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
- Unfamiliarity with the causes, signs and symptoms, and management of depression
Possibly evidenced by
- Verbalizing inaccurate information
- Inaccurate follow-through of instruction
- Inappropriate behaviors (e.g., agitated, apathetic, hysterical, hostile)
- Questioning members of health care team
- Patient and significant other will verbalize accurate information about at least two of the possible causes of depression, three-four of the signs and symptoms of depression, and use of medications, psychotherapy, and electroconvulsive therapy as treatment.
|Assess the patient’s and significant other’s knowledge regarding depression and its causes.||Depression is a mood disorder caused by the cumulative factors of ongoing stressful events, genetics and chemical imbalances in the brain.|
|Explain to the patient and significant others regarding the major symptoms of depression.||A major depressive episode is typically presented by the following symptoms: persistent sadness, loss of pleasure in normal activities, decreased energy, feelings of guilt, hopelessness or worthlessness, sleep disturbances, changes in apetite, trouble thinking or making decisions and frequent thoughts of death or suicidal attempts.|
|Inform the patient and significant others that depression can be treated through medications and psychotherapy.||Common treatment for depression are the use of antidepressants. While psychotherapy (cognitive-behavioral therapy, interpersonal therapy) alone is given for patients with mild depression associated with situational cause. A combination of medications and psychotherapy can relieve severe chronic cases of depression.|
|Discuss the purpose of electroconvulsive therapy (ECT) if indicated.||Electroconvulsive therapy (ECT) is a medical procedure given to patients who are unresponsive with other treatments (medications and psychotherapy). It is performed for about 6 to 12 sessions over 3 to 6 weeks. The doctor will place two electrodes on sides of the patient’s scalp where an electric current is passed between the electrodes until a seizure occurs. It is usually last between 30 to 60 seconds.|
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]