What are the nursing issues associated with geriatric depression?
The nursing issues of late-life depression primarily involve psychological care, life management, and treatment adherence, with emotional support being particularly crucial. It is necessary to consider both physiological and psychological factors of patients and help them rebuild their confidence in life and social connections.
1. Psychological Care: Listening and Accompanying
Elderly patients with depression often experience worsening symptoms due to feelings of loneliness and a lack of a sense of worth. Family members or caregivers should spend more time communicating with patients, listening to their inner thoughts, and providing emotional support. Helping patients participate in social activities or interest groups can promote positive stimulation of the brain, thereby improving their mental state. For patients who are unwilling to talk, indirect communication methods can be tried, such as taking walks together or interacting with pets to improve their mood.
2. Life Management: Establishing Good Health Habits
Maintaining a good routine and diet are crucial for depression recovery. In nursing, patients should be helped to maintain a regular schedule and avoid staying in bed for long periods or reversing day and night. Regarding diet, foods rich in ω-3 fatty acids, such as salmon and walnuts, are recommended to promote brain health. Supplementation with appropriate sources of vitamin D, such as spending time in the sun, eating egg yolks, and drinking milk, can also help alleviate depressive symptoms.
3. Treatment Adherence: Dual Combination of Medication and Psychotherapy
Some elderly patients with depression may resist medication or forget to take it due to memory decline. Caregivers need to remind patients to take antidepressants on time, such as selective serotonin reuptake inhibitors like Escitalopram Oxalate, and schedule regular follow-up visits. Psychological treatments such as cognitive-behavioral therapy and mindfulness-based therapy have been proven to be effective in alleviating symptoms and can be arranged in coordination with medical staff.
The nursing of late-life depression requires comprehensive attention to the psychological and physiological health of patients from three aspects: psychology, lifestyle habits, and treatment. Family members and caregivers need sufficient patience and love, correctly guide patients to integrate into positive daily life, and seek professional help in a timely manner when necessary to achieve better rehabilitation outcomes.
