Care Plan for Postpartum Depression

This assignment focuses on developing a comprehensive care plan for a client experiencing postpartum depression. The plan emphasizes clear communication and organization among nursing staff to ensure effective treatment. The document also delves into the causes of postpartum depression, exploring various risk factors and offering potential therapeutic interventions.

Mental Health Nursing

Table of Contents
INTRODUCTION ..........................................................................................................................4
1. Causes, symptoms and treatment of post natal depression ....................................................4
2. Care plan......................................................................................................................................4
CONCLUSION .............................................................................................................................12
REFERENCES..............................................................................................................................13

INTRODUCTION
Mental health of individual is essential in every stage in their life. Mental health of a
person plays an important role in their life. The mental health affects their way of living
and their decision making ability. The study includes the essay about postnatal
depression. And what is the cause behind postnatal depression. The essay also
includes the treatment which can be done in order to reduce the level of postnatal
depression. And according to the case of Monica the study also highlights care plan for
her treatment. Which include various tools such as Galatean risk and safety tool for risk
assessment and Historical Clinical Risk Management-20 for the mental health care. The
care plan also highlights the interventions which can be taken in order to provide
treatment to Monica.
1. Causes, symptoms and treatment of post natal depression
Symptoms of postnatal depression
A feeling of sadness and bad mood, the person suffers from lack of energy, loss of
appetite or reverse can happen, the person can have frightening thoughts such as hurting baby, a
person can have thought of suicide, the person is unable to concentrate and make proper
decision.
Causes of Postnatal depression
The person can feel hormonal changes, or difficulty in breastfeeding. The other reason be
hind postnatal depression can be lack of support from partner as w eel as family members.
Treatment of postnatal depression
A proper conversation with partner and other family member can help to r educe the
level of depression, it is advisable to person who are suffering from postnatal depression to
exercise regularly, the person should take healthy meal and drinks, cognitive behavioural therapy
will also be beneficial for the patient, Antidepressants can be recommended to the person.
2. Care plan
Care plan will be prepared according to keeping in mind care plan approach. In which
nurse will use the holistic approach. The nurse will take the help of her friends and
family and provide the professional support to her. While carrying the treatment the

nurse will ask Monica about her personal problems which she is going through. The
nurse will ensure the maximum involvement of emotional and social support as Monica
has isolated herself from others she does not want to move out of her home. Therefore
the nurse will take care that she is provided with social, mental and emotional support.
The nurse will provide Monica proper resources which she needed. The nurse will take
care to avoid any type of risk to the Monica.
Assessment
criteria
Outcome criteria Interventions Rationale for
interventions
Evaluation
Subjective :
complain of dry
mouth and she
is suffering from
Schizophrenia,
Objective :
Diagnosed with
Schizophrenia,
Hallucinations,
using mental
service for long
time ,
Short term goal:
Patient should
be provided
emotional care
as well as she
should be
provided with
the social
support
Long term goal :
Patient should
be provided with
the proper
medication in
order to provide
safety to her
 Listen to
women
whether she
require any
clinical
support with
regards to
depression
It will help
her to open
her feelings
and talk
freely about
the changes
she is
experiencing
. Therapeutic
skills should
be used by
the nurse as
it will put
client to
ease(Di
Florio, and
et.al., 2017).
Patient is
suffering from
Schizophrenia
therefore she is
not able to
speak clearly or
understand
things clearly
which is the
problem as she
is not able to
understand her
responsibilities.
If proper therapy
and education is
provided to her
than it will help
her. The
expected time
which the
patient will take
is about 2 month
as she is not

 As she is
living in flat
alone and
has very few
friends
therefore
effort should
be made to
provide
proper
support by
her friends
and family
 She should
be make
aware of the
importance
of taking
If proper
atmosphere
is provided
to the client
than there is
more
chances that
she will
express her
feelings in a
better way. It
will help her
to diminish
her personal
feelings of
loneliness
open to anyone
and has very
few social
connections
therefore it will
take some time
to make her feel
comfortable
After giving
proper treatment
to client she will
verbalize her
feelings with
health care
provider as well
as others
throughout the
treatment
The patient will
take about 2-3
months in this
process

medicine
 She should
be
emphasized
the need of
communicati
on with
others who
is available
to her in
order to
provide
support
 She should
be provided
with the
emotional
support
It will help
the patient
with the
mental
support
which will
help her to
feel more
relaxed and
share the
feelings
It will create
a self
awareness
among the
patient and
she will start
realising her
responsibiliti
es
It will help in
extracting
the
It may be
continued for
the time period
of about 6
months or
more(Habel,
and et.al., 2015)

 She should
be educated
about her
symptoms
and should
be given
guidance for
the self care
 She should
be
encouraged
to express
her true
feelings
 If she is not
information
from the
client which
she is not
sharing with
anybody it
will help to
know what
she is going
through and
also help in
planing
treatment
Antidepressa
nts are used
for the
postnatal
depression
It will give
her
motivation
and she with
the help of
such
As she is living
lonely for the
very long time
and has very
few friends
therefore the
treatment may
take about 1
month or more
The process
may take about
1 month

able to
express
clearly try to
understand
her feelings
and
expressions
 Patient
ability should
be assessed
that whether
they she is
able to cope
up with the
events,
motivation
and changes
around her
surroundings
 She should
be given
cognitive
behavioural
therapy
encouragem
ent she will
be able to
express her
feelings
more clearly
It will help in
figuring out
about the
problem she
is facing and
giving her
suggestions,
recommenda
tions and
proper
treatment
By
assessing
the patient
ability it can
be find out
that what
type of
suggestion
or
medication
she require
It will help in
With the help of
cognitive
behavioural
therapy it is
expected that
Monica will
recover in 6

