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Running Head: MANAGEMENT AND TREATMENT OF AN ELDERLY PERSON WITH
DEPRESSION
1

Management and Treatment of an Elderly Person with Depression
Name:
Institution:

Course:
Instructor:
Date:

MANAGEMENT AND TREATMENT OF AN ELDERLY PERSON WITH DEPRESSION

2

Introduction
History of the Client
An elderly patient/ client suffers from depression which started at late thirties, this was
due to the depressive issues which occurred to her
...
The stage of development between adulthood and old age requires a lot of guidance
so that as the people do not undergo drastic change and approach to life for them to understand
the responsibilities and challenges that still awaits in life at the tricky age full of challenges
...
Such condition
would lead to frustration, fatigue, sadness and lawlessness on how stressful life may be at times
...

Due to failure in accepting that no situations lasts forever, depressed individuals
especially at the late teens and adulthood lose interest and often get withdrawn from what the
situation used to be
...
19)
...
Such conditions entail both
short and long term effects to affected individuals (Heaton-Harris, 2008, p
...


MANAGEMENT AND TREATMENT OF AN ELDERLY PERSON WITH DEPRESSION

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The Co-Existing Health Problems
In order to effectively derive an effective therapy for treatment of depression, it is adept
to consider the behavioral perspective and approach to be able to effectively curb the situation on
the patient and implement the outcome to the community as a whole
...
However, due to poor approach to life especially
through positive perception, the elderly population is unaware that situations change at times
hence, research and practical examples/ tests indicate that about 20% of adults above the age of
55 suffer from depression
...
55)
...
The prodromal period that precedes depression is
characterized by deterioration of personal functionalities for instance tampered concentration,
memory lapse, peculiar characters, lawlessness, boredom, social withdrawal, communication
problems, weird ideas, poor personal hygiene, perceptual experience, low self esteem and lack of
interest and motivation among other factors, which are peculiar to individuals (Hales, 2010, p
...


MANAGEMENT AND TREATMENT OF AN ELDERLY PERSON WITH DEPRESSION

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Since the third stage of the chronic illness may last for years, but only about 14% to 20 %
of the victims may recover fully
...
About 50% of the victims die from suicidal acts while about 10% of the deaths are
caused by violent situations lowering their life expectancy
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Social, Emotional and Psychological Symptoms
CBT (Cognitive- Behavioral Therapy) is an approach approved due to the combination of
both behavioral and cognitive therapies (Carlstedt, 2009, p
...
For instance, it emphasizes on
problem solving through regulation, monitoring, collective and collaborative empiricism and
modification of assumptions, automatic thoughts and basic perceptions in order to examine
treatment by utilizing specific goals, for example the psycho-education that entails information
about the disorder and its causal factors hence the concerned parties would be able to handle the
situation with understanding (Arnet, 2000, p
...

Cognitive-behavioral therapy is of high importance since it covers components of
treatment for example increase in pleasure activities and mood monitoring
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79)
...
27)
...


MANAGEMENT AND TREATMENT OF AN ELDERLY PERSON WITH DEPRESSION

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At times the old woman’s experiences are characterized by positive symptoms which in most
people do not last for long, the stage requires attention since it could worsen predisposing the
risk to cases like suicide and brutality (Heaton-Harris, 2008, p
...
Any situation that would
become monotonous and boring decrease the effects of cognitive-behavioral therapy on the
depressed since the best remedy is supposed to reduce depression symptoms on the affected
(Weissman, 2001, p
...

Nursing Care Plan
Cognitive- behavioral therapy (CBT) is derived from Aaron Beck’s approach and therapy
to depression
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66)
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Through comparison of considerable number of researches, it is adept to settle
on cognitive-behavioral therapy as the most efficacious treatment of depression that the elderly
should seek (Arnet, 2000, p
...
The negative thoughts about past situations in life are often
characterized by reactions automatically however long it would take before experiencing the
same causal factors, hence the cognitive–behavioral approach is key factor in salvaging such
detrimental situations that may result into maladaptive behavior
...
48)
...
It is
adept to differentiate it from the other disorders
...
It is
a challenge to determine the type of depression for instance the bipolar, dysthymia, chronic
depression, major depression, unspecified, and adjustment disorder with depression (Jones, 2004,
p
...
Patients with the disorder exhibits unique spectacular combination of experience and
symptoms which are influenced by specific circumstances (Heaton-Harris, 2008, p
...

The affected individuals react differently to same circumstances when subjected to a test
situation making it complex to perceive their intellectual capabilities
...
Hence,
the depression in the elderly can be termed as complex disorder that requires significant
information and literature to unravel the mechanism affecting the people
...
The effective therapy for depression is based on creating positive
perception and understanding of behavior change and approach to situations
...
When patient is diagnosed with depression, it
is adept to examine the patient properly since not all depressed people suffer from the same
problems
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38)
...
103)
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However, there are more guidance and counseling required in
order to equip the parson with relevant and adequate information on how best to facilitate the
recovery process
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However, it is advisable that CBT may not be the perfect intervention but
would resolve some of the problem areas (Weissman, 2001, p
...
The major aim of utilizing
cognitive-behavioral therapy (CBT) intervention is to resolve and eliminate where possible, a
person’s negative perception and actions
...
This would assist in establishing the best way to handle them when there
is need
...
However, the family should ensure that there are a few people whom the patient
may prefer to talk to when the level of the chronic illness surpass the normal level, this is
essential since the depressed at times do not intend to engage with people whom they are not free
with
...
In spite of that the antipsychotic medication which is
perceived to cause more harm to the patients by inducing endocrine abnormalities for example,
(galactorrhoea and diabetes), other than that they may develop neurological disorders for
example, tardive dyskinesia
...
The use of pharmacological treatment involves
antibiotics, which are affirmed not to clear off the considerable problems; hence I assert that full
recovery from depression is not possible
...
J
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Emerging adulthood: A theory of development from the late teens through the
twentiwees
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Carlstedt, R
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(2009)
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London- UK: Springer
Publishing Company
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A
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Cognitive-behavioral therapy for OCDA
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Einstein, D
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Innovations and Advances in Cognitive Behavior Therapy
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Hales, D
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An Invitation to Health: Choosing to Change: Available Titles Cengage NOW
Series
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Heaton-Harris, N
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Understanding Depression Emerald guides- Emerald mental health
series Nicolette Heaton-Harris Straightforward co Ltd
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Hofman, S
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(2010)
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London- UK: Cambridge University
Press
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(2004)
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Washington- USA: Oxford University Press
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P
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2nd Edi
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Ney York: McFarland
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R
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A
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Cognitive behavior therapy for depression in youth
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Weersing, V
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, & Weirsz, J
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(2002)
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Journal of Consulting and Clinical
Psychology, 70(2), 299- 310
Weissman, M
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(2001)
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New York:
American Psychiatric Pub

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