Capella FPX 4015 Assessment 3

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Capella university

NURS-FPX4015 Pathophysiology, Pharmacology, and Physical Assessment: A Holistic Approach to Patient-Centered Care

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Date

Concept Map: The 3Ps and Mental Health Care

Major Depressive Disorder (MDD) represents a common severe mental illness that produces ongoing depressive states, together with diminished interest, tiredness, disruptions to sleep cycles, and changes to appetite and weight. The condition MDD typically begins because of major stressful events that include grief or trauma, or a breakup with someone significant. After that, it reduces both mental and physical capabilities and social interactions severely (Bains & Abdijadid, 2023).

Ivy Jackson, who recently separated, shows clinical indications of MDD according to psychological examinations. The patient assessment includes examining her psychosocial background alongside presenting symptoms, risk factors, and diagnostic indicators to establish nursing interventions that stabilize her emotions and facilitate her recovery process.

Case study

Ivy Jackson, who recently turned 63, was medically diagnosed with fatigue, insomnia, weight loss, and ongoing depression. She experienced these symptoms after her husband ended their 38-year marriage, due to a long-term affair. The patient displays symptoms of anxiety, hopelessness, insomnia, appetite changes, and multiple mood disturbances, which reduce her ability to perform daily activities. The patient demonstrates MDD as her primary condition due to her medical history combined with depression in relatives.

Psychiatric Evaluation and Diagnosis

The evaluation of Ivy Jackson’s condition shows she meets all the DSM-5-TR diagnostic elements for MDD because she exhibits five qualifying symptoms that include a combination of depressed mood and lack of interest, along with at least two weeks of continuous symptoms, which result in substantial impairment of her daily activities. Ivy shows multiple signs of a major depressive episode through her emotional detachment, excessive crying, helplessness, and lack of pleasure. Enjoyable activities that she savoured previously have become bothersome for her. The depressive symptoms that affect her life include frequent fatigue, insomnia, and diminished appetite, together with anxiety and impaired concentration. Although she states she does not think about killing herself, her social isolation strengthens concerns about future deterioration without proper treatment.

Several contributing factors underpin Ivy’s depressive state. Her 38-year marriage ended abruptly, which created an enormous amount of psychosocial stress. The presence of depression among her maternal relatives makes her more susceptible to such conditions due to hereditary factors. Previous challenges in life, such as adapting to an empty nest, contributed to Ivy’s susceptibility to experiencing depressive symptoms. The discontinuation of venlafaxine therapy because of side effects played a part in her symptom relapse, because non-adherence to medication represents a known risk factor for clinical depression recurrence.

The intensity as well as duration of her symptoms exceeds typical manifestations that would be seen in patients diagnosed with adjustment disorder or situational grief. MDD requires different treatment because it displays neurobiological changes, including hypothalamic-pituitary-adrenal axis and serotonin imbalances that linger after stressful events end (Bains & Abdijadid, 2023). A treatment approach consisting of medication relapse with escitalopram or another SSRI and dual interventions of Cognitive-Behavioral Therapy (CBT) and lifestyle improvement through scheduling, exercise, and social connections will help patients find recovery and stop their condition from returning (Bains & Abdijadid, 2023).

Reference List

Bains, N., & Abdijadid, S. (2023). Major depressive disorder. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK559078/ 

Capella FPX 4015 Assessment 3