Patient Case Overview Laura:

Please write a written analysis on the mental health case below. Also, the Analysis must be based on the following nursing diagnosis, interventions, and the questions below (All of which I\’m providing).

Patient Case Overview Laura:

Laura is a 46-year-old married mother of three children experiencing depression. She has begun to feel low in mood over the past three months and has visited her G P, who prescribed antidepressant medication and referred her to a mental health nurse (RM N) who liaises with the surgery. The R M N used some of the principles from a cognitive behavioral therapy (C B T) approach to inform her work, including agenda setting, homework, therapeutic techniques of activity scheduling, sleep hygiene, and progressive muscle relaxation.
The mental health nurse used a structured assessment in order to gain a detailed understanding of Laura\’s background, current circumstances, and mental state. The areas the assessment considered included: Laura is a 46-year-old married mother of three children, experiencing depression. She has begun to feel low in mood over the past three months and has visited her G P, who prescribed antidepressant medication and referred her to a mental health nurse (RM N) who liaises with the surgery. The R M N used some of the principles from a cognitive behavioral therapy (C B T) approach to inform her work, including agenda setting, homework, therapeutic techniques of activity scheduling, sleep hygiene, and progressive muscle relaxation.
Additional Information: She was married for ten years, three children 5yrs, 18 months & 6 months.
Medications prescribed Trazodone 25 mg QHS, and the issue is the low mood for three months.
Lab work: No diagnostic lab work to diagnose depression.

Base written analysis of these questions in other words answer the questions below:

  Write about what you just did and how you thought about it. Tell me about all the thinking you did to develop the associated nursing diagnoses. Then, move on to the next paragraph.

Include ALL of the questions with the Answers of the questions:

List the identified nursing diagnoses in the:
“Problem” Related to “_____ “ Evidenced by “____” format.
Which nursing diagnosis is most important to address with this client? Explain how this was determined.
Which nursing diagnosis is second most important to address with this client? Explain how this was determined.
Which nursing diagnosis is least important to address with this client? Explain how this was determined.

Select the priority physiological and psychosocial Nursing diagnoses. Complete the Nursing process by answering the questions below and including the information in the explanation paper for each priority nursing diagnosis:
What is the goal for the client to show that the priority problem is reduced or resolved?
What would a nurse (you) need to do for the client to help the client meet the goal?
How would you know that the client has met the goal?

Nursing Diagnosis

1. Primary Physical Nursing Diagnosis

Ineffective individual coping related to lack of motivation as evidenced-based by patient feeling low in mood over the past three months and dis-involvement in self-care.

2. Psychosocial Nursing Diagnosis

Hopelessness r/t lack of coping skills as evidenced-based by depressed mood and loss of interest in activities.

3. Education Nursing Diagnosis

Knowledge deficient related to mood disorder and treatment, as evidenced by the new prescribed antidepressant medication and psychosocial therapy.

Interventions

Goal: Client will use effective coping strategies.
1. Observe contributing factors of ineffective coping as poor self-concept, grief, lack of problem-solving skills, lack of support, recent change in life situation, maturational or situational crises.
Rationale: Situational factors must be identified to gain an understanding of the patient’s current situation and to aid patient with coping effectively (Wayne, 2019).
2. Assess for suicidal tendencies. Refer for mental health care immediately if indicated.
Rationale: A high-risk patient will need constant supervision and a safe environment (Halter, 2019).
3. Assess the patient’s needs for self-care and offer support when appropriate.
Rationale: To explore the patient\’s self-care limitations and needs while allowing them to express their personal thought and feelings related to ADLs (Ackley et al., 2020 pg. 794).
4. Teach the patient to recognize negative thinking and thoughts.
Rationale: Negative ruminations add to feelings of hopelessness and are part of a depressed person’s faulty thought processes (Halter, 2019).

Goal: The client will verbalize feelings
1. Assess for, monitor, and document the potential for suicide.
Rationale: Hopelessness is a potential predictor for depressive and suicidal symptoms. (Ackley et al., 2020 pg. 475).
2. Assess for hopelessness with modified Beck Hopelessness Scale.
Rationale: The modified Beck Hopelessness Scale is a valid and reliable tool to measure hopelessness (Ackley et al., 2020 pg. 475).
3. Assist the client to explore the meaning of his or her life and life goals.
Rationale: Research shows that a higher meaning of life buffers the association between suicide risk factors and hopelessness (Ackley et al., 2020 pg. 476).
4. Encourage participation in a support or therapy group where others experience similar thoughts, feelings, and situations.
Rationale: Participation in such a group can decrease feelings of isolation and provide an atmosphere where positive feedback and a more realistic appraisal of self are available (Halter, 2019, pg.121).
Goal: Client will verbalize signs and symptoms of depression, recognize need for medications, and understand treatments.
1. Assess the influence of cultural beliefs, norms, and values on the patient\’s present illness perceptions.
Rationale: Interventions need to be specific to each patient considering their individual differences and backgrounds (Wayne, 2019).
2. Teach about the illness depression and how to identify early signs of relapse.
Rationale: Awareness of the early signs of relapse and specific triggers is essential in helping the patient seek care (Stuart, 2017, pg. 317).
3. Teach the action and side effects, and special instructions regarding antidepressant medications.
Rationale: Despite treatment success achieved with antidepressant drugs, they have limitations. Their therapeutic effects usually begin only after 2 to 6 weeks. Therefore, teaching patients about the increased risk of suicidal thoughts or any unusual behavior helps to observe toxicity manifestations (Stuart, 2017, pg. 317).
4. Teach the client the benefits of psychotherapeutic approaches and follow-up appointments.
Rationale: Cognitive-behavioral therapy, interpersonal therapy, and behavioral therapy have been proven effective in treating depression (Halter, 2019, pg. 126).

Lastly below are my references that I used you can use some as well but the above information was found from these sources. (Please place everything in APA format).

Ackley, B.J., Ladwig G.B., Makic, M.B.F., Martinez-Kratz, M., Zanotti, M. (2020). Nursing diagnosis handbook an evidence-based guide to planning care. Edition 12. Elsevier

Halter, M. J. (2019). Manual of Psychiatric Nursing Care Planning. St Louis, MO: Elsevier

Stuart, G. W. (2017). Principles and Practice of Psychiatric Nursing. St Louis, MO: Elsevier.

Wayne, G. (2019). Nurseslabs. Ineffective coping nursing care plan. https://nurseslabs.com/ineffective-coping/

Wayne, G. (2019). Nurseslabs. Knowledge deficit nursing care plan. https://nurseslabs.com/deficient-knowledge/

SAMPLE SOLUTION

Depression and mental disorder are conditions that continue to be witnessed across different age demographics. In the US, the National Institute of Mental Health (NIHM) contends that an average of 16 million US adults are diagnosed with at least one instance of major depression yearly. In 2016, NIHM estimated the cases of depression to be 16.2 million accounting for 6.7% of the US adult population (National Institute of Health, 2020). Although the prevalence rate is higher in people aged 18 to 25, cases for people above 40 and especially women is on the rise. NIH states that women aged 40-59 have the highest depression prevalence rates than any other group when assessed in terms of…