[Answered]: Case Studies and Nursing Care Plan: Depression…

Case Studies and Nursing Care Plan: Depression Daniel Dev, a 20-year-old college student, has been attending the university for 2 years. He is brought to the emergency department (ED) by his roommate, who found him lying on the floor, unconscious, with an open bottle of diphenhydramine near his hand. The roommate states that he doesn’t know Daniel very well, because Daniel spends a great deal of time studying in the library. The roommate says that Daniel has lots of friends, but over the past couple of weeks, he has seen very few of them. He also has not gone to any of his classes. In addition, although Daniel has been very active in the college band, he has not gone to any rehearsals for 2 weeks. The roommate states that a month ago, Daniel learned that his girlfriend was breaking up with him. After that, Daniel appeared quiet and withdrawn and started to sleep poorly. After receiving treatment in the ED, the client is transferred to the intensive care unit (ICU) for observation and from there to the psychiatric ward. In the psychiatric ward, the client admits to Hallie Fredicks, a nurse, that he has “feelings of sadness.” He says that he feels as if “his life is over” since his girlfriend left. He feels that because she left him, he must be unworthy of love and must be a worthless individual. “No one could ever love me,” he states. He says this also is true because although his parents spent a lot of money providing him with music lessons and musical instruments over the years, he is failing his music theory class. “Nothing goes right, and it never will,” he says. “I only fail.” He is ashamed to tell his parents about the class. He feels that he has let them down and that he should be able to pass the class. He says that since he can’t pass the class, he should just give up music because he’s so lousy. He feels sad that he woke up. “Everyone would be happier without me,” he states. Mr. Dev appears sad and has poor eye contact. His clothes are dirty, and his speech is low and slow. During the assessment he slumps in the chair. Assessment: Objective Data • Recently broke off with girlfriend • Sophomore at the university • Active in band and plays trumpet • Supportive family • Disheveled appearance • Soft, low voice • Poor eye contact • Slumped posture • Overdose on Benadryl Subjective Data • “Feelings of sadness” • “Life is over.” • “Nothing goes right, and it never will; I only fail.” • “No one could ever love me.” • “Everyone would be happier without me.” Nurse’s Personal Perspective His nurse is amazed at the thought processes of this young man. He has a supportive family, is succeeding in college except for his music theory class, and has friends and activities. She wonders how his thoughts had become so distorted, to the point where he now believes that he is worthless and better off dead. She thinks that Mr. Dev is a good example of how serious the disease of depression can be. She also remains hopeful that he can recover, because many of his distorted cognitive thoughts can be corrected with therapy. Diagnosis (utilize subjective and objective data to formulate the nursing diagnoses) #1________________________________________________________AEB • • • • #2 ________________________________________________________AEB • • • • Outcomes Identification Client will _____________________________________. Planning The nurse plans interventions to _____________________. Initial interventions are concerned with_________________. Implementation: Problem #1- Short-Term Goals and Intervention Problem #2 Short-Term Goals and Intervention