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Learn about the nursing care management of patients with major depression. What is Major Depression?Major depression is classified under mood disorders which are characterized by disturbances in the regulation of mood, behavior, and affect that go beyond the normal fluctuations that most people experience.
Statistics and IncidencesDuring 2009-2012, 7.6% of Americans aged 12 and over had depression.
PathophysiologyThe underlying pathophysiology of major depressive disorder has not been clearly defined.
CausesGenetic, biochemical, physical, psychological, and social factors are linked to major depression.
Clinical ManifestationsSymptoms of a major depressive disorder according to DSM-IV-TR diagnostic criteria:
Assessment and Diagnostic FindingsA number of tests should be conducted to diagnose depression.
Medical ManagementA wide range of effective treatments is available for major depressive disorder.
Pharmacologic ManagementMedications are the primary treatment for major depression. Ideally, medications should be combined with various therapies. Drugs generally work by modifying the activity of relevant neurotransmitter pathways.
Nursing ManagementThese are the nursing responsibilities for taking care of patients with major depression: Nursing Assessment
Nursing Diagnosis
Planning and GoalsMain article: 6 Major Depression Nursing Care Plans
Nursing Interventions
Evaluation
Discharge and Home Care Guidelines
Documentation Guidelines
Practice Quiz: Major DepressionQuiz time about the topic! For more practice questions, visit our NCLEX practice questions page. 1. Which patient would the nurse expect to prepare for ECT? A. A female patient with dysthymic disorder D. A female patient with depression and hypomania due to cyclothymic disorder 2. How long should a depressive episode last for it to be considered for diagnosis? A. 7 days B. more than 10 days C. 2 weeks D. 3-4 weeks 3. Which antidepressive drug class is associated with severe food and medication interactions? A. MAOIs B. SSRIs C. SNRIs D. TCAs 4. The following are correct nursing interventions for patients with major depression, except: A. Painting B. Newspaper reading C. Scrabble D. Music therapy 5. The most serious complication of depression? A. Social isolation B. Suicide C. Physical deformities D. Stroke 1. Answer: C. A middle-age, female patient with major depression and an immediate risk of suicide. ECT may be used to treat major depression as well as certain psychotic disorders, particularly in situations of severe depression when psychotherapy and medications have been ineffective, when ECT poses a lower risk than other treatments do, or when the patient is at an immediate risk for suicide. 2. Answer: C. 2 weeks. Major depression is a syndrome of a persistently sad mood lasting 2 weeks or longer. 3. Answer: A. MAOIs. This is the reason why this drug class is rarely used. 4. Answer: C. Scrabble. Noncompetitive activities should be promoted for these patients. 5. Answer: B. Suicide. It occurs in 15% of untreated cases. ReferencesExternal Links & Further Reading |