Management of patient with depression

Depresija je duševna motnja s številnimi simptomi, ki globoko posega v bolnikovo funkcioniranje. V diplomskem delu, ki je teoretično, smo predstavili obravnavo depresivnega bolnika in pri tem uporabili deskriptivno metodo dela, s študijem strokovne domače in tuje literature. Opisali smo depresijo kot zapleteno zdravstveno stanje, njeno epidemiologijo in etiologijo. Izpostavili smo klinične oblike depresije pri različnih skupinah populacije ter zdravljenje z zdravili in zdravljenje z uporabo drugih psihoterapevtskih in terapevtskih tehnik. Posebno poglavje smo namenili zdravstveni negi bolnika z depresijo. Predstavili smo vlogo strokovnega tima, izpostavili najpogostejše negovalne probleme in etične dileme v psihiatrični zdravstveni negi. Najpogostejši negovalni problemi pri bolniku z depresijo se pojavljajo pri prehranjevanju in pitju, odvajanju in izločanju, osebni higieni, spanju, izogibanju nevarnostim v okolju, pri odnosih z ljudmi, izražanju čustev ter pri delu in razvedrilu. Kombinacija farmakoloških, socialnih in psiholoških pristopov v obravnavi zmanjšuje pogostnost ponovitev bolezni, skrajša čas hospitalizacije in omogoča bolj kakovostno življenje v okolju, ko bolnik zapusti bolnišnico. Poudarek smo namenili tudi opisu nevladnih organizacij za pomoč v duševni stiski, ki izvajajo različne programe, ki so namenjeni osebam s težavami v duševnem zdravju in njihovim svojcem.ABSTRACT Depression is a mental disorder with many symptoms that deeply affect the patient\u27s functioning. In this thesis, which is theoretically, we presented the treatment of a depressed patient, using descriptive work method, with the study of professional domestic and foreign literature. We have described depression as a complex medical condition, its epidemiology and etiology. We have highlighted the clinical forms of depression in different population groups and treatment with medicaments and treatment using different psychotherapeutic and therapeutic techniques. A special chapter was devoted to the nursing of patients with depression. We presented the role of a professional team, highlighted the most common nursing problems and ethical dilemmas in psychiatric nursing. The most common nursing problems with depression patients occur by eating and drinking, excreting, with personal hygiene, sleeping, avoiding hazards in the surroundings, in relationships with other people, by expressing emotions, at work and by amusement. A combination of pharmacological, social and psychological approaches in treatment reduces the frequency of a recurrence of the disease, reduces the hospitalization time and allows a higher quality of life in an environment when the patient leaves the hospital. An emphasis was made also on the description of non-governmental organizations for aid in mental distresses, which carry out various programs for people with mental health problems and their families