Depression commonly affects a vast amount of patients in the primary care setting (L. Foldager, 2011). The increased cases of depression over the years are worrying (Mitchell et al., 2013). There is thus a need to enhance diagnosis and treatment. The purpose of the paper is to review an evidence-based clinical practice guideline (CPG) used to effectively diagnose and treat individual suspected of having depression by health practitioners in the primary care setting. Clinical issue Depression occurs due to many reasons including recent loss, chronic medical illness, domestic violence or loss of a loved one. Depression is significant to nursing practice because it affects many patients and could cause coronary heart disease. Depression is …show more content…
46). Subsequently, the meta-paradigm of nursing consists four major concepts which define nursing practice in general. These concepts are the person, health, environment and nursing. A person is defined as “unique beings who are in the midst of becoming and whose wholeness is made manifest in thoughts, feelings, and behaviors” (Swanson, 1993, p. 352). There are also five caring processes outlined in Swanson’s theory: Knowing, Being with, Enabling, Doing for, and Maintaining belief (Smith, Turkel, & Wolf, …show more content…
Co-morbidities may include diabetes disease, cancer, HIV infection and even pregnancies. For a successful care of the patient, the clinician should consider the cultural beliefs of the patient by seeking to incorporate the beliefs into the treatment plan as they influence the attitude and preference of the patient (Blanco, 2012). A comprehensive mutually agreed upon treatment plan entailing patient and family engagement is recommended. Always educate and engage the patient. Adequate patient response to therapy takes a while but it should be geared towards achieving remission, reducing relapse and recurrence and returning to the previous level of occupation and psychosocial function. Remission indicates the presence of minimal depressive symptoms or even their absence (Thota A,
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
Theoretical thinking is essential to nursing and helps guide nursing practice. Theory is defined as “the creation of relationships among two or more concepts to form a specific view of a phenomenon” (Higgins & Moore, 2012, p. 282 para. 2). It is made up of four theories, which include meta-theory, grand theory, middle range theory, and micro theory.
Of the top five conditions driving overall health cost, depression is number one. There are financial benefits of integrated care (Korff , Katon, Unützer, Wells , Wagner (2001). The platform for this model is important to be in clinics where patients visit the most and supervised with a collaborative team of patient educators, social workers, nurses, physicians, and consultant psychiatrist (Hunter, Goodie, Oordit, & Dobmeye, (2009). The team should be available to the patient for a first encounter the same day to identify the patient’s needs. Each appointment is concise except the evaluation by the Social Worker.
Knowledge of nurses is based on client’s health experience with their environment and nurse client relationship. Metaparadigm of nursing has four concept person, health, environment and nursing from which theories and philosophies are originated. These concepts are linked with one another. This is the reasons why nursing model and grant theories are limited to nurse patient situation and person environment interaction. (Kenny, 2013).
Philosophy of Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
Evidence based practice is the act of incorporating clinical expertise, best research evidence and patient values and preferences in delivering care. This system, as opposed to previous methods that used the same standard of care for each patient, evaluates treatment plans based on research and the practioners own experiences. The usual workup of this type of practice is to ask a series of “why” questions and meticulously observe patient patterns to paint a better picture of the environmental factors surrounding the patient’s condition. This method advanced treatment modalities as practioners were able to better incorporate external factors in the assessment. Previous styles of care such as defensive medicine, forced providers to aggressively
Depression is one of the most widely diagnosed mental health issue. The National Institute of Mental Health(NIH) define depression as persistent symptoms of depressive moods that last 2 years and interfere with day to day activities. Throughout the years, medical authorities and researchers have questioned whether or not the withdrawal from antidepressants causes dependence. This is an important issue for several reasons. Firstly, antidepressants are commonly used throughout the world.
As a mental disorder, depression may severely impact growth and development as well as peer and family relationships and can be associated with great socio-economic costs (REF 1 & 2). It has been linked to various health risk-related behaviours (HRBs), such as tobacco use, alcoholism and unhealthy eating habits. It has also been found to act as a risk factor for multiple conditions including cardiovascular diseases (REF 2 & 5& 9). Such effects can be extremely pronounced as suggested by statistics reflecting that Major depression affects 3 to 5 percent of children and adolescents (REF 1). Thus, an intervention to reduce such data is required.
History, types of depression, symptoms, and treatments are all equally important in finding ways to help one who is suffering from depression. As we look back in
Caring for The Individual: An Examination of Personal Nursing Philosophy Arianna Mailloux 400164224 NURSING 2AA3 Ashley Collins Harris February 19, 2018 As a novice nurse, developing and understanding of ones’ own personal feelings about nursing is important to help shape your clinical practice. Within this paper I will examine my personal assumptions, beliefs and values of the four nursing paradigms to develop a personal philosophy of nursing. This philosophy will be aligned with a known nursing theory and the comparisons will be discussed. Section I: Personal Philosophy of Nursing Person
The first concept of the nursing metaparadigm is nursing. My philosophy of nursing recognizes the important role the nurse has to deliver care. It is the therapeutic and mutual relationship between nurse and patient that is “the foundation of nursing practice” (End of life, 2016, p. 4). Nurses must understand how they affect patients because every interaction a nurse has with a patient has an impact on their care.
Nursing Metaparadigm The metaparadigms in nursing knowledge are human beings, environment, health, and nursing. Nursing Philosophy
During the past decade, evidence from research on mood disorders has demonstrated that there is a need for proper psychological treatment.
There are four concepts in the metaparadigm. The first one talks about the nursing. Nursing is precisely the way Nightingales puts it, relieving pain and suffering which restore patient 's health by managing the environment. In my nursing practice, the patient always comes first. The patient care comes first in every decision.
The final concept is nursing. To define it, it’s a serving service, and a technology (Dorothea Orem 's Self-Care Theory, 2014). Engagements intentionally designated and executed by the nurses to support individuals below their precaution to sustain or altered disorders (Dorothea Orem 's Self-Care Theory, 2014). This also includes the patient’s viewpoint of health state, the Doctor’s standpoint, and the nursing perspective (Dorothea Orem 's Self-Care Theory, 2014). Nursing’s goal is to concentrate on the patient and how to sustain his or her well-being, life and health (Dorothea Orem 's Self-Care Theory, 2014).