A client, age 62 years, became severely depressed when her son experienced a traumatic brain injury sustained in an automobile accident 6 years ago. Since her sons accident, she has neglected to pay her bills on time, has difficulty sleeping and difficulty concentrating, and has lost interest in eating and has lost 30 pounds during the last year. Her home needs repairs, and she feels overwhelmed by completing the maintenance required. She feels all helpless and alone. She states that she is alone and no one cares. She has been noncompliant with pharmacologic antidepressant therapy, which has led to her admission to an acute care psychiatric setting. What Psychatric Nursing Diagnoses would you use on the patient? (at least 3) Define her disease and how is it affecting her life. What drugs do you think might be helpful. You may use your book as a reference. Your response should be a minimum of 800 words. Due on Wednesday, May 22, 2013, at 11:55 pm ANSWER DEPRESSION In nursing, dealing with a patient who has mental issues requires a lot of expertise and application of professional ethics. This is to ensure that the patient does not retaliate or overreact while undertaking the process of diagnoses. While dealing with psychiatric cases, it is essential to establish a good relationship and understanding with the patient in order to make the diagnoses process successful (Boyd, 2005, p 25).Introductory This part is very essential between a patient with mental issues and a nurse. The main aim of this process is to create a conducive environment where both the nurse and the patient can trust one another. It is a way of building a patient nurse relationship that helps many patients with psychiatric problems to open up completely. In this particular case, I will try to build up a convenient relationship with the patient. Im sure this will make her feel comfortable and appreciated. After creating such an environment, I will slowly start talking to the patient concerning her ailment slowly by starting on the minor details. By starting with the minor details, I will listen carefully an fully understand the patient. This will eventually lead to her talking to me about her complex b problems. Through slow and interactive conversation, I will be in a better position to fully understand what this particular patient is going through. It is also vital to note that by listening to the patient will make her feel comfortable and cared for dully. This will prompt her to talk out all what she feels. Through interactive talks with the patient, it will be easy to diagnose what she is exactly suffering from. Assessment – This involves analyzing the information obtained from the patient in the introduction part. This is is vital because in the introduction part, patients tend to expose a lot of information concerning themselves and what they are actually experiencing in their life. This information should not be taken for granted and that is why it must be analyzed in a conclusive manner in order to arrive to a conclusion. In this particular case, the patient is experiencing psychological problems and it is very essential to analyze all information concerning her well being very well. This will give a clear understanding of what the patient is suffering from.Outcome identification – After analyzing what the patient is actually suffering from, I will be in a position to understand what is wrong with the patient. Outcome identification involves me examining the health status of the patient from all angles. In this particular case, I will go to the extent of establishing the mental stability of the patient. This way, I will be in a good position to establish the psychological well being of the patient. After compiling and professionally integrating my outcome, I will be in a good position to establish what the patient is actually suffering from (Boyd, 2005, p 31-39). The lady is actually suffering from depression. This is exactly why her mental state has not being stable. Her psychiatric condition has affected her life in different ways. The lady has been suffering from insomnia. This is highly promoted by her unstable mental state; the state of her insomnia has become extreme such that she can barely sleep well at all. Due to the effects of depression on the patient, she has totally lost her appetite and that has made her loss a lot of weight. Lack of appetite has made her body weak thus lowering her immune system and she stands a great chance of contracting other many more diseases. This really puts the lady at a high health risk. The lady is suffering is also suffering from lack of concentration; this hinders her from doing anything credible within a specified time frame. The lack of concentration has made the lady to be very slow and very in accurate in carrying out her basic duties. Due to depression, the patient has developed a wrong mental attitude towards everything. That is the main reason why the patient things that no one cares about her at all. That is also the main reason why the patient lacks the enthusiasm to do anything at all (Boyd, 2005, p 53). In her situation, I think the patients deserve to be given antidepressants. This will go a long way in helping her with her current depression situation. Antidepressants will help the patient by a great deal in easing down her mental situation and make it more stable. Dietary supplements for insomnia will help the patient by a great deal in dealing with her sleeping problems. Sleeping pils will be good for a start while dealing with insomnia problems. Both supplements and sleeping pills will help the patient recover from her current sleepless nature. Finally appetite stimulating drugs will help the lady recover her appetite back. This will help in bringing her body back into shape and boost her immune system. Apart from all the medication I think the patient needs to go through post treatment psychological counseling This will help the patient in the journey of her psychological recovery (Boyd, 2005, p 73). REFERENCES Boyd, M. (2005). Psychiatric nursing: contemporary practice (3rd ed.). Philadelphia: Lippincott Williams & Wilkins.