Depression Care Plan help

[kansasredneckwomen]

I had a patient this week that has had some major health issues in the last year. Because of this, and a possible ileostomy, I wanted to do a Depression nursing diagnosis but noticed it is not in my care plan book. Did Nanda remove it?

[Nicole3d]

Psych has its own nursing diagnosis book...shoot, I can't remember the name since I never used it. Google might be your best bet..:)

[Esme12, ASN, BSN, RN]

I had a patient this week that has had some major health issues in the last year. Because of this, and a possible ileostomy, I wanted to do a Depression nursing diagnosis but noticed it is not in my care plan book. Did Nanda remove it?

What else could you think of that the patient would be experiencing due to the medical complications and chronic illness that they are dealing with?? That the chronic illness has lead them to be depressed and the exhibit the following nursing observations and patient needs/complaints.

Disturbed Body image

Compromised family Coping

Defensive Coping

Ineffective Coping

Disturbed Energy field

Risk for compromised Human Dignity

Ineffective self Health management

Hopelessness

Impaired individual Resilience

Risk for Suicide

Would any of these apply due to the patient being depressed? Remember it's all about the patient assessment and needs....what did you observe that leads you to believe that the patient is depressed....what symptoms of depression does the patient exhibit?

[nurseprnRN, BSN, RN]

"Depression" is a medical diagnosis, not a nursing diagnosis. This is why you won't find it in your NANDA-I 2012-2014.

Nursing diagnosis does not derive from medical diagnosis. A nurse cannot say, "My patient has depression. What is her nursing diagnosis?"

What symptoms/signs ("defining characteristics") have you assessed in your patient? No defining characteristics for nursing diagnosis, no nursing diagnosis.

Physicians use specific criteria to diagnose medical conditions-- for example, blood count for anemia, chest xray and sputum analysis for tuberculosis.

Nurses use specific criteria to make nursing diagnoses-- they are listed in your NANDA-I 20112-2014 and called "defining characteristics."

As cavitations and tuberculosis bacilli in the sputum are the defining characteristics to make the diagnosis of tuberculosis, so are the defining characteristics for nursing diagnoses used to make the nursing diagnoses.

[Band]

Can you do another one rather than psych? like acute pain, or risk for infection

Nursing dx, the problem

Hopelessness

Related to, would be the cause of the problem

Long term stress, prolonged activity restrictions

As evidenced by would be, what makes you so sure? What cues did he or she give you?

patient verbalization of "I can't imagine going thru this again", lack of involvement of care

[nurseprnRN, BSN, RN]

Look at the effects her psych diagnosis has had upon her, and you'll be beginning to think like a nurse. That's why medical dx may be a related-to factor in a nursing dx. What have you found in your NANDA-I?