Primary Diagnosis: Depressive disorder
Status/Condition:
StableCode Status: Full
code Allergies: NKDA
Admit to Unit: No need for admission to hospital. Patient is not suicidal and can be
treated onan outpatient basis. “Hospitalization is necessary if suicide is a major
consideration or if complex treatment modalities are required” (Papadakis, McPhee, &
Rabow, 2019).
Activity Level: Encourage 30-40 minutes of cardiovascular activity daily.
Studies have shown that aerobic activity and strength training can help to decrease HA1C,
lipids,blood pressure, and improve the severity of depressive symptoms (Mazyarkin, Peleg,
Golani, Sharony, Kremer, & Shamir, A. 2019).
Diet: Low fat, Low calorie
IVF (if ordered, include type and rate ): N/A
Critical Drips (If ordered, include type and rate. Do not defer to ICU Protocol): N/A
Respiratory: N/A
Medications: none
Nursing Orders: N/A
Follow Up Lab tests:
none
Diagnostic testing (CXR, US, 2D Echo, etc…) Include indication for test, for example
CXRto evaluate pneumonia): None
Consults: Refer to psychotherapy. “Current standards of care recommend that
adolescentsidentified with depression symptoms receive further assessment, initiate
antidepressant medication and/or psychotherapy treatment, and are monitored for
changes in symptoms, especially following an antidepressant prescription” (O’Connor et al.,
2016).
Patient Education and Health Promotion (address age appropriate patient education
ifapplicable):
• Discuss safe driving habits, including seatbelt use, texting and driving, and
drinking anddriving.
• Discuss alcohol, marijuana, and tobacco use.
• Discuss violence prevention.
• Discuss delinquency prevention
Status/Condition:
StableCode Status: Full
code Allergies: NKDA
Admit to Unit: No need for admission to hospital. Patient is not suicidal and can be
treated onan outpatient basis. “Hospitalization is necessary if suicide is a major
consideration or if complex treatment modalities are required” (Papadakis, McPhee, &
Rabow, 2019).
Activity Level: Encourage 30-40 minutes of cardiovascular activity daily.
Studies have shown that aerobic activity and strength training can help to decrease HA1C,
lipids,blood pressure, and improve the severity of depressive symptoms (Mazyarkin, Peleg,
Golani, Sharony, Kremer, & Shamir, A. 2019).
Diet: Low fat, Low calorie
IVF (if ordered, include type and rate ): N/A
Critical Drips (If ordered, include type and rate. Do not defer to ICU Protocol): N/A
Respiratory: N/A
Medications: none
Nursing Orders: N/A
Follow Up Lab tests:
none
Diagnostic testing (CXR, US, 2D Echo, etc…) Include indication for test, for example
CXRto evaluate pneumonia): None
Consults: Refer to psychotherapy. “Current standards of care recommend that
adolescentsidentified with depression symptoms receive further assessment, initiate
antidepressant medication and/or psychotherapy treatment, and are monitored for
changes in symptoms, especially following an antidepressant prescription” (O’Connor et al.,
2016).
Patient Education and Health Promotion (address age appropriate patient education
ifapplicable):
• Discuss safe driving habits, including seatbelt use, texting and driving, and
drinking anddriving.
• Discuss alcohol, marijuana, and tobacco use.
• Discuss violence prevention.
• Discuss delinquency prevention
