Mental Health Regarding Depression
Nursing Management for Depression
Registered nurses in mental health institutions are forced to deal with various mental health illnesses that have become more rampant in almost every part of the world. Among the many mental health issues that require psychiatric examination is depression (Segal, Williams & Teasdale, 2018). Depression is a mental health disorder persistent with low moods or general loss of interest in a person’s daily activities. In addition, depression causes a significant impairment or problems in one’s day-to-day life. After reviewing more research, it’s found that depression is a result of a mixture of psychological, biological and social distress that disrupts a person’s general activity.
After reviewing more research, it’s discovered that depression has a high relation to smoking; the amount of nicotine in the cigarettes causes or affects the brains’ neurotransmitter resulting in higher levels of serotonin. In addition, depression plays a major role in individuals who struggle with thyroid disease. The thyroid hormone struggles to act as a neurotransmitter hence failing to regulate serotonin levels. These factors cause a general change in the functioning of the brain that includes altering activities of the neuron circuits in a patient’s brain.
The persistent loss of interests in a person’s daily activities, as well as the general low mood, may lead to certain physical and behavioral symptoms that may include changes in appetite or a person’s concentration. In extreme circumstance, some of the patients experiencing depressed moods exhibit suicidal tendencies. In essence, depression is a serious mental illness that affects how a person feels, thinks or acts. This document discusses how a registered nurse can manage depression based on community resources.
There are various ways that registered nurses could use to address mental health illnesses such as depression. For instance, if the patient is based in Florida, specifically in Pinellas County, the facility offers twenty-four hour emergency screenings, crisis intervention as well as suicidal hotline. Once the patient is brought to the mental health facility, the registered nurse practitioner will diagnose or examine him or her to identify the exact mental health problem that he or she could be suffering from. Soon after this has been done, the nurse can or may opt for community health services where the patient can be visited at his or her residence to check on how he or she is progressing (Segal et al., 2018).
The registered nurse with the help of the mental health facility within the community can institute psychosocial intervention as well the combination of antidepressants with the guidance of a qualified mental health practitioner to help the patient in recovering from his or her current mental state. The reason for adopting a home-based health care program for patients suffering from depression is to ensure, that he or she receives the best attention by the most qualified nurses. The nurses selected will have the potential of accessing and delivering depression care management to patients. One can use such psychological treatment as cognitive behavioral therapy to treat or manage depression.
This works well compared to the use of antidepressants which may have negative effects on the patient. Here, as a qualified registered nurse, I will use a mental tool kit with the guidance of a doctor to challenge any negative thoughts or feeling that the patient may be experiencing. This will help the patient change the way he or she sees the world around her and have a new perception of things. Moreover, the reason as to why I would use a cognitive behavioral therapy is that it is useful in reducing or preventing depression lapses that may make a patient take too long to recover (Segal, Williams & Teasdale, 2018).
Furthermore, it’s effective in improving the patient’s condition from mild depression to moderate depression. However, when psychological treatments fail to yield fruits, the registered nurse may administer anti-depressants prescribed by a doctor for the patient alongside psychological treatments for a patient who experiences severe depression. It is evident that using a medical treatment such as antidepressants helps in reducing several symptoms including fatigue or poor low self-esteem that is associated with depression. This would, therefore, require the nurse administer mood stabilizers as well as antipsychotic medicines obtained from PEMHS with the doctor’s prescription to help in addressing the situation. However, the patient would need to be informed of the fact that the antidepressants take approximately two weeks before they can react and help the patient.
On the basis of community health resources such as Windmoor hospital which is a mental health institution based in Pinellas Park, Florida, one can use this facility in managing the mental health conditions such as depression. As a registered nurse, I will be able to manage the mental health condition by requiring the patient to visit the Windmoor hospital for examination to identify the exact mental health problem (Beard, Stein, Hearon, Lee, Hsu & Björgvinsson, 2016). Once the condition has been positively identified, a doctor may recommend a psychotherapy treatment to assist in the management of depression.
However, a psychotherapy treatment plan can only be administered by a registered nurse with credentials in advanced nursing practice. This is a talk therapy with the patient to help him identify or figure out what exactly could have caused the depression and how best to help the patient feel better. The idea behind the talk therapy is to help the patient track his or her moods and begin practicing new ways of reacting to people and whatever happens to him or her in the surrounding environment. In order to help the patient feel better, I will educate him on the need to keep his appointment and practice the exercise that the doctor would have recommended to him. However, in the most unlikely event that the condition is too severe, Windmoor hospital has the best treatment for depression (Bogner, Joo, Hwang, Morales, Bruce, Reynolds & Gallo, 2016).
Therefore, I would administer medical treatment along with psychotherapy based on the doctor’s prescription. The patient would be required to book an extended appointment to have an extended opportunity for a wider consultation. Once this has been achieved, the patient will be given the antidepressants to help fight the effects of depression. However, this will be prescribed alongside the psychotherapy treatment so as to bring about a quick effect and the much-needed recovery. More importantly, the type of antidepressant medication to be prescribed will base on the consultation with a doctor.
There are several natural remedies for combating the depression that I may use in order to have a cheaper treatment plan for the patient if it is found out that he cannot afford to pay for both cognitive behavioral therapy and medical treatment. Moreover, some people are of the opinion that sadness does not and should not be subjected to medical treatment. Therefore, the doctor may make recommendations that require the patient to consider such things that make him or her feel depressed because it is obvious that depression comes as a result of circumstances in a person’s life. Once the recommendation is in place, I will make a follow-up appointment to ensure that the patient adheres to the plan to avoid depressed feelings or make efforts to move away from such triggers.
After getting guidance from the doctor, I will ask the patient to have enough exercise (Segal, Williams & Teasdale, 2018). It is important to realize that exercise releases endorphin that is responsible for making a person happy which is a natural antidepressant. On the other hand, I will read the recommendation thoroughly to be in a position of advising the patient need to eat plenty of serotonin-enhancing foods. This is because medics use antidepressants to prevent the uptake of serotonin in the brain, thus increasing the level of serotonin. Therefore, such foods as coconut oil and omega 3 fatty acids will play an important part in increasing the level of the serotonin level in the brain of the patient. To add on these, I would recommend to the patient that he ought to make frequent visits to a psychiatrist so that he can speak out about how he or she feels.
In conclusion, depression is a mental health disorder that is persistent with low moods or a general loss of interest in a person’s daily activities. If not addressed in time, the patient may have some suicidal tendencies. The best way to manage and treat depression is by using psychotherapy treatment which may be backed up by medical treatment using antidepressants based on the consultation with the doctor.
Beard, C., Stein, A. T., Hearon, B. A., Lee, J., Hsu, K. J., & Björgvinsson, T. (2016). Predictors of depression treatment response in an intensive CBT partial hospital. Journal of clinical psychology, 72(4), 297-310.
Bogner, H. R., Joo, J. H., Hwang, S., Morales, K. H., Bruce, M. L., Reynolds, C. F., & Gallo, J. J. (2016). Does a depression management program decrease mortality in older adults with specific medical conditions in primary care? An exploratory analysis. Journal of the American Geriatrics Society, 64(1), 126-131.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2018). Mindfulness-based cognitive therapy for depression. Guilford Publications.
Jaquetta Stevens PhD.