What are Nursing Interventions for Depression in Elderly?

Nursing Interventions for Depression in Elderly

What is Depression or Depressive Disorder?

Depression is an affective disorder which is characterized by feelings of overwhelming sadness or lack of enjoyment, sometimes with anxiety and irritability with change in eating habit, sleep and sexual function. It is a mental or physical condition characterized by insomnia, anorexia, irritability, emotionalization, impaired concentration and suicidal tendency is termed as depression.

You can read: Different Types and Causes of Hypertension (HTN)

Nursing interventions for depression in elderly
Fig: Nursing interventions for depression in elderly

Nursing Care Plan and Interventions for Depression or Depressive Patient:

Nursing
diagnosis

Goal

Intervention

Evaluation

High risk for violence related to suicidal tendency.

Protect the client from suicidal tendency and self-harm.

·   Vigilant observation of the client for any clues (active or passive) and disturbed behavioral pattern or related activities, etc. is required.

·
Provide safe environment, pace the patient
near to the nurses station to have constant monitoring and immediate care. Remove all potentially harmful objects in the client’s unit or near to the client’s a surroundings.

·
Administer the medications as prescribed.

·
Observe for side effects specifically extra
pyramidal symptoms and if any.

·
Observed, report immediately.

·
Counsel the client, show concern, love, s care
at the time of need, discuss in detail with the client, provide moral support

·
Never allow the client to be alone, if
provision is there, permit the relative to stay near to the client or one-to-one observation may be needed.

·
Encourage the client to ventilate the feelings
or emotions openly.

·
Emphasize positive attitude; needed
observational skills, pros and cons pattern, related to suicidal plans.

·
Establish and maintain positive contracts,
counsel the client frequently, provide guidance and support.

·
Assist the client in finding meaning to the
real life situation and teach coping.

Reduce the mental pressure and decrease suicidal tendency.

Alteration in mood pattern related to reduced self
esteem, self concept, guilty feelings.

Client will be able to express positive aspects of life and tries to
adopt new coping strategies to uplift him which will enhance the self esteem
and self concept.

·
Accept the client as he is.

·
Spend some time leisurely with the client,
express concern, support, well wishes, etc. Encourage the client to verbalize/ventilate his feelings openly, never pass any comments or disturb the process of ventilation.

·
Motivate the client to perform the activities
in which he is confident, appreciate or give reward for his self-accomplishment, provide assistance whenever needed.

·
Emphasize the client to participate in group
activities.

·
Inform the client about the progress made in
accomplishing the activities, which enhances self confidence.

·
Involve the family members to provide support,
concern and not to make the -client to undergo or experience difficulty in situations.

·
Assist the client to enjoy satisfaction and
meaning to life.

·
Motivate the client to appreciate areas of
change and provide needed guidance and assistance.

Increase self esteem

Ego deficit related to lack of confidence,
repeated failure in achieving goals.

Raise the self- esteem, self confidence to
strengthen client’s ego processes.

·
Permit the client to take decisions and
perform the activities without any assistance effectively.

·
Provide related resources to gain confidence
through interaction.

·
Discourage the client to have the thoughts which

hampers his growth and efficiency.

·
Provide conducive environment, repeated
opportunities to expose themselves to stressors.

Increase confidence in the patient

Variation in

life style pattern due to defective coping
strategies or lack of control over any type of life tragedies or situations.

Develop adequate coping strategies to enjoy the life situations.

·
Explain the reason for the changed situation.

·
Educate the client to utilize adoptive coping
strategies, assertive techniques to enhance the ego strengthening.

·
According to the situation, use either
positive or negative reinforcement techniques and other behavior modification techniques to face the reality.

·
Encourage the client to take decisions and set
realistic goals and work for its achievement.

·
Motivate the client to express his
inabilities.

Make patient mentally strong.

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