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Major Depressive Disorder (MDD) (Assessment (Client (Living sit (Who…
Major Depressive Disorder (MDD)
Diagnosis
5 or more of the following symptoms >2 wks
Psychomotor retardation
Fatigue/ loss of energy most days
Insomnia or hypersomnia
Diminished ability to think/concentrate
Markedly diminished interest/pleasure
Feelings of worthlessness/excessive guilt
Depressed mood
Recurrent thoughts of death/suicide
Significant unintentional wt loss/gain (5% in 1/12) or dec/inc in appetite
Assessment
Client
Living sit
Who shops/cooks
Support
PA
Employment
Nut knowledge, fears, beliefs
Other medical conditions
Medications
Diet
Fears/paranoias
Intake
Rqts
AGHE
Fluid
Biochem
Lipids
BGLs
NFPF
Bowels
Energy
Appetite
Anthro
Current wt, usual wt, ABW %loss/gain in time frame
Ht
BMI
Adiposity
Intervention
Plan to meet EER, EPR
Work w pt regarding nut fears
Goals
Short term
Adequate intake while unwell
Long term
Health eating advice
Metabolic Syndrome Recommendations
Monitoring and Evaluation
Wts requested
Review weekly (fortnightly once outpatient)
Food chart requested