Nursing Care Plan for Depression

NURSING DIAGNOSIS

OBJECTIVES
Short term goal:

SELF- ESTEEM DISTURBANCE

Possible Etiologies: (Related
to)
Failure in school
achievements
Dysfunctional family system
(absentee father)

Defining characteristics:
(Evidenced by)
Subjective Data:
I am such a failure. My
parents never loved me...
verbatim of client.
Objective Data:
*Lack of eye contact
*Guarding behavior (closed
posture)
*Rejects negative feedback
when praised for good
grooming
*Stooped gait, slightly
unkempt hair and nails
*Some agitations observed
because of frequent wringing
of hands

After 2 weeks of nursing

interaction, client will be
able to view self positively
through realization of
strengths and limits as a
person.

NURSING INTERVENTIONS
1. Introduce self and intention
during the first phase of
interaction.

2. Interact with the client in a

slow pace, using a low firm
tone.

Long term goal:

At the end of nursing
interaction, the client will be
able to demonstrate
behaviors that show
optimism to self, the world
and living his life through
acceptance of limits,
interacting with other
people and the ability to
express self and solve
concerns properly.

3. Do not hurry client into an

interaction, instead maintain a
therapeutic and reassuring
atmosphere that you are
available if he is already ready
to talk or share his thoughts
with you.
4. Assess the factors
contributing to low selfesteem like previous
educational failures, family
relationships and interaction,
availability of support system,
and the ability to express own
self.

RATIONALE
1. This will help client
build his trust with the
nurse; ensuring that it is
a professional type of
interaction and that will
ensure the
confidentiality of
interaction.
2. -This will promote a
positive and trusting
environment with the
client considering that
depressed clients
sometimes
communicate with
some gaps or may be
unresponsive for some
reasons.
3. -Sometimes clients who
are depressed may have
some emotional
outbursts, crying spells
or hesitancy in sharing
their thoughts. Be wary
of these nonverbal cues
and provide some
comforting gestures or
allow client cry as it
would lessen his
exaggerated emotions.
4. -These will help in
knowing which aspects

EVALUATION
After 2 weeks of nursing
interaction, the client can
verbalize positive concept of
self, know his strengths and
limits as a person.
At the end of nursing
interaction, the client is
participative in daily
activities, shows eagerness
to socialize with other
people, copes well with
problems through omission
of negative thinking,
acceptance of honest
appraisal, and express
emotions productively.

5. Assess and observe how

client views himself and how
he copes with his previous and
present problems.

6. Conceptualize goals for

recovery together with the
client and involve client in
simple decision making.
7. Involve client in activities
that meets his abilities and
praise him honestly for
achievements done.
8. Interact with the client
using broad statements and
note for statements that
indicate negative thinking or
cognitive distortions like
overgeneralization, all- or
nothing thinking, jumping to
conclusions, etc.
9. Encourage client care about
self through grooming and
eating properly.

10. Let him express self

through non stimulating
activities like dancing,

you should reinforce

with during the plan of
care. It may also help
client understand of his
limits as person.
5. -Knowing these will help
you pinpoint with the
client if how he cope
with his problems
effectively or not; these
will guide him to avoid
negative coping
measures

6. -This will help client

know his strengths as a
person and would help
him resume his
autonomy and integrity.
7. -This will not only
promote clients
positive concept of self
but would also enhance
his ability to resume
functioning like his daily
self- care.
8. -These negative thinking
statements are often
utilized by depressed
individuals and
correcting this will help
client cope
appropriately.

drawing, or assuming role

playing.
11. Encourage reestablishment of relationships
with significant ones and
emphasize that proper control
of anger and guilt could assist
him interact appropriately.

9. Maintaining a positive
image of self helps a
person feel good about
self.

10. -This will promote

clients ability to
express self
appropriately.

11. -This will enhance

clients ability to
socialize and view that
life is still worth living.