Handling a Patient With Depression from Illness Essay

Handling a Patient With Depression from Illness Essay

Handling A Patient With Depression From Illness

Depression is a mental health disorder characterized by extreme sadness and loss of interest and pleasure. It is caused by major life events such as chronic illness, sudden loss of a job, and loss of a beloved relative (Gold, et al, 2020). Depression presents with sleep disturbance, loss of interest, fatigue, impaired concentration, and suicidal ideation. Handling a Patient With Depression from Illness Essay


My Encounter With A Patient With Depression

G.M is a 32-year old female who presented at the outpatient department with complaints of generalized body malaise, sleep disturbance, and impaired concentration. Recently, she was diagnosed with coronary heart disease and diabetes mellitus type 1. She is currently on insulin, metformin, atorvastatin, digoxin, and enalapril. She reports of being overwhelmed by taking medicine daily. G.M is a teacher in a local school. She is married and has two children. When doing the mental assessment, I observed that she is neat, oriented to time place, and person, and restless. She seems to be sad, have a low volume and a weak tone. Her thought process is hopeless and she says she might die and leave her family. Handling a Patient With Depression from Illness Essay

How I Advocated In The Patient’s Situation

As the primary care provider, I re-assured the patient of the diseases; diabetes and coronary heart disease are chronic long-term diseases whose symptoms are controlled through lifestyle modification and drug compliance. I sent the patient to the clinical psychologist to start psychotherapy sessions. I also initiated antidepressants; citalopram 10mg once daily. According to Zhang, et al, (2019) depression is managed by both pharmacotherapy and psychotherapy. Citalopram is a serotonin selective inhibitor that works at the serotonin and dopamine receptors hence relieving the depressive mood. Handling a Patient With Depression from Illness Essay

Legal/Ethical Complications When Handling The Patient

Ethics are the moral principles that guide nursing practice. They are beneficence, non-maleficence, autonomy, and informed consent (Smith, & Sisti, 2020). Before initiating treatment, I assured the patient that the information provided is private and confidential, I ensured got fully informed consent from the patient, and I prioritized the patient’s needs and preferences hence observing the principle of autonomy. Handling a Patient With Depression from Illness Essay


The nurse’s role goes far beyond that which is expected. Nurses are the main communicators between patients, doctors, and family, and they care for more than just physical ailments. Often, nurses are presented with difficult situations where being an advocate becomes paramount to the healing of the patient. One of the issues that patients with acute and chronic illnesses or extended hospitalization face is a tendency to become depressed. The nurse’s role in this situation requires more than just attention to the physical problem. Another situation where a nurse may need to shift his or her care is when a patient presents with a suspicious injury or illness. In addition to considering the legal and ethical responsibilities of the nurse, he or she must consider the psychological undertones that may be present. For this Discussion, you will consider delicate situations that nurses often face and analyze the implications of these situations. Reflect on a patient care situation in which you have encountered one of the following: A suspicious illness or injury Depression resulting from illness or injury Then, locate at least one scholarly journal article related to your patient care situation that offers strategies for managing the circumstances. By Day 3 Respond to the following: Explain your patient encounter, highlighting the challenges the situation presented, and briefly summarize the contents of your journal article. What strategies did you employ to help handle the situation? What other strategies could you have used? How did you advocate for the patient in the situation? What are some of the legal and ethical implications that need to be considered when providing care for patients with depression resulting from illnesses or injuries or suspicious illnesses or injuries? Note: Avoid using personal information (e.g., names, facility name, etc.) in your post. Support your response with references from the professional nursing literature. Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). By Day 7 Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated). Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.


Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric found in the Course Information and Grading Criteria area. Submission and Grading Information Kellezi, B., Coupland, C., Morriss, R., Beckett, K., Joseph, S., Barnes, J., Christie, N., Sleney, J., & Kendrick, D. (2017). The impact of psychological factors on recovery from injury: a multicentre cohort study. Social psychiatry and psychiatric epidemiology, 52(7), 855–866. https://doi.org/10.1007/s00127-016-1299-z Learning Resources Required Readings Buijck, B. I., Zuidema, S. U., Spruit-van Eijk, M., Bor, H., Gerritsen, D. L., & Koopmans, R. T. C. M. (2014). Determinants of geriatric patients’ quality of life after stroke rehabilitation. Aging & Mental Health, 18(8), 980–985. doi:10.1080/13607863.2014.899969 Haugan, G., Innstrand, S.T. & Moksnes, U.K. (2013). The effect of nurse-patient interaction on anxiety and depression in cognitively intact nursing home patients. Journal of Clinical Nursing, 22(15–16), 2192-2205. doi:10.1111/jocn.12072 Frazao, S. L., Correia, A.M., Norton, P. & Magalhaes, T. (2015). Physical abuse against elderly persons in institutional settings. Journal of Forensic and Legal Medicine, 36, 54-60. Liu, C. H. & Tronick, E. (2013). Rates and predictors of postpartum depression by race and ethnicity: Results from the 2004 to 2007 New York City PRAMS Survey (Pregnancy Risk Assessment Monitoring System). Maternal Child Health Journal, 17, 1599-1610. doi:10.1007/s10995-012-1171-z Spilman, S. K., Smith, H. L., Schirmer, L. L., & Tonui, P. M. (2015). Evaluation and treatment of depression in adult trauma patients. Journal of Trauma Nursing, 22(1), 17–22. doi:10.1097/JTN.0000000000000102 United Nations Children’s Fund (UNICEF). (2014). Hidden in plain sight: A statistical analysis of violence against children. New York, NY: Author. Retrieved from http://files.unicef.org/publications/files/Hidden_in_plain_sight_statistical_analysis_EN_3_Sept_2014.pdf Required Media Steiner, L. M. (2012). Why domestic violence victims don’t leave. Retrieved from https://www.ted.com/talks/leslie_morgan_steiner_why_domestic_violence_victims_don_t_leave?language=en#t-58672 Handling a Patient With Depression from Illness Essay


Gold, S. M., Köhler-Forsberg, O., Moss-Morris, R., Mehnert, A., Miranda, J. J., Bullinger, M., … & Otte, C. (2020). Comorbid depression in medical diseases. Nature Reviews Disease Primers6(1), 1-22.

Smith, & Sisti, (2020). Ethics and ego dissolution: the case of psilocybin. Journal of Medical Ethics.

Zhang, Y. W., & Cheng, Y. C. (2019). Challenge and prospect of traditional chinese medicine in depression treatment. Frontiers in neuroscience13, 190. Handling a Patient With Depression from Illness Essay

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