Lesson plan on depression

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LESSON PLAN
ON DEPRESSION
Submitted To Submitted By
Miss.P.Sujatha ,
P.Vijaya Lakshmi,
Asst.Professor,
M.Sc,Nursing, GSL College Of
Nursing, 1st
year, Rajahmudry.
GSL College Of Nursing.
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• NAME OF THE STUDENT TEACHER Miss.
  P. Vijaya lakshmi.
• Course
  M.Sc, Nursing 1st year.
• Subject
  Psychiatry
• Level of class students
  3rd Year B.SC. Nursing.
• No of Students
  
• Venue
  Swatantra College Of Nursing
• Time
  
• Date
  
• A.V Aids
  OHP,CHART,PPT,LEAF LET.

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• GENERAL OBJECTIVES
• At the end of the class students will gain
  knowledge regarding depression and develop
  positive attitude and use the gain knowledge and
  skill in the care of clients with depression.
• SPECIFIC OBJECTIVES
• Explain the types of depression.
• List the common factors of the depression.
• Discuss the etilogical theories of depression.
• Enumerate differences between the endogenous
  depression and exogenous depression.

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S.No TIME SPECIFIC OBJECTIVE CONTENT TEACHER ACTIVITY LEARNER ACTIVITY A.V. AIDS EVALUATION
1. 2. 5 Min 2 Min State the definition DEPRESSION Introduction Depression of affective manifestation in which the client will exhibit mood disturbances related to self and his environment. Definition Depression is defined as a disturbances of mood,characterised by full depressive and loss of interest and loss of pleasure in usual activities. Lecture Lecture OHP What is the definition of depression?
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S.No TIME SPECIFIC OBJECTIVE CONTENT TEACHER ACTIVITY LEARNER ACTIVITY A.V. AIDS EVALUATION
3. 2 Min Explain the etiology theories ETILOGICAL THEORIES PSYCHOANALYTIC THEORY An Early un satisfactory parent/child relationship,with an unresolved grieving process. COGNITIVE THEORY A negative evaluation. Self through disturbed thought process. In adequate and worthless and life as hopeless. LEARNING THEORY Depressive illness arises out of the individuals having experience numerous failure. Learned helplessness and predisposition to depressive illness. Lecture Black board
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4. 2 min BEHAVIOUR MODEL Depression is in the person behaviour-environment interaction. People are seen as capable of exercising control of over the behaviour. They are not totally free of environmental infleunces. PSYCHODYNAMICS The underlying psychodynamics of major depressive disorder. The psychodynamics of major depressive disorder is suggest by the efficacy of selective inhibitors in the treatment of major depressive disorder. Complex interaction between neurotransmitter availability. Lecture Black board
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5. 2min Receptor regulation and sensitivity. An exposure of several weeks duration an antidepressant is usually necessaryto produce a change in systoms. Incidence Lifetime incidence of major depressive disorder is 20 in women and 12 of men prevalence is a high as 10. Depression is less common in the black population . The age of onset for depression in women and men are highest in those aged 25 to 45 years. Lecture Black board
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S.No TIME SPECIFIC OBJECTIVE CONTENT TEACHER ACTIVITY LEARNER ACTIVITY A.V. AIDS EVALUATION
6. 5 min Explain the types of depression TYPES OF DEPRESSIVE DISORDERS Atypical Depression (AD) It is characterised by mood reactivity and positivity,significant weight gain or increased,appetite,excessive sleep,a sensation of heavyness in limbs and significant social impairment as a consequency of higher sensitivity to percieved interpersonal rejection. Psychotic Major Depression Or Simply Psychotic Depression It is the term for a major depressive episode. Patient experiences psychotic symptoms such as delusions or less commonly hallucinations. Most commonly mood-congruent. Lecture Chart
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Continued Catatonic Depression (CD) It is rare and severe form of major depression disturbances of motor behaviour and other symptoms. The person is mute and almost stuporoseless. Catatonic symptoms also occur in schizophrenia . Postpartum Depression (PD) Sustained and sometimes disabling depression experienced by women and after giving birth. Postpartum depression,which as incidence rate of 10 to 15. Typically sets in within three months of labour. Seasonal affective disorder It is also known as winter depressions or winter blues. Some people have a sesational pattern, with depression episodes coming on in the winter. Lecture
