Depression Nursing Care Plan

Depression Nursing Care Plan

Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
Date Prepared: November 21, 2050


Patient Information:

Patient ID

Name

Age

Gender

Date of Birth

12345

Adelia Harber

45

Female

May 15, 2005


Assessment Data:

  • Chief Complaint: Persistent feelings of sadness, loss of interest in daily activities, trouble sleeping, and fatigue.

  • Medical History: Mild hypertension, history of substance abuse (recovered).

  • Psychiatric History: Diagnosed with major depressive disorder (MDD) 3 years ago, with intermittent symptoms.

Nursing Diagnosis:

  • Risk for self-harm related to depressive symptoms.

  • Ineffective coping related to lack of social support.

Patient Goal(s):

  1. Short-term goal (within 1 week): Patient will express reduced feelings of sadness and anxiety, rating symptoms less than 5 on a 10-point scale.

  2. Long-term goal (within 3 months): Patient will engage in at least one social activity per week and report improved sleep patterns.

Nursing Interventions and Rationales:

Intervention

Frequency

Expected Outcome

Rationale

1. Administer prescribed antidepressant medications (e.g., SSRIs).

Daily, as prescribed

Patient will show a reduction in depressive symptoms.

Antidepressants help regulate mood and serotonin levels.

2. Provide therapeutic communication, encouraging the patient to express feelings.

Daily

Patient will verbally express emotions and concerns.

Active listening helps improve emotional expression and reduces isolation.

3. Monitor vital signs, including blood pressure, to assess side effects of medication.

Every 8 hours

No significant changes in vital signs.

Monitoring ensures early detection of medication side effects.

4. Educate patient on relaxation techniques (e.g., deep breathing, mindfulness).

Weekly

Patient will report reduced anxiety and improved relaxation.

Relaxation techniques help lower stress and improve mood regulation.

5. Encourage participation in a support group or therapy sessions.

Bi-weekly

Patient will attend at least one group session.

Support groups provide social interaction and reduce feelings of isolation.


Evaluation:

  • Date of Evaluation: December 15, 2050

  • Progress:

    • Short-term goal: Patient reports a decrease in depressive symptoms, rating them as 4/10.

    • Long-term goal: Patient has attended 2 therapy sessions and engaged in one social activity with family.

    • Further Recommendations: Continue medication management and increase social engagement through community events.

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