Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)

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Outline

Psychological Disorders (Anxiety, Depression)

 

Definition/Etiology:

  • Anxiety/Depression Definitions
    • Depression:
      • Feelings of sadness, hopelessness, and/or loss of interest
    • Anxiety:
      • Feelings of intense, excessive, and persistent worry
  • Will discuss causes in dialogue (physical, mental, relates to past experiences)

 

Pathophysiology:

  • Signs/Symptoms
    • Depression
      • Sad 
      • Hopeless
      • Loss of interest
      • Changes to sleep (too much or too little)
      • Changes to appetite (too much or too little)
      • Anxiety/restlessness
      • Thoughts of death/suicide
    • Anxiety
      • Feeling nervous/panic
      • Increased heart rate
      • Weak/tired/not sleeping
      • Avoid things that trigger

 

Noticing: Assessment & Recognizing Cues:

  • Nurse’s Role
  • Stay calm
  • Supportive 
  • Decrease symptoms/triggers
  • Suicide prevention

 

Interpreting: Analyzing & Planning:

  • Safety measures: Prevent Injury
  • Suicide prevention
    • Ask every patient
    • Identify those at risk
    • Implement safety measures

 

Responding: Patient Interventions & Taking Action:

  • Medications & Considerations
  • Depression
    • SSRIs
    • SNRIs
    • Atypical antidepressants
    • Tricyclic antidepressants
    • MAOIs
    • Mood stabilizers
    • Antipsychotics 
  • Anxiety
    • Anti-anxiolytics
    • Antidepressants
    • Beta-blockers
  • Considerations
    • General wellness
    • Pregnancy
    • Sleep needs
    • Avoid alcohol/drugs
    • Don’t stop antidepressants abruptly

 

Reflecting: Evaluating Patient Outcomes:

  • N/A

 

Linchpins (Key Points):

  • Highs and Lows can be separate or intermixed
    • Depression = s/s typically low
    • Anxiety= a/a typically high
    • Support & Safety= nurse’s role

 

 

 

 

 

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