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
Chronic Low Self-Esteem
- Chronic Low Self-Esteem
May be related to
- Biochemical/neurophysiological imbalances.
- Feelings of shame and guilt.
- Impaired cognitive self-appraisal.
- Repeated past failure.
- Unrealistic expectation of self.
Possibly evidenced by
- Evaluates self as unable to deal with events.
- Inability to recognize own achievement.
- Negative view of self and abilities.
- Repeated expression of worthlessness.
- Rejection of a positive feedback.
- Self-negating verbalizations.
- Patient will express belief in self.
- Patient will maintain self-esteem.
- Patient will demonstrate a zest for life and ability to enjoy the present.
- Patient will identify one or two strengths by the end of the day.
- Patient will identify two unrealistic self-expectations and reformulate more realistic life goals with nurse by the end of the day.
- Patient will identify three judgemental terms (e.g., “I am lazy”) client uses to describe self and identify objective terms to replace them (e.g., ” I do not feel motivated to).
- Patient will keep a daily load and identify on a scale of 1 to 10 (1 being the lowest, 10 being the highest) feelings of guilt, shame, self-hate.
- Patient will report decreased feelings of guilt, shame and self-hate by using a scale of 1 to 10 (1 being the lowest, 10 being the highest).
- Patient will demonstrate the ability to modify unrealistic self-expectations.
- Patient will give an accurate and nonjudgmental account of four positive qualities as well as identify two areas he or she wishes to improve.
|Assess the self-esteem level of the patient.||Signs of a low self-esteem includes withdrawal from social relationships, feeling of inadequacy, neglect of personal hygiene and dress, and rejecting self which all may indicate a negative thought pattern.|
|Allow the patient to perform personal care activities.||Paying attention to grooming serves as a first step towards achieving positive self-image.|
|Give positive feedback after a task is achieved.||Positive reinforcement has a big part in building self-esteem.|
|Allow the patient to engage in simple recreational activities, advancing to a more complex activities in a group environment.||Patient may feel overwhelmed at the start when participating in a group setting.|
|Teach visualization techniques that can help the client replace negative self-images with more positive images and thought.||To promote a healthier and more realistic self-image by helping the client choose more positive thoughts and actions.|
|Encourage the client to participate in a group therapy where the members share the same situations/feelings that they have.||To minimize the feelings of isolation and provide an atmosphere where positive feedback and a more realistic appraisal of self are available.|
|Evaluate client’s need for assertiveness training tools to pursue things he or she wants or needs in life. Arrange for training through community-based programs, personal counseling, literature etc.||Low self-esteem individuals often have feelings of unworthiness and have difficulty determining their needs and wants.|
|Role model assertiveness.||Clients can follow examples/role models.|
|Involve the client in activities that he or she wants to improve by using problem-solving skills. Assess and evaluate the need for more teaching in this area.||Feelings of low self-esteem can interfere with usual problem-solving abilities.|
|Work with the client to identify cognitive distortions that encourage negative self-appraisal. For example:
|Cognitive distortions reinforce negative, inaccurate perception of self and the world.
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]