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
- Losses, stressors, and the burdensome symptoms of depression
Possibly evidenced by
- Decreased affect
- Decreased judgment
- Impaired decision making
- Inability to establish goals
- Loss of interest in life
- Passivity, decreased verbalization
- Sleep disorders
- Socially repressed
- Suicidal thoughts
- Negative ruminations
- Patient will express feelings and acceptance of life events over which he or she has no control.
- Patient will demonstrate independent problem-solving techniques to take control over life, and does not verbalize or demonstrate suicidality.
|Assess individual signs of hopelessness.||This aids focus attention on aspects of individual needs. These signs may include social withdrawal, decreased physical activity, and comments made by patient that indicate despair and hopelessness.|
|Assess destructive behaviors used to handle with feelings such as withdrawal, avoidance, substance abused.||The patient may have tried to overcome feelings of hopelessness with harmful and ineffective behaviors. Acknowledging these behaviors provides an opportunity for change.|
|Allow the patient to express feelings and perceptions||The process of recognizing feelings that underlie and drive behaviors allows patient to start taking control of their lives.|
|Express hope to the patient with realistic comments about the patient’s strengths and resources.||Patients may feel hopeless, but it is helpful to hear positive expression from others.|
|Assist the patient determine aspect of life that are under his or her control.||An individual’s emotional state may interfere with problem solving. Support may be required to identify areas that are under his or her control and to have calrity about options for taking control.|
|Allow the patient to assume responsibility for self-care, such as setting realistic goals, scheduling activities, and making independent decisions.||Helping patient set realistic goals increases feelings of control and provides satisfaction when goals are achieved, thereby decreasing feelings of hopelessness.|
|Aid the patient determine aspects of life events that are not within his or her ability to control. Discuss feelings related with this lack of control.||The patient needs to recognize and resolve feelings related with inability to control certain life situations before acceptance can be achieved and hopefulness becomes possible.|
|Encourage the patient to examine spiritual supports that may provide hope.||Some people find that spiritual beliefs and practices are a great source of hope.|
|Conduct a suicide assessment to identify the level of suicide risk.||High risk will require hospitalization.|
|Educate the patient about crisis intervention services such as suicide hotlines and other resources.||It is essential to give patients with resources for safety and support when feelings and thoughts about suicide become hard to manage.|
|Administer antidepressants as indicated.||Suicidal thinking is a symptom of depression that is managed through proper medication.|
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]