Depression in a Geriatric Client
Depression in a Geriatric Client Essay
Depression in a Geriatric Client Essay
Write a paper for an elderly client between the ages of 75 to 100 experiencing reactive depression due to placement in a long-term care facility by their family members.
Describe your client\’s biographical and psychosocial data as an introduction to your paper, along with any current medical diagnosis (for example: hyperlipidemia, hypertension, obesity or failure to thrive, diabetes, macular degeneration, heart failure history, osteoarthritis, urinary incontinence, etc.).
Review the clients care plan. List one nursing diagnosis, one client goal, and two interventions found in the clients care plan. Locate two scholarly references to support what you found in the care plan and include them in your paper. Depression in a Geriatric Client Essay
Include the use of the Geriatric Depression Scale in your data gathering.
See your assigned reading to obtain this scale.
Give your client a score after tallying all the indicators on the scale for your client.
Rate your client from \”normal\” to \”severely depressed.\”
State your references in APA format at the end of the paper.
Module 04 Written Assignment – Depression in a Geriatric Client
Scoring Rubric:
Criteria
Points
Included biographical and psychosocial data of a client between 75 to 100 years old, who was placed in a long-term care facility by family.
10
Included medical diagnoses pertinent to the age of the client.
5
Included (1) nursing diagnosis and (5) objective data descriptors (or defining characteristics) of the client. In addition, included a rating from the Geriatric Depression Scale-explaining why the client scored the way he/she scored. Depression in a Geriatric Client Essay
Included (1) to (2) short-term goals for the client to achieve (written out with the goals being measurable with a time to be completed).
Included (6) nursing interventions (3 being teaching interventions) for the client regarding the nursing diagnosis with rationales of why these interventions are needed.
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Wrote an evaluative statement of the goal/s being met and why or why not with a description of the client\’s behaviors, etc.
Included references in APA format at the end of the assignment.
Module 04 Written Assignment: Depression in a Geriatric Client
Introduction
A76-year-old widowed woman was admitted to the nursing home by her two sons.The client reported loss of pleasure, feeling sick, lack of sleep, bored, empty, helpless, hopelessness, sadness, and expressed death wish. The client did was always withdrawn and did not want to interact with other residents. The client felt that her sons and other relatives had deserted her and she no longer had the desire to live. In the Geriatric Depression 15-Item Scale, the client scored 11 indicating that she is severely depressed. The client had type 2 diabetes and a history of hypertension.
Care Plan
Nursing Diagnosis
The risk for self-harm: The client is at risk for behavior that she can physically and emotionally harm self as evidenced by suicidal ideation and other symptoms such as hopelessness, loneliness, depression, and social isolation (Bruce, 2015). Depression in a Geriatric Client Essay
Desired Outcomes
The client will adhere to the treatment regimen
The client will seek out help if she experiences self-destructive impulses
The client will not inflict self-harm
The client will state the desire to live
The client will manifest symptom remission for depression
Interventions
Cognitive-behavioral therapy (CBT): The client will undergo psychotherapy (CBT). CBT will help in changing the negative belief patterns for this client and replace them with more healthy thoughts. The client will also learn coping skills and be able to cope with the fact that she is in a nursing home and not the home environment (Simning& Simons, 2017).
Implementing a written no-suicide agreement: An agreement will be signed with the client that she will not attempt suicide. The agreement will include actions the client should take whenever she is feeling suicidal.
References
Bruce M. L. (2015). Caring for Depression in Older Home Health Patients. Journal of psychosocial nursing and mental health services, 53(11), 25–30. doi:10.3928/02793695-20151021-01.
Simning, A., & Simons, K. V. (2017). Treatment of depression in nursing home residents without significant cognitive impairment: a systematic review. International psychogeriatrics, 29(2), 209–226. doi:10.1017/S1041610216001733. Depression in a Geriatric Client Essay
