Mental Problems

This article written by Shelton and Papakostas deals with the health problem of manipulation-resistant depression (2008). This refers to a situation where at least one trial of an antidepressant drug has failed. More specifically, the study investigates the legalness of irregular antipsychotics in treatment-resistant depression. This unfreeze was chosen due to the report by the modern National Institute of rational Health Sequenced Treatment Alternatives to Relieve mental picture (STAR*D) study, which shows a precise small percentage of people who actually cured as a result of their first antidepressant treatment (Shelton & Papakostas, 2008).The subject of this study is very important for Health People 2010, as it deals with the issue of effectiveness of antidepressants. The authors noted that there ar several new antidepressants visible(prenominal) in the market, and yet, the data showing responses of patients as a result of these antidepressants ar dismal. For example, there argon significant functional impairments found among patients who already had at least 50% improvement on the depression scale. Moreover, despite the relatively high mean dose of antidepressants, the fact remains that only a few(prenominal) people actually go back from depression (Shelton & Papakostas, 2008).This condition deserves adequate guardianship because it comprises about ten to twenty percent of people who have major depressive disorders. Thus, about 10-20% of depressed people fail to respond to traditionalistic antidepressant treatments (Greenberg, et al., 2004). Existing data, however, do not segregate the affected population ground on demographical indicators such(prenominal) as age and gender. The factors affecting this condition are not addressed by extant literature, but some look suggests ways of addressing the condition. Thus, in this article, it is suggested that atypical antipsychotics be used instead of traditional antidepressants.Atypical antipsyc hotics include drugs such as aripiprazole, risperidone, olanzapine, and ziprasidone. In order to determine how these drugs are relevant to treatment-resistant depression, the authors conducted a study consisting mainly of a study and polish up of clinical literature dealing with the use of such drugs to depressed patients (Shelton & Papakostas, 2008).From their palingenesis of clinical literature, the authors found two atypical antipsychotics that seemed promising based on controlled clinical trials. These drugs are quetiapine and olanzapine. The effectiveness of other atypical antipsychotics were either not supported by data or contradicted by a posterior study. Thus, the authors were not able to conclude that all atypical antipsychotics are effective for treatment-resistant depression, because existing clinical literature on the matter is decidedly manifold and unclear (Shelton & Papakostas, 2008).Nurses would play a significant fictitious character in the treatment of treatm ent-resistant depression, especially since the study showed how a lot of antidepressant medications do not work on the patients. It is noted that nursing is a duty that plays a very important role in the provision of health care. Since nurses pass off a significant amount of time with patients, especially when they conduct rounds and get wind direct care of the patients, nurses often become more familiar to the patients than the doctors.The nurses role in the recuperation or treatment of a patient is not limited to routine procedures and mechanical acts. More importantly, nurses could play a very important role in helping a patient recover psychologically from an illness. Nurses could help depressed patients by establishing a good, healthy, and strong affinity with the patient. More specifically, nurses should attempt to make patients comfortable so that they would be allowed by patients to treat them effectively.Depression and stress are natural consequences of an illness. Thes e emotional facets of the healthcare profession require nurses to know how to attend to these emotional needs. Emotional sensitivity and decent communication with patients would allow nurses to inspire patients with treatment-resistant depression to recover, despite the difficulty and the overlook of effectiveness of various antidepressants in the market today.Nurses interested in acquire better on giving emotional support to patients could join nurses associations, such as the NSW Nurses Association. Details could be found at their website, http//www.nswnma.asn.au/nswnmamembers/benefits/. Organizations such as these provide support and assistance to nurses and give valuable information relating to the profession.ReferencesChambers, M. (1998). social mental health nursing research issues and challenges. Journal of Psychiatric and Mental Health Nursing 5, 203-211.Shelton, R. C. & Papakostas, G. I. (2008). Augmentation of antidepressants with atypical antipsychotics for treatmen t-resistant major depressive disorder. Acta Psychiatrica Scandinavica 117, 253-259.