The HCR - 20 can
also be used in
order to find out the
chances of
probability that the
patient will perform
violent activity
 She should
be involved
in phsyical
extracting
the
information
about the
patient and it
will also help
in reducing
the level of
depression
experienced
by her
It will help in
finding out
the mental
condition of
the patient
and to take
the proper
step and
design the
proper
strategies to
provide
treatment to
the patient
It will help
her to lose
her weight
months.

and social
exercise
such as
dance and
other
physical
activities
 pregnancy
test need to
be done
as well as if
she start to
meet new
people it will
help her in
reducing the
depression
level
In order to
find out if
she is
pregnant
pregnancy
test need
which help to
find out that
her believe
is true or not
and
accordingly
medication
should be
provided
As Monica is suffering from schizophrenia and has been in the medium care for
about 5 year. It can be threat to her health as well as her child health therefore proper
treatment should be provided to improve her health (Murray, Fearon, and Cooper,
2015.).
In order to assess risk the GRIST tool has been used. is the tool which is used for
managing risk which is associated with mental health problems. The tool is cloud
computing service.

Buckingham, Christopher 2016 conducted a research according to which people
live is depended on their mental health problems. If the risk is detected at an early stage
is helps in avoiding the risk of suicide and harm to others. It was developed in order to
introduce mental health expertise in society so that people can realise the risk even if
they are not have specialist for mental health for themselves. For conducting the
research the authors has used various methods such as interviews, focus group
discussions, thematic analysis and action research. And with the help of research it was
found that Galatean risk and safety tool is the specialist in the mental health services.
The new self assessment tool has also been developed in order to help people to
understand their own mental health known as myGrace(Habel, and et.al., 2015). The
research describes that how the focus is shifted from organisation to individual.
However this tool can be used in order to manage risk. The tool helps in
detecting the risk at early stage. Therefore the tool will be helpful in assessing mental
health problems of Monica.
Howe, J. and et.al., 2016 has performed a study which provides structural
and examination of version 2 and 3. In which 64 psychiatric inpatients were completed
the questionnaires. The scale used in the process helps in rating the factors such as
violent ideation, insight, violence and violent attitude. This tools helps in assessing this
factors on the individual.
In the case of Monica this tool can be used as she has been in the medium
secure care for 5 years. This tool will help in finding out the mental health of Monica.
This tool estimate a person's probability of doing or involving in violence activity. With
the help of Historical Clinical Risk Management-20 the best treatment for a person can
be determined. And this tool will also help in management strategies of mentally
disorder individuals, forensic mental health patients and others.
CONCLUSION
The study gives the understanding of postal depression. Postnatal depression is
common among the new parents. The study also helps in understanding the various
reasons behind postnatal depression such as problem felt by mother in breastfeeding,
lack of support from partner and various other issues. The study also gives the idea of
preparation of Care plan for the patients. Care plan provide direction to be followed to

provide care for client. Care plan is designed in order to communicate and organise the
actions of changing nursing staff. The overall study is helpful in examining the reasons
behind the postal depression and what tools and techniques can be used to provide
proper treatment to the patient.

REFERENCES
Books and Journals
Buckingham, C., Adams, A. and Ahmed, A., 2016. Mental health risk, safety, and the
lost soul.
Di Florio, A. and et.al., 2017. The impact of education, country, race and ethnicity on
the self-report of postpartum depression using the Edinburgh Postnatal
Depression Scale. Psychological medicine, 47(5). pp.787-799.
Habel, C. and et.al., 2015. Causes of women׳ s postpartum depression symptoms:
Men׳ s and women׳ s perceptions. Midwifery, 31(7). pp.728-734.
Howe, J., Rosenfeld, B., Foellmi, M., Stern, S. and Rotter, M., 2016. Application of the
HCR-20 version 3 in civil psychiatric patients. Criminal Justice and
Behavior, 43(3). pp.398-412.
Massoudi, P., Hwang, C.P. and Wickberg, B., 2016. Fathers’ depressive symptoms in
the postnatal period: Prevalence and correlates in a population-based Swedish
study. Scandinavian journal of public health, 44(7). pp.688-694.
Milgrom, J. and et.al., 2015. Treatment of postnatal depression with cognitive
behavioural therapy, sertraline and combination therapy: a randomised
controlled trial. Australian & New Zealand Journal of Psychiatry, 49(3). pp.236-
245.
Molyneaux, E. and et.al., 2018. Antidepressants for preventing postnatal
depression. Cochrane Database of Systematic Reviews, (4).
Moshki, M. and Cheravi, K., 2016. Relationships among depression during pregnancy,
social support and health locus of control among Iranian pregnant
women. International Journal of Social Psychiatry, 62(2). pp.148-155.
Murray, L., Fearon, P. and Cooper, P., 2015. Postnatal depression, mother–infant
interactions, and child development. Identifying perinatal depression and
anxiety. pp.139-164.
Netsi, E. and et.al., 2018. Association of persistent and severe postnatal depression
with child outcomes. JAMA psychiatry, 75(3). pp.247-253.
ONLINE

Galatean risk and safety tool. 2019. [ONLINE] Available through
<https://www2.aston.ac.uk/eas/research/research-themes/complexity-and-
informatics/grist/index>
Historical, clinical risk management - 20 [ONLINE] Available through
<http://www.minddisorders.com/Flu-Inv/Historical-Clinical-Risk-Management-
20.html>