Nursing Care Plan: Mrs. Islam's Depression and Fall Risk

This nursing care plan addresses the multifaceted needs of Mrs. Islam, a 78-year-old patient diagnosed with severe depression, and admitted after a fall. The plan focuses on managing her depression, preventing future falls, and addressing her poor eyesight, language barrier, and loneliness. The plan incorporates interventions such as cognitive behavioral therapy, family therapy, and antipsychotic medications to modify thought patterns, improve family relationships, and prevent depressive symptom relapse, respectively. Fall prevention strategies include the use of risk assessment tools, environmental modifications, and the promotion of oral hygiene. The plan outlines specific goals for the patient, including recognizing triggers, reducing suicidal ideations, and maintaining independence in daily activities. References to supporting research are included to provide a robust foundation for the interventions.

Nursing Care Plan
____________________________________________________________________________________________________________________________
Nursing Diagnosis Goals Interventions Rationale Evaluation
 78 year old patient
Mrs. Islam has
been diagnosed
with severe
depression (mood
disorder) and was
admitted after
suffering a serious
fall due to tripping.
 Has poor eye
sight.
 Fails to
communicate in
Recognising the
important
triggers and
preventing or
managing them.
 Evaluating the behavioural
challenges that contribute to
her loneliness and
depression; fostering
effective communication;
implementing family therapy
or cognitive behavioural
therapy; administering
antipsychotic medications for
depression; engaging in an
 Cognitive
behavioural
therapy will modify
the pattern of
thoughts and will
thereby help in
changing moods
and behaviour
(Hofmann et al.,
2012).
 The patient will be
able to recognise
the triggers that
predispose her to
the health
abnormalities and
will be able to report
it to the nursing
staff, thereby
facilitating timely

English.
 Suffers from
loneliness.
effective non-verbal
communication in order to
provide reassurance;
increasing the importance of
educational attainment that
will help in identification of
the coping strategies.
 The interventions
will help in
practicing
balanced and
accurate self-talk.
 It will allow the
patients to
effectively respond
and reflect to
situations using
self-evaluation.
 Family therapy will
involve the family
members of Mrs.
Islam and will help
to reverse her
intervention.
 Reduced tendency
of suicidal ideations
of self-harming
behaviours.
 Ability to carry out
activities that do not
require support of
others such as
eating and dressing.
 Effective
engagement with
the elder residents
in the community,
regardless of limited
language

loneliness, thereby
lowering the
severity of
depression
(Sprenkle, 2012).
 It will focus on
interpersonal
connections within
the family and will
improve the
overall functioning
and relationship.
 Antipsychotics
such as,
olanzapine,
clozapine and
proficiency.

aripiprazole will
help in preventing
relapse of
depressive
symptoms (Correll
et al., 2015).
Using risk
assessment
tools for
preventing falls.
 Using the Johns Hopkins Fall
Risk Assessment Tool
(JHFRAT) in combination
with a comprehensive
protocol for identifying the
factors that increase her
susceptibility to such falls
(Hnizdo et al., 2013).
 Providing increased access
to the clinical staff on usage
 These risk
assessment
scales encompass
several scores
that help in
evaluating the
history of falling,
its secondary
diagnosis,
ambulatory aids
 The patient will be
able to walk
properly with the
use of walking
frames.
 Reduction in all
clutter from the
staircases and
hallways of the
hospital setting and

of online risk assessment
tools.
and pattern of gait
(Howcroft, Kofman
& Lemaire, 2013).
 This mental status
of the patient is
also measured by
these tools.
the house.
 Installation of
handrails and bars
in the stairs and on
beds .
 Installing brighter
lights that will
prevent such falls.
 Reduction in the
number of slips or
trips upon release
from the hospital.
 Absence of black
eye marks or
bruises in the hands
and legs.

Maintaining oral
hygeine
 Educating and motivating
about importance of oral
health.
 Promoting usage of fluoride
containing toothpastes and
sealants.
 It will reduce
medication effects,
and lack of
adequate
motivation (Razak
et al., 2014).
 Poor nutrition will
also be
counteracted.
 Demonstration of
increased
knowledge in Mrs.
Islam about oral
health
 Reduction in dental
problems.
Providing
adequate coping
strategies
 Promoting the
implementation of meditation,
breathing exercise and
emotion-based interventions.
 It will improve her
self-esteem,
reduce loneliness
and helplessness.
 Better conversation
and healthy
relationship with the
family and
community
members.
 Lack of depressive

symptoms.