psychiatric nursing

1. MOOD DISORDERS

2. DEFINITION
 Mood is an internal emotional state
of an individual.
 Mood is normally fluctuates
between mild depression to mild
elevation depending upon
circumstances. But when the mood
swing excessive in severity and in
duration and when it is
interfers with a persons day to day
activities then it becomes mood
disorder

3. CLASSIFICATION  Major depression (endogenous
depression)
 Bipolar disorder (manic
depressive psychosis)
 Dysthymic disorder

4. DEPRESSION AS A DISORDER
 If depression is prolonged and interferes with day to day
activities condition is abnormal.
 If affects many people female suffer more than males
 In India among elderly people above 60 years age suffer 13-
22%
 Common age group 30 –50 years age

5. CAUSES
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6. CLINICAL FEATURES
 A syndrome termed major depression in
which following aspects are present
1. Depressed mood
2. Loss of interest
3. With four or more of the following 7
symptoms
 Feeling of worthlessness or guilt
 Impaired concentration
 Thoughts of suicide
 Loss of energy and fatigue
 Loss or increased appetite
 Insomnia or excessive sleep
 Retardation or agitation

7. M A N I C D E P R E S S I V E
P S Y C H O S I S
( B I P O L A R
D I S O R D E R )

9. BIPOLAR DISORDER

10. E T I O L O G Y
 Bio logical factors
 Psychological factors
 Socio cultural factors
 Alcohol and drug abuse

11. CLINICAL FEATURES

13. DYSTHYMIC DISORDER
 In this condition depressive mood Is present throughout the day for at least two years.
 Any two of the following six symptoms are seen in patient
1. Decreased or increased appetite
2. Decreased or increased sleep
3. Low energy or fatigue
4. Low self esteem
5. Poor concentration or indecisiveness
6. Feeling of hopelessness without any evidnce of major depression

14. MEDICAL
MANAGEMENT

19. NURSING MANAGEMENT
Promote sleep and food intake
Promote
Assess for suicidal ideas
Assess
Provide safe environment
Provide
Reassure the patient
Reassure
Develop trusting relationship
Develop
Discourage sleep during day
Discourage
Encourage to participate in occupational activities
Encourage