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Adolescent Depression Essay

1. What subjective & objective data in this situation led the nurse to suspect that Emma might be depressed?

a. She is withdrawn as manifested in her behavior (subjective data).

b. She is irritable as shown in her behavior (subjective data).

c. She stated that she was having difficulty sleeping (objective data).

d. She stated that she didn’t have a very good appetite (objective data).

2. Describe how Emma’s illness might affect her ability to meet the developmental tasks

    associated with adolescence.

a. Due to her irritable and withdrawn characteristics, she might have difficulty interacting or socializing with other adolescents.

b. Due to her lack of appetite, because she is not eating well, she might have an image problem regarding her body appearance, thus she will have nutritional problem.

c. Due to her lack of concentration, she might have problems in her studies or in her school.

d. Due to her depressed mood, she might developed  traits or characteristics,  that are undesirable to other people or in the society.(Perkins, 2001)

3. Based on the case study data and your knowledge from professional nursing sources, what do you consider to be the two most important nursing problems/diagnoses for Emma and her family?

a. Low in self-esteem related to depression as evidenced by

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her being irritable and withdrawn.

b. Loss of concentration related to depression as evidenced by

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her dropped grades in school.

c. Nutritional deficit related to depression as evidenced by

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her lack of appetite.

4. Describe “clinical adolescent depression” in terms that Emma and her family will understand.

Adolescents with depression are twenty times most likely to die from accidents or from committing suicide (Morgan & Huebner, 2001). Depression often appears for the first time during adolescent period. Depressed adolescents eats or sleeps much or less than usual, do not perform well in school, lack motivation or energy,  have impaired relationships,  become obsessed with poetry or music with morbid items, manifesting boredom, very sensitive to criticisms or rejections, isolate himself from friends and family members, have feelings of hopelessness, are more likely to commit suicide, and  are at higher risk of developing depression in adulthood (Long, 2005).

The orientation phase of the nurse-client relationship is the initial stage of therapeutic work which is the cornerstone of psychiatric nursing. Adolescents are among the most difficult populations with whom to work therapeutically, more so of the alienated adolescents who are volatile and trust no one (Perkins, 2001).

As the nurse assigned to depressed adolescent, creating a comfortable, safe setting and assessing the patient’s problems and needs are doubly important in developing trust and rapport with the patient. This involves taking time to know the patient, being accessible and consistent.

Adolescent girls may not be comfortable unveiling information regarding their depression (Morgan & Huebner, 2001). As a psychiatric nurse interested in helping individuals with depression, confidentiality is a critical issue. It has to be known to the patient, that although our relationship is confidential, there will be disclosure to other parties when there is danger of harming others or herself.

References:

Long, P. W. (2005). Adolescent Depression.   Retrieved February 28, 2007, from http://www.mentalhealth.com/mag1/p51-dp01.html

Morgan, E., & Huebner, A. (2001). Adolescent Depression.   Retrieved February 28, 2007, from http://www.ext.vt.edu/pubs/family/350-851/350-851.html

Perkins, D. (2001). Adolescence: Developmental Tasks.   Retrieved February 28, 2007, from http://edis.ifas.ufl.edu/pdffiles/HE/HE82000.pdf

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