Nursing Care Plan for Depression by RNspeakcom

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									                                                                  Nursing Care Plan for Depression

    NURSING DIAGNOSIS                    OBJECTIVES                 NURSING INTERVENTIONS                  RATIONALE                        EVALUATION

                                Short term goal:                  1. Introduce self and intention    1. This will help client        After 2 weeks of nursing
SELF- ESTEEM DISTURBANCE                                          during the first phase of             build his trust with the     interaction, the client can
                                After 2 weeks of nursing          interaction.                          nurse; ensuring that it is   verbalize positive concept of
Possible Etiologies: (Related   interaction, client will be                                             a professional type of       self, know his strengths and
to)                             able to view self positively                                            interaction and that will    limits as a person.
                                through realization of                                                  ensure the
Failure in school               strengths and limits as a         2. Interact with the client in a      confidentiality of           At the end of nursing
achievements                    person.                           slow pace, using a low firm           interaction.                 interaction, the client is
Dysfunctional family system                                       tone.                              2. -This will promote a         participative in daily
(absentee father)               Long term goal:                                                         positive and trusting        activities, shows eagerness
                                                                                                        environment with the         to socialize with other
                                At the end of nursing             3. Do not hurry client into an        client considering that      people, copes well with
Defining characteristics:       interaction, the client will be   interaction, instead maintain a       depressed clients            problems through omission
(Evidenced by)                  able to demonstrate               therapeutic and reassuring            sometimes                    of negative thinking,
                                behaviors that show                                                     communicate with             acceptance of honest
                                                                  atmosphere that you are
Subjective Data:                optimism to self, the world                                             some gaps or may be          appraisal, and express
“I am such a failure. My        and living his life through       available if he is already ready      unresponsive for some        emotions productively.
parents never loved me...”      acceptance of limits,             to talk or share his thoughts         reasons.
verbatim of client.             interacting with other            with you.
                                people and the ability to                                            3. -Sometimes clients who
Objective Data:                 express self and solve            4. Assess the factors                 are depressed may have
*Lack of eye contact            concerns properly.                contributing to low self-             some emotional
*Guarding behavior (closed                                        esteem like previous                  outbursts, crying spells
posture)                                                          educational failures, family          or hesitancy in sharing
*Rejects negative feedback                                        relationships and interaction,        their thoughts. Be wary
when praised for good                                                                                   of these nonverbal cues
                                                                  availability of support system,
grooming                                                                                                and provide some
*Stooped gait, slightly                                           and the ability to express own        comforting gestures or
unkempt hair and nails                                            self.                                 allow client cry as it
*Some agitations observed                                                                               would lessen his
because of frequent wringing                                                                            exaggerated emotions.
of hands
                                                                                                     4. -These will help in
                                                                                                        knowing which aspects
5. Assess and observe how             you should reinforce
client views himself and how          with during the plan of
he copes with his previous and        care. It may also help
                                      client understand of his
present problems.
                                      limits as person.

                                  5. -Knowing these will help
6. Conceptualize goals for           you pinpoint with the
recovery together with the           client if how he cope
                                     with his problems
client and involve client in
                                     effectively or not; these
simple decision making.              will guide him to avoid
                                     negative coping
7. Involve client in activities
that meets his abilities and
praise him honestly for
achievements done.                6. -This will help client
                                     know his strengths as a
8. Interact with the client          person and would help
using broad statements and           him resume his
note for statements that             autonomy and integrity.
indicate negative thinking or
                                  7. -This will not only
cognitive distortions like
                                     promote client’s
overgeneralization, all- or          positive concept of self
nothing thinking, jumping to         but would also enhance
conclusions, etc.                    his ability to resume
                                     functioning like his daily
9. Encourage client care about       self- care.
self through grooming and         8. -These negative thinking
eating properly.                     statements are often
                                     utilized by depressed
                                     individuals and
                                     correcting this will help
10. Let him express self             client cope
through non stimulating              appropriately.
activities like dancing,
drawing, or assuming role
                                  9. Maintaining a positive
11. Encourage re-                    image of self helps a
                                     person feel good about
establishment of relationships
with significant ones and
emphasize that proper control
of anger and guilt could assist
                                  10. -This will promote
him interact appropriately.           client’s ability to
                                      express self

                                  11. -This will enhance
                                      client’s ability to
                                      socialize and view that
                                      life is still worth living.

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