NURS 326 Class 7 Depressive Disorders & Suicide PDF

NURS 326 Class 7 Depressive Disorders & Suicide Chapter 22 & 20 Chapter 3 (Ralph Text) Christina Rogers BScN RN  Key Terms Chapter 22 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Mood Mood...

NURS 326 Class 7 Depressive Disorders & Suicide Chapter 22 & 20 Chapter 3 (Ralph Text) Christina Rogers BScN RN  Key Terms Chapter 22 ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ ▪ Mood Mood Disorders ▪ → ABCSTAMPLICKER Facts and Statistics ❖ ❖ ❖  Postpartum Depression Premenstrual Persistent Dysphoric Depressive Disorder Disorder Depressive Disorders Seasonal Substance Affective Induced Disorder Major Depressive Depressive Disorder Disorders  Major Depressive Disorder One of the leading causes of disability in Canada and the US Affects women 2x more than men Affects 20-25% of individuals at any given time, with the number increasing Especially in school aged children and teens Prevalence Highest in age 45 and younger, with a spike after age 75 More common in wealthier countries No association with race. → Speculation that Indigenous & First Nations people may have high rates of MDD based on the high % of suicide rates. More common in those who remain unmarried or are separated/divorced More common during the fall or winter months  Diagnostic Criteria - DSM-V Symptoms must cause distress/impaired functioning at work, in relationships, or in daily life Cannot be attributed to another disorder or substance use Additional Symptoms ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Major Depression Across the Lifespan  Risk Factors Genetics Development Deficiency in Neurotransmitters Norepinephrine Serotonin Dopamine Acetylcholine Etiology & Nutritional Deficit Proteins Risk Factors Carbs Vitamin B Iron Zinc Ca Chromium Iodine Lithium Selenium Potassium Hormones Higher cortisol Thyroid Stimulating Hormone Nursing Problems Interventions & Evaluation Substance Induced Depression → Also known as Secondary Depression Seasonal Affective Disorder Treatment ❖ ❖ ❖  ▪ Persistent Depressive ▪ Disorder (Dysthymic Disorder) Nursing Considerations Interventions & Evaluation ❖ ✓ ✓ ✓ ❖ ✓ ✓  Premenstrual Dysphoric Disorder DSM-V Diagnostic Criteria Nursing Considerations Prevalence 6% of females May fluctuate throughout lifetime Risk History of trauma Stress Genetics Nullipara and no contraceptive use Nursing Problems Impaired function at work or school Impaired grieving Impaired coping Social isolation Treatment & Evaluation ✓ ✓ ✓ ✓ ✓ ✓  Post-Partum Post-Partum Baby Blues Depression Psychosis Worry, Sadness, Fatigue Worsening symptoms Depressed mood, in the evening, fatigue, agitation, indecision, irritability, appetite poor concentration, changes, sleep guilt, hallucinations, changes, decreased delusions libido, feelings of inadequacy Postpartum Subside in a week or Can last for several Treatment: Depression two without treatment months medications, therapy, May need therapy and possible hospitalization medications Can last for months Occur in 80% of Affects 10-15% of Occurs in