NSG 4076 Week 5 Project Draft of Care Plan

NSG 4076 Week 5 Project Draft of Care Plan

My aggregate comprises three women between the ages of 35 and 44 years working in advanced eye care clinic (optometrist office) in Fort Pierce, Florida. Based on the previously conducted risk assessment, the main health risks encountered by my aggregate are depression and anxiety which have worsened ever since the beginning of the covid-19 pandemic. Consequently, work-related stress and burnout have also been associated with increased risk of depression and anxiety among other mental health problems among nurses (Ezenwaji et al., 2019). The purpose of this capstone project NSG 4076 Week 5 Project Draft of Care Plan is to propose the priority nursing diagnoses for my aggregate and come up with the most effective strategy to address the identified nursing diagnosis.

Priority-Nursing Diagnoses

The two priority nursing diagnoses affecting my aggregate are ineffective coping related to situational crises and hopelessness related to prolonged stress resulting from the fear of contracting the coronavirus (Huang et al., 2018). Both the two nursing diagnoses led to the utilization ofthe Patient Health Questionnaire (PHQ) and General Anxiety Disorder (GAD 7) questionnaires to determine the medical diagnosis for my aggregate. One of the 3 women scored 2 which indicates mild depression. The other two women recorded a total of 12 and 18 scores, which indicate moderate and moderately severe depression respectively.

Strategies to Address the Nursing Diagnoses

Ineffective coping and hopelessness are common among front-line healthcare workers contributing to mental health problems such as depressive disorder. The main goals in addressing these mental issues include determining the degree of impairment, assessing the coping skills and abilities, assisting the patient to deal with the current situation, and promoting wellness (la Fuente-Solana et al., 2019). To achieve these goals, several strategies will be applied. The first strategy is to provide for the physical needs of my aggregate by assisting with self-care at home and work and personal hygiene. The second strategy is to assume an active role in initiating communication with my aggregate by sharing my observation of the behavior of the patient, speaking in a low but clear tone, and giving the patient enough time to respond and talk about how they feel. Thirdly, the patient will be educated about depression in terms of presenting signs and symptoms and effective treatment options available in managing the symptoms. The last strategy will be to reiterate the mood for medication compliance for the patient to promote optimal care outcomes.

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Care Plan for Medical Diagnoses

Based on the conducted mental evaluation by use of PHQ, and GAD-7, the three female patients were diagnosed with mild, moderate depression, and moderately severe depression. Clinical guidelines recommend the use of psychotherapy and pharmacological interventions for the management of major depressive disorder among adults (Tully & Tao, 2019). However, the treatment choice depends on the severity of the condition. For instance, the first patient presents with mild depression, which can be managed bynonpharmacological interventions like psychotherapy and life modifications. Psychotherapeutic approaches recommended for mild depression include behavioral therapy, problem-solving therapy, and self-management/self-control therapy.

The patient who presented with moderate depression can be managed the same way as mild depression. However, the patient’s symptoms must be monitored closely to determine the need for pharmacotherapy. If the patient responds well to psychotherapy, then there will be no need to initiate the use of drugs. For the last patient with moderately severe depression, the use of antidepressants as an adjunct to psychotherapy is recommended. The FDA has approved the use of antidepressants such as amitriptyline for the management of major depressive disorder among adults(Ezenwaji et al., 2019). Alternative treatment options which have proved to be effective in the management of depression through evidence include electroconvulsive therapy and simulation techniques among others.

Disaster Management Plan

Concerning my aggregate, residents from Fort Pierce Florida, U.S, are normally affected by hurricanes, floods, and tornado outbreaks. The town is