysthymic Disorder-sad or “down in the dumps”, no evidence of psychotic symptoms, chronic fatigue, low self-esteem, concentration difficulties, hopelessness Essential feature is a chronically depressed mood for most of the day and for more days than not for at least two years. No major depressive episode present during the first two years of the disorder or one year for children May require antidepressant medication Cognitive therapy Behavior therapy Insight-oriented psychotherapy Major Depressive Five or more See following slides 22
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SAFETY Model developed S AFETY – System Specific Physiology Diseases - Disease Etiology / Physiology Nursing Management Premenstrual Dysphoric Disorder (See Box 29-3 for diagnostic criteria). Not an official diagnostic category in DSM- IV-TR Essential features are depressed mood, anxiety, mood swings, decreased interest in activities. Symptoms begin during week prior to menses and subside shortly after onset of menstruation. SSRIs Xanax Bipolar Disorders Bipolar 1-full manic or mixed symptom Characterized by mood swings from profound depression to See following slides 33
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SAFETY Model developed S AFETY – System Specific Physiology Diseases - Disease Etiology / Physiology Nursing Management Cyclothymia chronic mood disturbance, at least 2 years duration, numerous episodes of hypomania and depressed mood. Mood stabilizing medications Psychosocial therapy to increase patients awareness of their condition and helping them develop coping strategies for their mood swings Depressive disorder NOS Person may have had all 9 symptoms of MDD See following slides 44
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SAFETY Model developed S AFE TY- System Specific Etiology and risk factors: Mood Disorders Depression more prevalent in women than in men (2X) Depression more common in young women than in older women Depression decreases with age for women increases with age for men Average age of onset for first manic episode is early 20s Highest incidence of depression in single and divorced people Inverse relationship between social class and report of depressive symptoms; opposite for bipolar Genetics Biochemical influences Neuroendocrine disturbances Physiological influences Psychosocial influences Developmental influences 55 Me
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SAFETY Model developed S AFETY - System Specific Assessment: Nature of symptoms for depressive disorders: characterized by degree of severity Ranked as transient, mild, moderate, severe Transient=life’s everyday disappointments that result in the “blues” Mild=identified with those of normal grieving Moderate=symptoms associated with dysthymic disorder Severe=symptoms associated with MDD and bipolar depression
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This note was uploaded on 02/17/2011 for the course NURS 411 taught by Professor Astle during the Spring '11 term at South Carolina.

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Nursing 411 care of patients with mood disorders - Click to...

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