Mental Health What It Is About, An Insight Into The Nursing Care Of A Depressed Patient.

1178 words - 5 pages

This insight is about mental health, "mental health is the balance between all aspects of life - social, physical, spiritual and emotional. It impacts on how we manage our surroundings and make choices in our lives - clearly it is an integral part of our overall health" (youth 2003)I have chosen to look at depression, which comes under mental health illness. My insight is on a female who 80 years old.Geriatric depression is a very common mental disorder among elderly people. As Bennett and Ebrahim (1993 p118) states, "typically the patient has characteristic features of a depressed mood, and may be tearful, anxious, and lack concentration. There may also be weight loss, sleep disturbance, and loss of libido". These symptoms are reflected in my patient Vera. There are a few several other different types of depression - major depression, minor depression, seasonal affective disorder, adjustment disorder with depressed mood, organic effective disorder, dysthymia and bipolar disorders (manic depressive syndromes).The scenario is set in a six-bedded bay Vera is situated next to the window. She had lost her husband two weeks before she came into hospital. Vera's family appear very supportive and will support her when she is discharged home. Vera awoke very early a trained nurse and myself were in the bay at this time and asked her if she wanted to have a wash, as she was awake, she ignored us. This insight is based on this scenario. (See appendix I sensitivity and awareness skills)About Vera and her depressionVera was brought into hospital suffering a stroke Vera had suffered with a mild form of depression since her late forties, but it has begun to get a lot worse since her husband has passed away. Norman (1982 p9) maintains that "the mood of the disease depression is a terrible feeling; life seems to have no purpose; everything takes on a gloomy, dark quality; there is an emptiness and a purposelessness; thoughts tend to be morbid and tinged with the stillness of death; time seems interminable, endless; there is no point to the future; there is a hopelessness in which everything seems stifled under a blanket of despair and gloom".Vera wakes up very early in the morning. When she wakes she is very restless. Vera would be very unhappy and down in the dumps, even ignoring people. As Norman (1982 p9) states, "depressed people often wake very early in the morning when their mood is also at its lowest ebb, and cannot get back to sleep again". This could explain why Vera presents herself like this in the mornings.The fact that Vera has suffered with a stroke it is associated with depression. As Eaton (2001 p25) describes "depression may just stem from a person being isolated, often through bereavement. Some people can simply become bored with life. One of the major risk factors is social isolation".The signs and symptoms of a depressed geriatric patient as Tucker et al (2001 p36) states " Low mood or irritability; agitation or decreased...

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