Depression Outcomes: The Patient

Outcomes: The Patient

Has experienced no physical harm to self

Discusses loss with staff and family members

No longer idealizes or obsesses about the lost entity

Sets realistic goals for self

Attempts new activities without fear of failure

Is able to identify aspects of self-control over life situation

Expresses personal satisfaction and support from spiritual practices

Interacts willingly and appropriately with others

Is able to maintain reality orientation

Is able to concentrate, reason, and solve problems

Planning/Implementation

Risk for suicide: Depressed mood; feelings of hopelessness and worthlessness; anger turned inward in the self; misinterpretations of reality; suicidal ideation, plan, and available means

Be direct.

Maintain close observation at irregular intervals.

Encouraging verbalizations of honest feelings.

Complicated grieving: Depression, preoccupation with thoughts of loss, self-blame, grief avoidance, inappropriate expression of anger, decreased functioning in life roles

Develop a trusting relationship with the client.

Encourage the client to express emotions.

Communicate that crying is acceptable

Low self-esteem/self-care deficit: Expressions of helplessness, uselessness, guilt, and shame; hypersensitivity to slight or criticism; negative, pessimistic outlook; lack of eye contact; self-negating verbalizations

Be accepting of the client.

Encourage the client to recognize areas of change.

Encourage independence in the performance of activities of daily living.

Powerlessness: Apathy, verbal expressions of having no control, dependence on others to fulfill needs

Encourage the client to take responsibility.

Help the client set goals.

Help the client identify