Depression in the Elderly Reaction

Post #1 Rojas

  1. How might you go about using your nursing skills to ask therapeutic questions to find out what is wrong and help her fight isolation, depression, addictions, and suicide ideations? What types of therapeutic questions might you ask and why?
    Simple question like “how are you feeling”? Tell me about yourself? What do you do for fun? These are all good open-ended questions that allow and encourage the person to speak and express their thoughts and perception. courage description of a person’s perception and thoughts. Active listening is a powerful tool psychiatrist use to explore the thoughts and feelings of their clients (Halter, 2018).
  2. What ideas or interventions might you have to help her not become lonely, depressed, revert to an addiction such as alcohol, drugs, overeating, or gambling, stop eating or try to commit suicide?
    I would recommend non-pharmacological interventions first. Making life changes like consuming a healthy diet, getting regular exercise, and socialization could drastically improve her physical and mental health state. For the loneliness I would recommend the patient to buy another pet or have her pick up healthy hobbies like gardening. As for the addiction and financial difficulties, referrals to support groups, counseling, and government assistance programs could help ease the stress.
  3. Look at some support group sites.
    Treatment programs consist of individual, group/family therapy sessions with a focus on understanding the nature of addiction. Different levels of care include outpatient, residential and inpatient programs depending on patient’s needs.
    I found a support group called The District Recovery Community (TDRC). They offer a group therapy for addiction that involves adventure and travel. The organization states, “adventure therapy centers around the therapeutic merits of challenging participants in new situations and then leading them through discussions that evaluate their reactions so as to bring about changes in behavior (The District Recovery .., 2018) This type of active psychotherapy helps individuals overcome addiction by helping them develop positive behavioral changes like discipline, self-efficacy, cognizance and camaraderie.

Post #2 Fulgencio
To initiate any conversation with an elderly patient with a lot of stressors, a nurse must create a positive rapport with the individual (Youdin, 2016). A positive rapport will bring the nurse a positive sense of self into the relationship with a patient on a more deeper level (Youdin, 2016). It will be able to make the nurse closer in a physical, emotional, cognitive, and spiritual level with the patient (Youdin, 2016). Once the rapport is established, successful therapy can happen.
Some therapeutic questions you might ask are open ended questions, clarification questions, and questions that explore. Open-ended questions can elicit answers that explore the patient’s feeling (Hashim, 2017). Exploring the patient’s feeling is necessary in assessing the psychological and emotional burden that the patient has (Hashim, 2017). Questions that ask to clarify the answers given by the patient is also necessary in this scenario. By asking the patient to clarify her answer can show the patient that the nurse is expressing empathy (Hashim, 2017). This will boost the health care profession’s rapport with the patient. And Finally, questions that explore are necessary to find out the patient’s underlying concerns (Hashim, 2017).
There are a lot of intervention that I can use to help her not become lonely, depressed, revert to an addiction, or try to commit suicide. First, I will teach her mindful techniques such as meditation, guided imagery, and yoga (Youdin, 2016). Mindfulness will help her focus in the moment without concerns of her past or the future. Another intervention is for her to practice positive psychology. Positive Psychology is where she needs to focus on the good things in her life (Youdin, 2016). This will help her increase her resilience or her coping mechanism. An increase in resilience can help the patient tackles her problems more efficiently. And finally, I can also look for support groups for her. Support groups will help her get through her emotional burden.
The support group I’ve chosen is called Harmony Healthcare located in Las Vegas. This support group provides comprehensive mental health and addiction treatment (Harmony Healthcare, 2021). It utilizes individual therapy, group therapy, medication management, substance abuse programs, crisis management, employee assistance program services, and inpatient referrals (Harmony Healthcare, 2021). The patient has a choice on which program he or she desires to partake. Individualizing their treatment plan will provide the best result they desire.

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