depressive disorder Flashcards
disruptive mood dysregulation disorder
m or f
treatmnt
- Symptoms: Constant and severe irritability and anger in individuals between ages 6 and 18 y.o.
- Temper tantrums with verbal or behavioral outbursts out of proportion to the situation happen at least three times a week (home and school)
- males
- children
- system base approach
- adressing irritability
- accompied with adhd
- cognitive behavior therapy
- parents can go through therapy
persistent depressive disorder
most common in
symptoms
onset
treatment
- Formerly known as dysthymia
- Low-level depressive feelings through most of each day, for the majority of days
- At least 2 years in adults
- At least 1 year in children and adolescents
- “theyve always been like that”
- female
- insomonia, hypersonmia, decreased/overeating, low energy, difficult paying attention, hopelessness
- onset in teenage years
- treatment: antidepressants and therapy
Premenstrual Dysphoric Disorders
treatment
- Symptom cluster in last week prior to onset of a woman’s period; include
- Mood swings, irritability, depression, anxiety, feeling overwhelmed, and difficulty concentrating
treatment:
- aerobic exercising
- well balanced diet
- sleep
- acupuncture
- light therapy
- contraceptive
Substance-induced depressive disorder
Person does not experience depressive symptoms in the absence of drug or alcohol use or withdrawal
Depressive disorder associated with another medical condition
- Can be caused by kidney failure, Parkinson’s disease, and Alzheimer’s disease
- Symptoms that result from medical diagnoses or certain medications are not considered major depressive disorder
magor depressive disorder
Five (or more) of the following in 2-week period
- Weight loss and appetite changes
- Sleep disturbances
- Fatigue
- Worthlessness or guilt
- Loss of ability to concentrate
- Recurrent thoughts of death
PLUS—at least one symptom is also either
Depressed mood or
Anhedonia
- depression underrecognized in kids
- old adults not considered normal of aging
- comorbidities
anergia
abnormal lack of energy
anhedonia
lack of pleasure in things the perosn found pleasure in
nursing process assessment
Assessment
- Assessment tools
- Assessment of suicide potential
- Key assessment findings
Areas to assess
- Affect: what you see
- Thought processes: distracted, slow on feet
- Mood: sibjective what they express
- Feelings: extended feelings
- Physical behavior: phsycomotor attigation/retardation
- Communication: miminal, allow silence/active listening
- Religious beliefs and - spirituality
- vegitive: not able to do adls (use encouragement)
nursing diagnosis
- Risk for suicide—safety is always the highest priority
- Hopelessness
- Ineffective coping
- Social isolation
- Spiritual distress
- Self-care deficit
- Outcomes identification: goals met and obtained
- Recovery model: evidence based interventions, healing is possible, pt. centered care, being there best self, saftey is prioritized
nursing process planning
Planning
Geared toward
- Patient’s phase of depression
- Particular symptoms
- Patient’s personal goals
nursing process implementation
Implementation
Three phases
- Acute phase (6 to 12 weeks): reduction of depressing symtoms
- Continuation phase (4 to 9 months): prevention of relapse
- Maintenance phase (1 year or more): prevention of further ep of depression
counseling and communication
- active listening
- simple sentences
- not a lot of direct questions
- avoid minmizing there behaviors
health teaching and health promotion
life style changes
promotion of self care activites
nutrition/ sleep/ selfcare deficits
