DEPRESSION

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DEPRESSION
Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Depression is an affective disorder characterized by a psychomotor retardation. It can also be called major depressive disorder or clinical depression. It affects how you feel, think and behave and it can lead to a variety of emotional and physical problems.

AETIOLOGY
1. Heredity
2. Biochemical change in the body
3. Physical conditions e.g. infection and certain drugs like steroids and reserpine.
4. Hormonal imbalance
5. Psychological factors such as bereavement, pressure at work, home or maternal deprivation.

CLASSIFICATION OF DEPRESSION
1. Exogenous depression
2. Endogenous depression
3. Depression phase of bipolar affective disorder
4. Puerperal depression
5. Unipolar depression

CLINICAL MANIFESTATION
1. Feeling of sadness
2. Tearfulness
3. Tearfulness
4. Hopelessness
5. Angry outburst
6. Irritability or frustration

7. Loss of interest or pleasure in most or all normal activities
8. Sleep disturbances
9. Tiredness and lack of energy
10. Slow thinking
11. Trouble thinking, concentrating, making decision and remembering things

MEDICAL MANAGEMENT
Drugs employed in the management of depression include;
1. Antidepressants
2. Major Tranquillisers
3. Hypnotics drugs

PHYSICAL TREATMENT
This is usually by the application of Electro Convulsive therapy (ECT)

NURSING MANAGEMENT
1. Admit patient into ward
2. Provide physical and mental rest
3. Provide unobtrusive observation
4. Create a good nurse patient relationship
5. Encourage patient to eat, spoon feed and tube feed if need be.
6. Provide occupational therapy
7. Recreational therapy
8. Rehabilitation of the patient and relatives

NURSING DIAGNOSIS
1. Social isolation related to disease condition evidence by inability to engage in satisfying interpersonal relationship
2. Sleep pattern disturbance related to internal stress evidence by early wakening

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Comments

  1. UnknownFebruary 16, 2020 at 1:22 PM

    Wow!
    This is really good. Thanks for this. A must read for all health professionals

    ReplyDelete

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