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17 Cards in this Set
- Front
- Back
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How are you diagnosed with depression? |
- experience symptoms almost everyday for 2 weeks - usually low mood/anhedonia PLUS 4 other symptoms (may be cognitive, somatic or suicidal) |
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What are the cognitive symptoms of depression? |
- hopelessness - low concentration (can’t read books or watch TV) - inability to make everyday decisions - guilt - low self esteem - negative thoughts about self - feeling discouraged |
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What are some somatic/physical symptoms of depression? |
- increased or decreased appetite/weight - sleep disturbances - decreased energy - physical slowing |
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When is the greatest risk of suicide? |
Recovery due to increase in energy and motivation |
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When is electroconvulsive therapy indicated? |
When the patient is severely depressed, doesn’t respond to treatment and is actively suicidal |
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When is electroconvulsive therapy indicated? |
When the patient is severely depressed, doesn’t respond to treatment and is actively suicidal |
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How does ECT work to correct neurotransmitter imbalance? |
The electric impulse facilitates the flow of neurotransmitters |
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How is a patient prepared for ECT? |
- full physical check - blood tests - chest X-ray - ECG - pre-op checklist, ID band - nurse allocated to stay with patient - NBM - May receive B/P medication with a sip of water - given a muscle relaxant and anaesthesia before hand - pee before hand |
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How is ECT done? |
- 2 electrodes placed on either side of the head (bilaterally) or on one side of the head (unilaterally) - electric current delivered |
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What are the side effects of ECT? |
- headache - confusion - amnesia/memory loss |
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How many failed treatments must occur before ECT is considered? |
4 failed treatments/medications |
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Which placement has less side effects in ECT? |
Unilateral placement |
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Without treatment how long may depression last? |
6 months |
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What is the major nursing care priority for a depressed patient? |
Be free from self inflicted harm and/or suicidal thoughts |
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What are some important nursing interventions for the depressed patient? |
- be present/sit with them for intervals throughout the day - safety and suicide precautions - encourage them to express their feelings - specific interpersonal skills (moderate tone of voice, use their name, actively listening and silence) |
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What is one of the most effective treatments for depression? |
Psychotherapy/talk therapy |
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What are some examples of suitable talk therapies for depressed patients? |
- interpersonal (focuses on difficult relationships) - solution focused (focuses on helping person achieve a vision rather than dwelling on the past) - cognitive behavioural therapy (reframing way of thinking about self others and future, reinforces positive thoughts) |
