Included in this nursing care plan guide are nine (9) nursing diagnosis for major depression. Get to know the nursing assessment, interventions, goals, and related factors to the different nursing diagnosis for major depression.
What is Major Depression?
Major depression (or major depressive disorder) is classified under mood disorders which are characterized by disturbances in the regulation of mood, behavior, and affect that go beyond the normal fluctuations that most people experience.
You can learn more about major depression in our study guide here.
Nursing Care Plans for Major Depression
Nursing care plan goals for patients with major depression includes determining a degree of impairment, assessing the client’s coping abilities, assisting the client to deal with the current situation, providing for meeting psychological needs, and promote health and wellness.
Here are nine (9) nursing care plans (NCP) and nursing diagnosis for major depression:
- Risk For Self-Directed Violence
- Impaired Social Interaction
- Spiritual Distress
- Chronic Low Self-Esteem
- Disturbed Thought Processes
- Self-Care Deficit
- Deficient Knowledge
- Spiritual Distress
May be related to
- Chronic illness of self or others.
- Death or dying of self or others.
- Lack of purpose in life.
- Life changes.
- Sociocultural deprivation.
Possibly evidenced by
- Expresses intense feelings of guilt.
- Expresses feelings of hopelessness and helplessness.
- Expresses being abandoned by or having anger towards God.
- Expresses concern with meaning of life/death or belief systems.
- Expresses lack of hope, meaning, or purpose in life, forgiveness of self, peace, serenity, acceptance.
- Inability to pray.
- Inability to express previous state of creativity (e.g., writing, drawing, singing).
- Inability to participate in religious activities
- Lack of interest in art.
- Questions meaning of own existence.
- Refuses interaction with families, friends or religious leaders.
- Searching for a spiritual source of strength.
- Patient will feel the connectedness with others to share thoughts, feelings, and beliefs.
- Patient will feel the connectedness with the inner self.
- Patient will participates in spiritual rites and passages.
- Patient will discuss with nurse two things that gave his or her life meaning in the past within 3 days.
- Patient will talk to a nurse or a spiritual leader about spiritual conflicts and concern within 3 days.
- Patient will keep a journal tracking thoughts and feelings for one week.
- Patient will state that he/she feels a sense of forgiveness.
- Patient will state that he/she wants to participate in former creative activities.
- Patient will state that he/she gained comfort from previous spiritual practices.
|Assess what spiritual practices have offered comfort and meaning to the client’s life when not ill.||Evaluates neglected areas in the person’s life that, if reactivated, might add comfort and meaning during a painful depression.|
|Encourage client to write a journal expressing thoughts and reflections daily.||This will help in identifying important personal issues and one’s thought and feelings surrounding spiritual issues. Writing a journal is a good way to explore deeper meanings in life.|
|If the client is unable to write, provide a tape recorder.||Often speaking aloud helps a person clarify thinking and explore issues.|
|Discuss with the client what has given comfort and meaning to the person in the past.||When depressed, clients usually are having a hard time searching for meaning in life and reasons to go on when feeling hopelessness and despondent.|
|Suggest that the spiritual leader affiliated with the facility contact the client.||Spiritual leaders are familiar in dealing spiritual distress and can offer comfort to the client.|
|Provide information on referrals, when needed, for religious or spiritual information (e.g., readings, programs, tapes, community resources).||When hospitalized, spiritual tapes and readings can be useful; when the client is in the community, client might express other needs.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database MUST READ!
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other care plans for mental health and psychiatric nursing:
- Alcohol Withdrawal | 5 Care Plans
- Anxiety and Panic Disorders | 7 Care Plans
- Bipolar Disorders | 6 Care Plans
- Major Depression | 9 Care Plans
- Personality Disorders | 4 Care Plans
- Schizophrenia | 6 Care Plans
- Sexual Assault | 1 Care Plan
- Substance Dependence and Abuse | 8 Care Plans
- Suicide Behaviors | 3 Care Plans
References and Sources
References and recommended sources for this care plan guide for major depressive disorder:
- Boyd, M. A. (Ed.). (2008). Psychiatric nursing: Contemporary practice. lippincott Williams & wilkins.
- Keltner, N. L. (2013). Psychiatric nursing. Elsevier Health Sciences.
- Videbeck, S. L. (2010). Psychiatric-mental health nursing. Lippincott Williams & Wilkins.
- Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales. FA Davis. [Link]
- Gulanick, M., & Myers, J. L. (2016). Nursing Care Plans: Diagnoses, Interventions, and Outcomes. Elsevier Health Sciences. [Link]