Unit 4

Front 1

Definition of Mood, Affect

Back 1

1. ECSTATIC, CONFIDENT, SURPRISED, HOPEFUL, 2. HAPPY, CONFUSED, ANGRY, FRUSTRATED,

3. DISGUSTED, LONELY, SAD.

4. BLAND, BLOUNT, ANIMATED, LABILE

Front 2

ETIOLOGIES RISK FACTORS OF DEPRESSION

Back 2

1. Neurochemical imbalance

2. Genetics

3. Other illnesses

4. Hormone changes

Front 3

DEPRESSIVE DISORDERS:

Back 3

1. Dysthymia - Chronically depressed mood for most of the day, for more days than not, for at least 2 years.

2. Depression

Front 4

ETIOLOGIES, RISK FACTORS OF DEPRESSION

Back 4

1. Lack of sunshine, abuse, stress, loss.

2. Substance abuse or withdrawal.

3. Medication side effects.

4. Unhealthy defense mechanisms.

5. Low self esteem, negative thinking.

6. Unhealthy family system

Front 5

ASSESSING SIGNS & SYMPTOMS OF SUICIDE

Back 5

1. Giving away possessions.

2. Making final arrangements.

3. Abrupt change in mood.

4. Expressions of morbid themes.

5. Statements of suicide

Front 6

NURSING INTERVENTIONS:

1. Maintain close observation.

2. Maintain safe milieu

3. Assess for S I & H I & contracting for safety.

4. Assess for signs & symptoms of suicide.

5. Assess for suicidal risk factors

Back 6

OUTCOME: Patient will remain safe.

Front 7

ASSESSING RISK FACTORS for COMPLETING

SUICIDE:

Back 7

1. GENDER, METHOD, AGE.

2. MARITAL STATUS, MENTAL ILLNESS.

3. PLAN, HISTORY, RESCUED

Front 8

NURSING INTERVENTION:

1. Use assertive approach

2. Increase environmental stimuli.

3. Assess for depressive symptoms.

4. Discuss positive coping skills.

5. Encourage verbalization of grief issues

Back 8

OUTCOME: PATIENT WILL VERBALIZE DECREASED FEELINGS OF DEPRESSION.

Front 9

NURSING INTERVENTION:

1. Assess patient's perception of self esteem.

2. Give positive feedback.

3. Focus on positive characteristics & strengths.

4. Encourage A D L completion.

5. Give achievable tasks

Back 9

OUTCOME: Patient will verbalize and or demonstrate increased self esteem

Front 10

STAGES OF GRIEF & LOSS

Back 10

1. Shock & Denial: avoidance, confusion, fear numbness, blame.

2. Anger, anxiety, irritation, embarrassment, shame.

3.Depression & Detachment: Overwhelmed, Blahs, lack of energy, helplessness

Front 11

STAGES OF GRIEF & LOSS

Back 11

4. Dialog & Bargaining: Reaching out to others, desire to tell one's story, struggle to find

meaning to what has happened.

5.Acceptance: Exploring options, a new plan in place.

6. Return to meaningful life: Employment,

security, self esteem, meaning

Front 12

NURSING INTERVENTIONS:

1. Assess learning barriers.

2. Assess knowledge of illness & treatment.

3.Impliment teaching on illness, medications & other treatment modalities.

4. Review discharge safety plan & relapse

prevention

Back 12

OUTCOME: Patient will verbalize and or demonstrate knowledge of ....

Front 13

Electroconvulsive Therapy,

E C T Side Effects

Back 13

1. is the induction of a grand mal seizure

1. Temporary memory loss.

2. confusion

Front 14

E C T indications

Back 14

1. Acutely suicidal.

2. Severe Depression.

3. Psychomotor retardation

Front 15

E C T Mechanism of Action

Back 15

1. Significant increases in serotonin,

norepinephrine, dopamine.

2. Increases in glutamate &

gamma-aminobutyric acid