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
May be related to
- Anergia (Decreased or lack of motivation).
- Perceptual or cognitive impairment.
- Severe anxiety.
- Severe preoccupation.
Possibly evidenced by
- Awakening earlier or later than desired.
- Body odor/hair unwashed and unkempt.
- Constipation related to lack of exercise, roughage in diet, and poor fluid intake.
- Consuming insufficient food or nutrients to meet minimum daily requirements.
- Decreased ability to function secondary to sleep deprivation.
- Inability to organize simple steps in hygiene and grooming.
- Persistent insomnia or hypersomnia.
- Weight loss.
- Patient will groom and dress appropriately with help from a nursing staff and/ or family.
- Patient will regain more normal elimination pattern with aid of foods high in roughage, increased fluid intake, and exercise daily (also with the aid of medications).
- Patient will sleep between 4 to 6 hours with aid of nursing measures and/or medications.
- Patient will gain 1 pound a week with encouragement from family, significant others, and/or staff if significant weight loss is noted.
- Patient will demonstrate progress in the maintenance of adequate hygiene and be appropriately groomed and dressed (shave/makeup, clothes clean and neat).
- Patient will experience normal elimination with the aid of diet, fluids, and exercise within 3 weeks.
- Patient will sleep between 6 to 8 hours per night within one month.
- Patient will gradually return to weight consistent for height and age or baseline before illness.
|Bathing and/or Hygiene Self-Care Deficit:|
||Being clean and well groomed can temporarily increase self-esteem.|
||Slowed thinking and difficulty concentrating make organizing simple tasks difficult.|
||Most of the depressed clients are constipated. If this problem is not addressed, it can lead to fecal impaction.|
||Fluids can help prevent constipation.|
||Roughage and exercise stimulate peristalsis and help evacuation of fecal material.|
||These prevent the occurrence of fecal impaction.|
|Disturbed Sleep Pattern|
||Fatigue can intensify feelings of depression.|
||These measures induce sleep and relaxation.|
||Minimize sleep during the day increases the likelihood of sleep at night.|
||Decreasing caffeine and epinephrine levels increases the possibility of sleep.|
||Give the information needed for revising the intervention.|
||Increases socialization, decrease focus on the food.|
||Clients are more likely to eat foods they like.|
||Minimize weight loss, constipation, and dehydration.|
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]