In This Discussion You'll Describe A Patient With Mood Disor

In This Discussion You'll Describe A Patient With A Mood Disorder And

In this discussion, you'll describe a patient with a mood disorder and the appropriate nursing interventions. Please answer the following questions in your initial posting: Describe a client from your clinical setting or previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications. Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members. Identify one effective nursing intervention and why you feel it worked. Overall, do you feel this client was kept safe? Why or why not? Please provide supporting evidence for your answers. Respond to at least two other classmates and explain if you agree or disagree with how they would handle a client who was having those symptoms. If you do not agree, please provide how they could have approached the client differently.

Paper For Above instruction

Depression is a prevalent mood disorder encountered frequently in clinical settings, often presenting with complex treatment challenges. An illustrative case from my clinical experience involved a middle-aged female patient diagnosed with Major Depressive Disorder (MDD), exhibiting persistent depressive symptoms despite ongoing pharmacotherapy. Her brief history revealed several prior episodes of depression with periods of remission, complicated by comorbid anxiety. The patient was prescribed several medications, including selective serotonin reuptake inhibitors (SSRIs), such as sertraline, along with adjunctive medications like buspirone for anxiety, and sometimes trazodone to aid sleep. Despite adherence, her depressive symptoms persisted, and she experienced feelings of hopelessness and fatigue, impacting her functioning significantly.

One problem that was not resolved despite medication management was her persistent feelings of hopelessness and suicidal ideation. These symptoms continued even after several adjustments to her medication regimen. The reasons for treatment failure in this context may include pharmacoresistance, inadequate dosage adjustments, or poor response to SSRIs alone. Additionally, psychotherapeutic or psychosocial factors such as lack of social support or unresolved trauma might have contributed to inadequate response to medication alone. The complexity of depression often necessitates multimodal treatment approaches; in this case, medications alone did not suffice, highlighting the importance of integrating psychotherapy and social interventions.

Interdisciplinary collaboration was crucial in managing her condition. The nursing team played a vital role in close monitoring of her safety, medication adherence, and providing emotional support. Psychiatrists and psychologists contributed through medication adjustments and psychotherapy. One effective nursing intervention involved regular suicide risk assessment and safety planning. This intervention worked because it maintained the client's safety by identifying early warning signs of escalating suicidal ideation and establishing coping strategies. The nurse’s consistent presence and engagement fostered trust, encouraging the client to share their feelings openly and adhere to safety protocols.

Overall, it appeared that the client was reasonably well protected during her treatment, as ongoing assessments and safety measures were in place. Her environment was managed to reduce access to means of harm, and her mental health team continually evaluated her risk level. Evidence supporting her safety included documented safety plans, loss of suicidal ideation during assessment, and her participation in therapy sessions. Though residual symptoms persisted, the comprehensive approach contributed to her safety and stability.

In conclusion, managing mood disorders such as depression involves intricate intervention strategies that encompass pharmacotherapy, psychotherapy, and vigilant safety measures. The role of nursing is pivotal in early detection of worsening symptoms, implementing safety protocols, and providing emotional support. Collaboration among the healthcare team enhances treatment outcomes, especially when pharmacological responses are inadequate. Recognizing and addressing treatment resistance, and continually assessing risk, are essential to safeguard vulnerable patients and promote recovery.

References

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