It should be noted that the patient has a complicated psychological condition; nevertheless, it is essential to gather both the subjective and objective data before providing any care to the woman. It is necessary to determine physiological indicators that will provide insights into the health of the patient and collect the information about a woman’s medication regime to be able to determine the appropriate course of help (Gartlehner et al., 2016). Basic lab tests for blood sugar and so on will enable the nurse to relate the symptoms with the possible causes of poor health conditions.
Approach and Intervention
Therefore, the nursing approach should be inductive so that the health specialist can rely on objective information when making the primary diagnosis. Importantly, apart from evident depressive moods, the patient claims to have trouble sleeping, and increased appetite, and impaired concentration; thus, it is crucial to specify the interventions that will prevent such conditions as insomnia or fatigue since they have a potential to compromise basic body functions (Gartlehner et al., 2016). Also, it is essential to refer the patient to a pharmacologist to prevent possible adverse drug-drug interactions that might occur due to over-the-counter medication use. Moreover, the patient should receive counseling to be able to combat repetitive depressive moods.
Strategy
In terms of nonpharmacological strategy, the woman should be advised to employ a healthier lifestyle, which includes healthy eating and proper physical exercises. Also, regular evening walks in the fresh air will help her fall asleep easier due to sufficient oxygen intake (Stanton & Reaburn, 2014). Regarding medication, GF can be prescribed Ramelteon (Rozerem) (8 mg per day). The woman should take it 30 minutes before going to bed. However, a consultation with a pharmacologist is required.
Patient Teaching
Patient teaching should concentrate on lifestyle changes. It is necessary to instruct the patient on healthy eating, which implies proper nutrition (consuming a sufficient amount of fruit and green vegetables) and drinking enough pure water. Apart from that, it is essential to inform the woman about the importance of following medication regime and adverse reactions that might occur in the case of over-the-counter drug intake. Therefore, apart from psychological and nursing support, it is important to provide the woman with basic health literacy information to raise her self-awareness.
References
Gartlehner, G., Gaynes, B. N., Amick, H. R., Asher, G. N., Morgan, L. C., Coker-Schwimmer, E.,…Lohr, K. N. (2016). Comparative benefits and harms of antidepressant, psychological, complementary, and exercise treatments for major depression: An evidence report for a clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 164(5), 331-341.
Stanton, R., & Reaburn, P. (2014). Exercise and the treatment of depression: A review of the exercise program variables. Journal of Science and Medicine in Sport, 17(2), 177-182.