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Treating depression through the therapeutic nurse-client relationship

¹Syracuse University College of Nursing, Syracuse, New York, USA.

The Nursing Clinics of North America

|April 18, 1998

Summary

This article offers a guide for nurses working with depressed clients, using Peplau

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Area of Science:

Nursing
Psychiatric-Mental Health Nursing
Client Health Management

Background:

Depression significantly impacts client health and requires specialized nursing interventions.
Existing frameworks may not fully address the complexities of nursing care for depressed individuals.
The nurse-client relationship is a critical component in managing depression's health consequences.

Purpose of the Study:

To provide a blueprint for nurses to effectively manage clients whose depression interferes with their health.
To outline systematic assessment and intervention strategies based on an expanded interpersonal theory.
To clarify the differentiation of depression from other health issues and criteria for professional referral.

Main Methods:

Application of an expanded version of Peplau's interpersonal theory.
Systematic assessment and intervention within the therapeutic nurse-client relationship.
Delineation of criteria for distinguishing depression from related health problems and for referral.

Main Results:

A structured approach to nursing care for depressed clients is presented.
The importance of the therapeutic nurse-client relationship for assessment and intervention is highlighted.
Clear guidelines for differential diagnosis and referral to mental health professionals are provided.

Conclusions:

Nurses can effectively guide and intervene with depressed clients by utilizing a theoretical framework and therapeutic relationship.
Systematic assessment and targeted interventions are crucial for managing depression's impact on health.
Understanding when to refer to specialists like psychiatric-mental health advanced practice nurses is essential for optimal client outcomes.

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