Hi all, I am a hospice nurse with a pt that has severe depression. This pt has a very long hx of depression which has been managed in the past, but recently (the past few years) is uncontrolled. Nothing seems to help this pt. This pt has recently undergone many electroshock treatments with no success and is currently on remeron 30 mg qhs and seroquel 25mg qhs. This pt is extremely anxious, is tearful, and has hand tremors when he is worked up. You would have to see this pt to see how bad off he really is...words can't even describe it.
The psych md states that I should be guarded in my expectations for this pt as far as getting better goes (emotionally). I don't think that any human should have to go through what this patient is going through...it is like he is in the pits of hell. I realize that his depression may not be able to be cured, but there has got to be something that can help a little.
This pt has been on several meds in the past and has been in and out of hospitals for depression. Do you guys have any suggestions? Am I unrealistic in hoping that something may be able to help this man? I feel out of my league here and would appreciate any help that you guys can offer.