DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
Major depressive disorder is categorized by a persistent sad, dysphoric mood with symptoms severe
enough to interfere with daily
...
DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)
Major depressive disorder is categorized by a persistent sad, dysphoric mood with symptoms severe
enough to interfere with daily function. It is not known exactly what causes MDD but it is believed to be the
cause of alterations of neurotransmitters.
It is believed to be cause by genetic, familial, biochemical, physical, psychological and social causes.
Risk factors include being female, familial history of MDD, stress, traumatic life events, chronic illness, and
lack of social support.
Complications include impaired daily functioning and increased risk of suicide.
DIAGNOSTIC TESTS PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS
(REASON FOR TEST AND RESULTS)
Laboratory
Toxicology screening suggests a druginduced depression.
Diagnostic Procedures
Dexamethasone suppression test results may
show a failure to suppress cortisol
secretion.
Other
The Beck Depression Inventory, Hamilton
Depression Rating Scale, or another
screening tool shows the onset, severity,
duration, and progression of depressive
symptoms.
Poor affect
Loss of interest in activities
Poor sleep hygiene
Loss of appetite
Hopelessness Difficulty concentrating or
thinking clearly
Easily distracted
Indecisiveness
Delusions of persecution or
guilt
Agitation
Psychomotor retardation
Slow, monotone speech
Flat affect
Decline in grooming and
hygiene
Weight loss or gain
ANTICIPATED NURSING INTERVENTIONS
Ineffective coping mechanisms related to inadequate coping skills AEB inablility to meet basic needs.
- Identify situations that trigger suicidal thoughts this can help the client to develop more
adaptive coping skills.
- Assess the client’s social supports and supportive individual’s- client’s husband is present on
admission.
Hopelessness related to perceived hopelessness, helplessness AEB decreased affect and lack of
motivation.
- Work with client to determine areas of strength to rely on when feeling overwhelmed.
- Identify things of joy that can help to reawaken the client’s abilit
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