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
Disturbed Thought Processes
May be related to
- Biologic/medical factors.
- Biochemical/neurophysical imbalances.
- Persistent feelings of extreme guilt, fear or anxiety.
- Prolong grief reaction.
- Overwhelming life circumstances.
- Severe anxiety or depressed mood.
Possibly evidenced by
- Decreased problem-solving abilities.
- Impaired ability to grasp ideas or orders thoughts.
- Impaired attention span/easily distracted.
- Impaired insight.
- Impaired judgment, perception, decision making.
- Inaccurate interpretation of the environment.
- Memory problems/deficits.
- Negative ruminations.
- Patient will process information and makes appropriate decisions.
- Patient will accurately recall recent and remote information.
- Patient will exhibit organized thought process.
- Patient will identify two goals he or she wants to achieve from treatment, with aid of nursing intervention, within 1 to 2 days.
- Patient will discuss with nurse two irrational thoughts about self and others by the end of the first day.
- Patient will reframe three irrational thoughts with the nurse.
- Patient will remember to keep appointments, attend activities, and attend to grooming with minimal reminders from others within 1 to 3 weeks.
- Patient will identify negative thoughts and rationally counter them and/or reframe them in a positive manner within 2 weeks.
- Patient will show improved mood as demonstrated by the Beck Depression Inventory.
- Patient will give examples showing that short-term memory and concentration have improved to usual levels.
- Patient will demonstrate an increased ability to make appropriate decisions when planning with the nurse.
|Determine the client’s previous level of cognitive functioning (from client, family, past medical records).||Establishing a baseline data allows for evaluation of client’s progress.|
|Use simple, concrete words.||Slowed thinking and difficulty concentrating impair comprehension.|
|Allow the client to have plenty of time to think and frame responses.||Slowed thinking necessitates time to formulate a response.|
|Allow more time than usual for the client to finish usual activities of daily living (ADL) (e.g.,eating, dressing).||Usual tasks might take long periods of time; demands that the client hurry only increase anxiety and slow down ability to think clearly.|
|Help the client to postpone important major life decision making.||Making rational major life decision requires optimal psychophysiological functioning.|
|While the client is severely depressed, minimize client’s responsibility.||Decreases feelings of guilt, anxiety and pressure.|
|Help the client identify negative thinking/thoughts. Teach the client to reframe and/or refute negative thoughts.||Negative ruminations add to feelings of hopelessness and are part of a depressed person’s faulty thought processes. Intervening in this process helps in healthier and more useful outlook in life.|
|Help client and family structure an environment that can help re-establish set schedules and predictable routines during severe depressions.||A fairly and non-demanding repetitive routine is easier to both follow and remember.|
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]