NURS MISC Major Depressive Disorder (MDD) Case Study: Patient, Marilyn Smith, 28 years old

Major Depressive Disorder (MDD) UNFOLDING Reasoning STUDENT Marilyn Smith, 28 years old Primary Concept Mood and Affect Interrelated Concepts (In order of emphasis) 1. Stress 2. Coping 3. Clinical Judgment 4. Communication 5. Collaboration 6. Patient Education History of Present Problem: Marilyn Smith is a single, African American 28-year-old female who presents to the emergency department with complaints of “feeling crummy” for the past six months. She reports that she no longer feels like doing any of the things she used to enjoy. “It all seems so pointless.” She can’t even bother to eat most days and has lost weight recently. Although she has no energy, she finds it difficult to both fall asleep and stay asleep. Even when she does manage to fall asleep, she never feels rested when she awakes. She reports having difficulty at work as a computer support person because it is so hard for her to concentrate. Last week she called in sick and spent the day in bed crying off and on all day. Last night she found herself crying again and this time she also thought about suicide, which scared her and prompted a visit to the ED. “I don’t want to live like this anymore. I feel like I will never be happy again.”