lifespan depression from ppt (and tiny bit from readings) Flashcards
assessment findings of depression in children
Restlessness Inability to concentrate Hyperactivity May be misdiagnosed as ADD or ADHD Highly emotional or flat affect Lying to relieve anxiety
If kid has consistently high emotionality it may indicate depression
assessment findings in depressed young adult/adolescent
Change in hygiene, usually diminished
Lack of interest in usual activities
Less social activity or major shift in friendships
More time alone
Unable to rouse self from bed/TV/video games
Self medication?
Tears or lashing out ++ (more emotional)
Or much less emotional
Cutting, self mutilation
Decreased apetite
If you see sudden change in YA social behaviour, if they are no longer grooming themselves this can be depression
should you let a teen create their daily routine or should they be very regimented and follow a strict schedule
(this is accoring to ledger house a place for teens in Vic)
Very regimented. They are often living in very chaotic situations and the security of the routine is comforting
are males or females more at risk of depression in teens
• In adolesc it is twice as common in females
if you are new to a unit of teens should you go talk to them about their issues and start making decisions about their care?
If you are new, don’t engage in conversations about their issues unless it is general. All specific concerns, decisions and disclosures must go to the primary worker(s)
All care discussion and care decisions must go through primary workers.
t or f. rules create a feeling of safety
t
when providing care teens like to see many new faces?
freq alterations to their care plan are good?
BE CONSISTENT with staffing, there should only be one primary at the most two workers running the show.
BE CONSISTENT with care plan and follow through
what kind of antagonizing behaviour should nurse be ready for with teens?
Children/Teens may try to split or “triangle” new staff that don’t know the rules. (push boundaries and manipulate)
what are the basics of behaviour shaping
There are many models of care however the basics are:
Positive behaviour is recognized/rewarded
Negative behaviour is given no mileage
Daily check ins and goals are established they must be SMART
As much control is given to the patient as possible
what phases can you expect for kid oing through depression
Expect a “honey moon” phase while all is going well and the transition seems smooth
Expect a “sabotage” phase where the child pushes back against rules and the workers
Expect a swing back to middle ground where some behaviours are improved and others need work and support
from text
what mnfts of depression might you expect in kids and adolescents thatre different than in adults
the mnfts are often similar but:
-symtoms of anxiety which can be internalized or external behav abnormalities
-eg fear of
somatic symptoms eg stomach aches and headaches maria emphasized that it can show up as GI symptoms for kids!
who is psychosis less likely in
-in major depressive disorder the kids are less likely to have psychosis
how might mood be in a teen
they may be irritable instead of sad
when does suicide risk for adolescents
in mid teens
as we age our mood declines and this is natural?
Depression is one of the most common mental health problem for older adults, but it is not a normal part of aging.
