Chapter 14 on Depressive Disorders PDF

Ch19 Depressive Disorders [  key Terms pg 240 Affect : outward representation of a person's internal state and is an objective finding based on the nurse...

Ch19 Depressive Disorders [  key Terms pg 240 Affect : outward representation of a person's internal state and is an objective finding based on the nurse's assessment Anergia : abnormal lack of energy of happiness to feel pleasure Anhedonia : absence or inability Bereavement Exclusion : being advised against diagnosing a person w/ depression in the first 2mos following a significant loss Deep Brain Stimulation ; treatment where electrodes are Electrorgiympastimulatt Light Therapy First : o usuchdordersainfluence line treatment on melatonin Repetitive Transcranial Magnetic Stimulation : Alleviates symptoms of depressionnonsivementM strength magnetic puses Serotonin Syndrome : Clow metabolism build up inmeds, caused causing of by to much serotonic in the the Drain synapes ; tachycardia, fast Suicidal Ideation : recurrent thoughts everything of death Vagus Nerve Stimulationstreatment for epilepsy also , improves mood in a population that normally experiences highe ratesofesion Signs of Depressionalterationsinactives necess Vegetative is  Depressive Disorders All share symptoms of sadness , emptiness, initability somaticlbody) - , concerns s impairment of , all impact a persons thinking ability to function Major Depressive Disorder 5 or more symptoms have been present during of the same 2week period ; at least one the symptoms include "depressed mood or loss, insomnia 3 or pleasure weight lloss of interest 3) psychological retardation worthless, a loss of energy it) feeling others of Death, -) recurrent thoughts gloss of ability to concentrate  Disruptive Mood Dysregulation Disorder Ages le to 18 symptoms Constant and severe - initability i anger situation - temper tantums out of proportion to the 3times aweek at least - Exhibit symptoms in at least two settings:home, school and vol peers Management symptomatic - medications ; CBT parent training facial expression recognition training Persistent Depressive Disorder · known asdysthymia · Low-level depressive feelings through most of each day, of for the majority days - at least 2 years in adults at least I year in children is adolescents - · must have two or more of the following : - decreased appetite or overeating , insomnia or hypersonata poor self-esteem , difficult thinking, low energy, and hopelessness  Premenstrual Dysphoric Disorder interruption ↳ symptom cluster in last week prior to onset of a woman's period include ↳mood swings , initability, depression, anxiety , feeling overondmed and difficult concentrating symptoms decrease significantly onset of menstration or disappear / the Treat Aerobic excercise , be active , relaxation , SSRF (fluoxetine) (prozac) Isertraline) Loft Other Depressive Disorders  Take amonth to work SHRI First ngs = ~stimulate chls serotonin (regulating sleep) I serotonin syndrome stress noepinephrine (hehaviors - actocholine Fuoxetine (SURI) - Fatigue &Insomnia = Sexual DysfunctionsBupropion (Wellbutron) Chronic pain= duloxetine (SWIRI) Table Hob FDA -  Process Assessment nursing · Assessment of suicidality self-assessment · Behavioral/Affect :Anergia · and anhedonia · Mood :Depressed mood · Emotions : Anxietyfeelings of worthlessness ,hopelessness, guilt ,angerineplessness hallucinations Thoughts/Perceptions : delusions and low · Chronic pain (sometimes cormorbidity · : Self Assessment Patients wh depression ; - often reject the advice ,encouragement ,understanding nurse best response ; unrealistic expectations for yourselfpatient recognize - - understand roles - empathy not sympathy  prHursing Process Implementation · three phases · - Acute Phase ille to 12 voks) Continuation Phase (4 to amos) Phase lyr - - Maintenance or more Communication Techniques -use simple , concrete words allow response time - - listen for conventmessages - ask about suicide plans - avoid platitudes when patient silent; avoid direct questionsreinforce - realty to make - observations  Sto John warts Flower processed into tea or tablets thought to increase sootonin · herepinephrin ,dopamine , brain in the ouseful in mild to moderate depression ElectroconvulsiveTherapy cast resort severe malmitition, exhaustion , dehydration due to depression delusional · Transcranial Magnetic stimulation · noninvasive · X metal Adverse · headache lightheadedness setuves rarely scalptingling ↳ Vagus Newe Simulation Treatepilepsy andimprovesmis o - St : voice alteration  LightTherapy for seasonal affective therapy first line treatment · headache Seijitters · Exercise increasestonavai l a bi l ia t be overactive a in depresso