NURS 488 Lecture Notes - Lecture 5: Lorazepam, Dementia, Bipolar Disorder
14 Oct 2017
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Halter, m. j. , pollard, c. l. , & ray, s. l. (n. d. ). Varcarolis"s canadian psychiatric mental health nursing: a clinical approach (1st ed. ). 231-259) this chapter is a review from term 4. There are 3 phases in treatment and recovery from major depression. Acute phase- (6-12 weeks) is directed at reduction of depressive symptoms and restoration of psychosocial and work function. Continuation phase: (4-9months) is directed at prevention of relapse through pharmacotherapy, education, and depression specific psychotherapy. The maintenance phase: (one year or more) treatment is directed at prevention of reoccurrences of depression. Milieu management- being removed from a stressful interpersonal situation (put in a setting where they are safe and cared for) Mood improvement may take one to three weeks or longer. If the patient is acutely suicidal, consider electroconvulsive therapy: all antidepressants work to increase the availability of one or more neurotransmitters, serotonin, norepinephrine, or dopamine. Adverse effects: agitation, insomnia, headache, nausea and vomiting, sexual dysfunction and hyponatremia.
