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Intervention for a patient in the clinical setting with a Mood Disorder

 

Brief history:

Tina, 30 years old female, married and recently had a miscarriage. She found out that her husband is having an affair with his officemate and is leaving her to be with the other woman. A month after knowing the extra marital affair, Sophie resigned from her work after having difficulties concentrating as she was always thinking of what went wrong and if it was her fault. She slowly neglected self-care, sleeping too much and was always anxious about everything. She didn’t have any appetite and lacked energy all the time. She verbalized that she always feels sad or depressed and that nothing is right in her life anymore. She sometimes doesn’t feel like living at all anymore and having suicidal thoughts. With the events that triggered the mood disorder, duration of Sophie’s symptoms the doctor diagnosed her with major depressive disorder.

 

Major Depressive Disorder: It’s known as mood disorder. The difference in depressive disorder which can lead to bipolar disorder, anxiety, and suicidal thoughts. In major depressive disorder is a common mental disorder that presents with depressed mood (Perlick et al,2016). It can become chronic or recurrent and lead to substantial impairment in an individual’s ability to function (Perlick et al,2016). Major depressive disorder is fourth leading cause of disability. Some of the symptoms that are affected in major depressive disorder are: how you feel, think, activities, eating, sleeping, and working (Perlick et al,2016).

 

Medications given include fluoxetine (Prozac), sertraline (Zoloft), citalopram (Celexa) these are SSRI’s (Selective Serotonin Reuptake Inhibitors) medications.

 

 Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members.

 Psychotherapy or talk therapy.
Talk therapy might not work for everybody. In this case, patient was not finding ways to cope and solve the problems. She was not being dedicated in setting realistic goals.
The patient and the therapist are not matched.

Identify one effective nursing intervention and why you feel it worked. 

Providing support by contacting family, arranging for crisis counselling.
Referral to self-help groups.
These nursing interventions help provide support resources to diminish feelings of hopelessness and isolation.

Overall, do you feel this client was kept safe? Why or why not?

The patient is still at risk of suicide. She needs to be the one who is willing to change her disposition in life by knowing the ways to cope and solve problems she is facing.

Please provide supporting evidence for your answers.

Patient who are at risk of suicide but does not like to talk about their problems should have a support group wherein they can have other activities such as sport or a hobby. It will eliminate feelings of depression and isolation.

Please comment/discuss on my above post. If you agree or disagree.

Thank you!

SCIENCE
HEALTH SCIENCE
NURSING
NUR 2488

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