In Britain, every nurse is on grade. The grade depends on experience and skill, and each grade has different responsibilities and pay. On the bottom grades are unqualified auxiliary nurses who do the routine work on hospital wards. On the top grades are nursing officer, who are usually administrators.
Auxiliary nurses are on the bottom grades, but student nurses get the lowest pay. However, student don't stay at the bottom of the scale forever. When they qualify, they start working on a middle grade. As they get experience, they can get promotion and move up the ranks to become staff nurse, then sister (charge nurse if a man), and perhaps eventually nursing officer.
Many Nurse work shift, and often they work overtime to earn more money. After basic training, many nurses choose to do further study and become specialists. Nurses can specialize in many different fields, there are triage nurses working in Casualty, and Psychiatric nurses who treat the mentally ill. There are health visitors who visit patients in their own home, practice nurses working in GPs' surgeries, and midwives who deliver babies.
Many of them say they don't get enough pay and respect for the work they do. They say that the work is physically and mentally hard, that they work long hours and get very tired. But they also say that there are many great rewards which have nothing to do with money.
The common symptoms of depressive disorder are apathy, sadness, hopelessness, helplessness, worthlessness, guilty, sleep disturbance, anger, etc. Sometimes followed by other symptoms like; thoughst of death, fatique, decreased libido, psychomotor agitation, dependency, passiveness, spontanious crying without apparent cause.
Before giving nursing care plan for patient with depressive disorder, there are things should asses, including;
- History of onset of symptoms.
- The presence of non-mood psychiatric disorder.
- Interpersonal and coping abilities.
- Level of stressor.
- Presence and or level of suicidal ideation.
- Presence of comorbid subtance, alcohol and medication.
- Patient resources and social support systems.
- Physical examination to rule out possibility of the presence of medical ilness.
Key Nursing Interventions for Depressed Patients;
- Accept patients where they are and focus on their strengths.
- Reinforce decision making by patients.
- Never reinforce hallucinations or delusions.
- Respond to anger theraupeutically.
- Spend time with withdrawn patients.
- Make decision for patients that they are not ready to make for them self.
- Involve patients in activities in which they can experience success.
Labels: NCP Depressive Disorder
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