Reference no: EM133562931

Case study:

Kim is a 75-year-old woman. She has been diagnosed as having depression for ten years. She started to feel depressed after she was diagnosed with diabetes and hypertension. She felt more depressed after the loss of her husband three years ago. At that time, Kim was hardly eating anything and was not sleeping. She felt like she had no one to talk to. After the death of her husband, Kim moved to a retirement village. While living at the retirement village, Kim manages her medications by herself.

Sometimes she forgets to take her medications.

Kim is a quiet but caring person. She likes to keep things to herself, and she has similar characters to her mother who also had depression and passed away fifteen years ago. Kim was brought to a mental health hospital by Kate, one of her daughters, after the retirement village manager contacted her. This is her fourth admission to the hospital. Over a period of two weeks, Kim has experienced a loss of interest in her activities and sleep disturbance. Kim was restless at night and she found it hard to fall asleep. Over the past two weeks, Kim has felt increasingly tired and fatigued, resulting in her not wanting to get out of bed. Kim expresses feelings of worthlessness, helplessness, and hopelessness. She feels she is a burden for her daughters. Kim reported low mood and stated, "If I were gone, things would be easier for my daughters".

Questions :

1: Identify TWO actual or potential clinical problems relevant to the client described in case study. For each problem, justify your choice (e.g., with patient's assessment data in the selected case study and supporting literature)

2. For each problem, identify ONE smart goal for care of the client (total 2 goals).

3. For each goal, describe TWO evidence-based nursing interventions you would implement to meet the goal (total 4 interventions). For each nursing intervention, justify your choice (e.g., with supporting literature)

4. For each goal, identify the expected outcomes and describe your evaluation approach (e.g., how and when would you evaluate that your interventions have been effective or not?).