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7. 8. 2 min 2 min Continued Minor depressve disorder or simply minor disorder It refers to a depression that does not meet full criteria for major depression but in which atleast two symptoms are present for two weeks. RISK FACTORS FOR DEPRESSION Gender Marital factors Age Previous episode Heredity COMMON SYMPTOMS Sadness, anxiety or empty feelings. Decreased energy,fatigue,being slowed down. Insomnia, oversleeping or waking much earlier than usual. Loss of weight or appetite or over eating and weight gain. Lecture Lecture Black board What are the risk factors for depression?
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S.No TIME SPECIFIC OBJECTIVE CONTENT Feelings of Hopelessness. Feelings of Helplessness,Guilty and Worthlessness. Thoughts of Death or Suicide or Suicide Attempts. Restlessness,Irritability or Excessive Crying. TEACHER ACTIVITY LECTURE LEARNER ACTIVITY A.V. AIDS LEAF LET EVALUATION
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DIFFERENCE BETWEEN ENDOGENOUS DEPRESSION AND
EXOGENOUS DEPRESSION
ENDOGENOUS /MAJOR /BIOLOG ICAL/PSYCHOTIC DEPRESSION EXOGENOUS/REACTIVE/NEUROTIC DEPRESSION
Mild are absenceof percipitating factors. Lower socio economic status and working groups. Late insomnia Presence of percipitating factors. Middle and upper socio economic class. Early insomnia
Feels depressed in early hours. Severe thought disturbance,experiences delusions,hallucina-tions. Lack of insight. Alteration in selfcare activities. Feels comfort when alone. Less depressed in morning hours. Restlessness , more attention seeking,psychom -otor agitation. Insight is present. Able to take care of himself. Feels comfort when in group.
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S.No 10 TIME   2 min SPECIFIC OBJECTIVE Discuss the management of depression CONTENT TREATMENT Pharmacotherapy Selective serotinin. Atypical anti depressants. Ex Nefazadone,Mitazapine and Trazadone. Tricyclic anti depressants. Ex Desipramine,Protriptyline Non-PharmacologicalTherapy Electro convulsive therapy It is a highly effective treatment for deprssion and may have a more rapid onset of action than drug treatments. Light therapy It is a Broad-spectrum light exposure has long been in use for the treatment for SAD. Transcranial magnetic stimulation This modality is in investigational stages for the treatment of major depressive disorders. Vagus nerve stimulation Also is in investigational stages and has shown some efficacy in treatment. TEACHER ACTIVITY LECTURE LEARNER ACTIVITY A.V. AIDS PPT EVALUATION
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11 2 Min continue PSYCHOTHERAPIES Supportive psychotherapy. Psychoanalytic psychotherapy. Group therapy. Family marital therapy. Cognitive behaviour therapy(CBT). Interpersonal therapy(IPT). PATIENT EDUCATION Education plays an important role in the successful treatmemt of major depressive disorders. Patient should be aware of the rational behind the choice of treatment ,potential adverse effects and expected results. Lecture Lecture PPT
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12 13 The patient in the treatment plan can enhance medication compliance and referral to counselling. Summary Depression introduction and types, risk factors,common symptons and treatment of the depression patient. CONCLUSION From the above topic the students will get information regarding Depression and they can able to explain the types of depression, etiology,risk factors, treatment of depression and patient education of depression. Assignment.
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BIBILOGRAPHY R.Sree Vani - Text book for Mental Health And Psychatric Nursing2nd Edition.JAYPEE BROTHERS MEDICAL PUBLISHERS (P)LTD,NEW DELHI,PAGE NO.21,24,38,70,83. BT BASAVANTHAPPA PSYCHIATRIC MENTAL HEALTH NURSING . JAYPEE BROTHERS MEDICAL PUBLISHERS (P)LTD,NEW DELHI,PAGE NO.500-509. R.Sree Vani A GUIDE TO MENTAL HEALTH AND PSYCHIATRIC NURSING.3rd EDITION , JAYPEE BROTHERS MEDICAL PUBLISHERS (P)LTD,NEW DELHI,PAGE NO.159-162,169. WANDA K.MOHR PSYCHIATRIC - MENTAL HEALTH NURSING.PAGE NO.274-282. JOURNAL REFERENCE NET REFERENCE 1)psychcentral.com/disorders/depression/ 2)en.wikipedia.org/wiki/Depression_(mood)