Depression

Question 1

Nurses must educate themselves regarding depression and treatment. Why? (2)

Answer 1

Often the hc provider who spends the most time with.
In key positions to assess sx and to work with depressed
*
“Depression can come quickly – isolation, lack of stimulation, stressors.”

Question 2

Nurses need to advocate for?

Answer 2

Health services and environments aimed at prevention and early recognition of depression, as well as treatment.

Question 3

Symptoms of depression are often

Answer 3

dismissed as a…normal part of aging and nurses know better!

Question 4

Nursing Care with Clients Experiencing
Depressive Disorders in Later Life
*
1A of 3 – physiological treatment
*
D M/s M/p-pens

Answer 4

Depressogenic medications – remove/change
*
Metabolic/system disturbances – treat
*
Monitor/promote:
– physical comfort (incl pain control)
– elimination
– nutrition/hydration
– sleep-rest patterns

Question 5

Nursing Care with Clients Experiencing
Depressive Disorders in Later Life
*
1B of 3 – physiological enhancement
*
ErroD

Answer 5

Enhance physical function
– regular physical activity
– recreational therapy
– occupational activity
Develop daily activity schedule

Question 6

Nursing Care with Clients Experiencing
Depressive Disorders in Later Life
*
2 of 3 – psychological

Answer 6

Social support
Spiritual help
Safety precautions as needed (soo)

Question 7

Nursing Care with Clients Experiencing
Depressive Disorders in Later Life
*
3A of 3 – FRANism

Answer 7

Individualized plans

Question 8

Nursing Care with Clients Experiencing
Depressive Disorders in Later Life
*
3B of 3 – FRANism

Answer 8

Work with to maximize 
– self-efficacy 
– autonomy
– personal control
*
Especially r/t
– self-care
– choices
– goal setting
– tx
*
Autonomy – "MATTERS LOTS!" Find little things they feel they have control of…differences they can make. Remember. Use."

Question 9

Nursing Care with Clients Experiencing
Depressive Disorders in Later Life
*
3C of 3 – FRANism

Answer 9

Help clients identify & reinforce strengths and capabilities.
*
“Validate importance of Grandparent role. Is there a way to amp this up?”

Question 10

Nursing Care - Slide 2

Structure and encourage? (3)

Answer 10

daily participation in relaxation therapies and enjoyable activities
pleasant reminiscences
*
“Make note of interests in charts.”

Question 11

Nursing Care - Slide 2

Monitor and document? Teach?

Answer 11

response to medication and other therapies

teach clients to self-monitor

Question 12

Nursing Care - Slide 2

Provide? (4) PEA P

Answer 12

Practical assistance
Emotional support
Assistance w/ problem solving.
*
Physical illness, depression, tx – info. re.

Question 13

Nursing Care - Slide 2
Educate? (3)
AWI

Answer 13

Adaptive coping
Ways to manage/prevent reoccurrence
Importance of adherence to tx regimen
*
"People want to know what to expect. Arm people with information."

Question 14

Nursing Care - Slide 2
Ensure clients are?
(supports)

Answer 14

Linked to the mental health community
Connected with other community resources to
support all aspects of healthy living
*
“Think, problem solve…how to get them engaged? Not just knowing about resources, engaging. Figure out how to make this happen.”