Essay Sample: Introduction and Overview of the Problem Statement

A selected topic from the approved list: Identification of perceived barriers to care of women seeking treatment for depression in primary care and depression management

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PICOT: In women's care and treatment for depression, how would the implementation of a depression primary care and management education program affect patients without this program in comparison to those without this program?

Introduction

This study aims to have an evidence-based practice in nursing to the problems of depression in women. The course also deals with the perceived barriers in this area with a vast exploration of the issues in primary care in nursing activities towards patients with depression. The evidence-based program aims to inform nurse practitioners on the barriers to primary care in women with depression, precisely in the family funded family planning centers. The main reason to dwell in this area is that the most significant rate of depression in women is prevalent during the reproductive period (Roberts et al., 2020). Also, the patient seeking treatment in federal-funded centers are vulnerable since they may be single parents, irregular sources of income, uneducated, and uninsured. Studies show that many clinical centers in the federal units do not include all the levels of depression and therefore lead to inappropriateness in primary care and treatment. The study also comprises a policy for depression management and treatment strategies as per the related clinical centers for depression problem s in women.

Further, Premenstrual Dysphoric Disorder (PMDD) entails full attentions in hopelessness, among other emotional experiences and physical changes (World Health Organization WHO, 2005). Moreover, there are problems related to problems in ethnic groups, ideological differences, and cultural issues (Shah et al., 2008). This program includes how nurse practitioners can mitigate depression rates in women as a management strategy following policies in nursing practices and theories in gender gap genes, stress, and hormones as variants in postpartum and prenatal depression. Educating nurse practitioners and staff at health clinic centers will help improve the overall performance in the well-being of women receiving primary care for depression issues.

Problem Overview

The studies in depression primary care and management for women have shown several challenges that relate to the life of women in the reproductive period. Premenstrual syndrome (PMS) is a problem that has been affecting so many women as one of the issues that are related to women's depressions life. An average percentage of women having severe premenstrual syndrome, which include significant depression, fatigue, moodiness, cramps, and food craving; many of these signs are related to the problems in depressions. Further, in many institutions where patients have had issues in PMDD associated symptoms, nurses provide patients with Selective serotonin reuptake inhibitor (SSRI) antidepressant; this type of medication relates many levels of serotonin in the brain which are not connected in the mind which are not associated to depression (Roberts et al., 2020). Therefore PMS and PMDD should be clustered differently by medical practices following the doses needed for everyone irrespective of culture and ethnicity.

It should be noted that dietary changes are the main lifestyle changes needed in PMS treatments; this includes stress reduction, calcium and vitamin B supplements, and exercises (Field, 2017). Moreover, some of PMS/PMDD is meant to be caused by the problems of minerals and vitamin deficiency (Field, 2017). It is import maps to included educative measures to patients in the federal unit centers and shows them how they can curb the problem of depression in their lives. For instance, studies show that doses of 50 to 500 mg with varying results have been used for women with PMS/PMDD since they6tvare thought to have mineral and vitamin deficiency (Field, 2017). However, studies show that women should only take a maximum of 100mg of Vitamin B6(pyridoxine); this could reduce the problems of higher doses of toxicity. The main issues in this area are that nurse practitioners should note the problems with the patients in their facilities and therefore assist them in deciding on the most appropriate medication for their problems. It has been reported that many of the women in the depression treatment unite do not provide full information about their problems. Therefore, patients in this area should be directed to the most effective solution that matches their problems. It also means nurses practitioners in these areas should have a program that makes these groups of patients pint out their issues without fear so that they can be educated on the best PMS/PSDD treatments that suit their needs.

In the past two decades, there have been many issues regarding disclosures of depression symptoms in patients to clinical/nurse practitioners. Therefore, this study entails information and encouragement statements to patients so that they can provide every information regarding their depressive symptoms and signs (Field, 2017). Studies show that many of the women (victims) in this area conceptualizes the depression symptoms and signs as tension; this regards to the natural response of physical illness and poverty (Field, 2017). Further, many of the health workers and nurses in the health provision centers can treat tensions in many of the women with depression problems; this could be useful in the manner that pratiti0onetrs can be made to recognize physiological, psychological, and social needs problems for the women patients in their facilities. Therefore, this study will include the measures that could be included to make the best predictions in postpartum, depression which provides for, in fact, temperament, maternal neuroticism, low self-esteem, and children's care (World Health Organization WHO, 2005). This study calls for a preplanned methodological framework in the nursing practitioners' practices involving; risk factors determination, detection, treatments, and prevention.

References

Field, T. (2017). Prenatal depression risk factors, developmental effects, and interventions: a review. Journal of pregnancy and child health, 4(1). b DOI: 10.4172/2376-127X.1000301

Roberts, T., Shrivastava, R., Koschorke, M., Patel, V., Shidhaye, R., & Rathod, S. D. (2020). "Is there a medicine for these tensions?" Barriers to treatment-seeking for depressive symptoms in rural India: A qualitative study. Social Science & Medicine, 246, 112741. https://doi.org/10.1016/j.socscimed.2019.112741

Shah, N. R., Jones, J. B., Aperi, J., Shemtov, R., Karne, A., & Borenstein, J. (2008). Selective serotonin reuptake inhibitors for premenstrual syndrome and premenstrual dysphoric disorder: a meta-analysis. Obstetrics and gynecology, 111(5), 1175. DOI: 10.1097/AOG.0b013e31816fd73b

World Health Organization WHO. (2005). Mental health: facing the challenges, building solutions: a report from the WHO European Ministerial Conference. WHO Regional Office, Europe.