Depression Lesson Plan
Depression Lesson Plan
Depression Lesson Plan
V EVALUATION
ACTIVITY ACTIVITY AIDS
1. 2. min To introduce Introduction :-Depression is a state Lecture Learning LCD Students got an
depression associated with the affect (mood) of a introduction
person. It is a pathological mood regarding
disturbance characterised by feeling, depression?
attitudes & belief; the person has about
self and his environment.
2. 2 min. To define Definition:-An illness that involves the Explaining Learning LCD Students learnt
depression body, mood and thoughts that affects definition of
the way a person eats, and sleeps, the depression?
way one feels about oneself and the way
one thinks about things.
Hereditary
3. 2 mins To state the Temperament- cyclothymic Discussion Discussion LCD Students have
etiological factors temperament. (swing of mood elation & an idea
responsible e for dejection) regarding the
depression Personality – melancholic, etiological
anxious & obsessional personalities factors..
Season – high in summer
Age – 25-30 yrs (onset)
40-60 yrs (peak)
Sex – both sexes
Precipitation – history of
stressful environmental factors
immediately preceding the onset
Endocrine, metabolic,
biochemical & electrolyte disturbances
are postulated
Disturbances of seratonergic and
adrenergic neurotransmitter
Severe stress
Socio cultural factors
Precipitates anger
Stress
TREATMENT
6. 5 min To discuss the 1. Pharmacotherapy
treatment Anti depressants Discussion Learning LCD Students learnt
- Tricyclic antidepressants (TCAs) the treatment
- Imipramine 75-300 mg/day for depression
- Monoamino reuptake inhibitors
- Amitriptyline 75-300 mg/day
- Fluoxetine 10-80 mg/day
- Seratraline 50-200 mg/day
- Monoamino oxidase inhibitors
( MAO)
- Isocarbonxazed 10-30 mg/day
- Bupropion 150-450 mg/day
MECHANISM OF ACTION
- TCAs block the reuptake of
norepinephrine or serotonin at the
nerve terminal and increase its
level at the receptor site. 2-3 weeks
will be taken to decrease the
depressive symptoms.
- MAOs degrade the catecholamine
after reuptake and increases brain
amine level. 5-10 days will take to
bring down the symptoms.
- SSRIs act by inhibiting the reuptake
of serotonin and increase s its level
at receptor site.
3. Psychosocial treatment –
Cognitive therapy- aims at correcting
negative conditions like hopelessness
with new cognitive and behavioral
response.
6. Family therapy
NURSING DIAGNOSIS
- High risk for violence related to
suicidal tendency
- Alteration in mood pattern related
to reduced self esteem, self concept,
guilty feelings
- Altered attention and concentration
due to thought disturbances
- Altered nutrition, weightloss, due to
irregular eating pattern and
disturbed behaviour pattern
- Alteration in sleep pattern due to
emotional upset, inadequate
adaptation process. Explaining Learning LCD
INTERVENTION
- Provide safe environment
- Remove all potentially harmful
objects
- Administer medication as
prescribed
- Encourage patient to ventilate the
feeling
- Emphasize positive attitude
- Counsel the client, show concern
- Spend more time leisurely with the
patient
- Motivate to perform activities
- Involve family members to provide
support
- Permit the patient to take decision
and perform activities
- Identify the areas of interest
- Clarify the doubts
- Permit the patient to perform
purposeful activities
- Approach the patient in active
friendly manner
- Be brief in conversation
- Educate the importance of nutrition
- Serve small and frequent feeds
- Never allow the patient to stay
alone
- Accept the patient’s feelings and
make him understand the situation
2 min To summarize Depression is a mood disorder. It may Discussion Discussion LCD Students gained
8. depression be a temporary human emotional knowledge
response to a loss of disappointment regarding
or failure. depression
Depression affects person for months
or even years and involve the body,
mood and thoughts.
Bibliography
1. Basavanthappa. B.T. Psychiatric mental health nursing. 1 st ed. New Delhi: Jaypee publication.2007.p.500-510
2. Dr. Shah.L.P & Mrs.Shah Hema. Anand book of psychiatry. 1 st ed. Mumbai: Vora medical publication.p.60
3. Kapoor Bimla.Textbook of Psychiatry nursing. Vol.2. New Delhi: Kumar publishers. 1994.p.267-268
4. Neeraja K.P.Essentials of mental health and psychiatric nursing.1 st ed. New Delhi:vol 2.JaypeePublication.2008.p.392-
400
5. Prema T.P and Graicy K.F.Principles and practice of psychiatric nuring.1 st ed. New Delhi:2006.Jaypee publication.
p.155-156
6. Sreevani R. A Guide to mental Health & psychiatric nursing .2 nd ed. New Delhi:2007.Jaypee publication.p.95-98
7. Townstend Mary. Psychiatric mental health nursing. 5 th ed. New Delhi: Jaypee Publication. p.835- 837
8. http://:www.depression.com
9. http://:www.typesofdepression.com
Practice TEACHING
Topic – DEPRESSION
SUMITTED TO:
MR. ABHISHEK. JACOB SIR
HOD (PSYCHIATRY NURSING)
S.C.O.N SUBMITTED
BY:
TINA C
ABRAHAM
MSC NURSING
1ST YEAR
PSYCHIATRIC
NURSING
S.C.O.N