Depression in the context of chronic diseases Essay Assignment Paper
Discussion – Week 3
When patients are newly diagnosed with chronic illness/conditions, they are more likely to experience depressive symtoms. Studies conducted in China and United States, indicates the prevalence of depression among patients with chronic diseases; and recommended that primary care and healthcare providers be alert and knowledgeable regarding the signs/symtoms of depression. Patients with chronic conditions may have to adjust their lifestyle, enployment, aspiration, meanwhile many others will grieve about their predicament before they adjust to it; but others have protracted distress and may develop mental disorders especially deppresion and anxiety (H. Li, 2019)
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Some few years ago I was working with a young adult (age 45) newly diagnosed with colorectal cancer. It was not only a devastating new to the patient but also his care team. The patient did not want his mom to know about his diagnosis because the he was afraid the mom will not received the information well he was a single dad and the sole provider in the family of three. This was a huge challenge to the whole family as the patient would have to adjust his lifestyle, his enployment and aspiration in order to plan for treatments. The patient was in denial about the diagnosis, there was a lot of grieving and fear that he would loose his life. The strategy I used to handle the situation was to allow allow him to air out his emotions (fears and sadness), while I listern, asked him open ended questions so he could talk more. Rather than being judgemental, I tried to understand the root cause of his fears and other emotions associated with the new diagnosis (S. J. Calloway et el, 2019). In addition, I also made some referrals such as counseling, surgical oncology services and other community resources. Another strategy I could have used was to monitor or screen the patient for depression. NURS 4005 NURS 4006: Topics in Clinical Nursing
Some of the legal and ethical implications that need to be considered when providing care for patients with depression resulting from chronic illnesses include providing consent for treatment, clinical decision making. The patient must collaborate with the physician to make medical care decisions. The information provided by the physician must be sufficient and well understood for the patient to make the best decision possible under the circumstances. But when the patient is suffering from depression because of a chronic illness, consenting or making the right decisions about their care becomes difficult.
When depression is undetected and untreated especially in patients with chronic illnesses, physical and mental health can deteriorate. Thus, as nurses, we can screen and address depression, provide evidence-based education as well as make referrals to mental health specialists and community resources.
References
Hongjin Li, Song G. E., […], & Jacqueline Dumber-Jacob (Jan 10th, 2019). Depression in the context of chronic diseases in the United States and China. Retrieved from https://www.ncbi.nlm.nih.gov
Susan J. Calloway, Rosalinda Jimenez, & Dianne Lavin (Aug. 30th, 2019). Depression and Chronic medical illness in adults. Retrieved from MyAmericanNurse.com
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