Please enable JavaScript.
Coggle requires JavaScript to display documents.
Major Depression Disorder: - Coggle Diagram
Major Depression Disorder:
Pathophysiology
Current evidence points to a complex interaction between neurotransmitter availability and receptor regulation and sensitivity underlying the affective symptoms.
Clinical and preclinical trials suggest a disturbance in central nervous system serotonin (5-HT) activity as an important factor.
Other neurotransmitters implicated include norepinephrine, dopamine, glutamate, and brain-derived neurotrophic factor.
The role of CNS 5-HT activity in the pathophysiology of major depressive disorder is suggested by the therapeutic efficacy of selective serotonin reuptake inhibitors (SSRIs).
An integrative model of late-onset depression posits that age-related brain changes and disease-related changes coupled with physiologic vulnerabilities and psychosocial adversity, lead to disruptions in the functional circuitry of emotion regulation.
Nursing Interventions
Identify the level of suicide precautions needed. If there is a high-risk, does a hospitalization requires? Or if there is a low risk, will the client be safe to go home with supervision from a family member or a friend
Implement a written no-suicide contract.Reinforces action the client can take when feeling suicidal.
Behavioral Interventions
Encourage clients to express feelings (anger, sadness, guilt) and come up with alternative ways to handle feelings of anger and frustration.
if you feel yourself getting angry, stopping and taking some time out to settle yourself down
Deep breathing exercises when getting angry
Patient Education
That a person diagnosed with MDD can get help from a local community health center.
if you feel yourself getting angry, stopping and taking some time out to settle yourself down
talking to people who are supportive.
Teaching them how to cope with depression like meditating or doing an acitvity they like.
if you feel yourself getting angry, stopping and taking some time out to settle yourself down
Medication
Antidepressant
Taking medications designed to help relieve symptoms of depression. Some antidepressants also have other uses, such as treating chronic
Anxiolytic
Relieves anxiety and tension. May promote sleep.
SSRIs
Eases symptoms of depressed mood and anxiety.
Antipsychotic
Reduces or improves the symptoms of certain psychiatric conditions.
Important Assessments
assess the core symptoms of depressed mood and loss of interest or pleasure in daily activites.
performing the mental status exam
performin the psycosoial interview
assess if they are suicidal potential