WK9 6551 Practicum: Journal Entry
Patient’s personal and medical history.
Duringmy Practicum Experience, JM was one of the patients presented withpostpartum depression. Prior to the admission, JM had never beendiagnosed with the disease. Notably, postpartum depression is acondition that normally affects a mother following childbirth as aresult of the psychological adjustment to motherhood, fatigue andhormonal changes (Patel,Bailey, Jabeen, Ali, Barker & Osiezagha, 2012).Thepatient had delivered her first born child four months ago. However,she started experiencing some unusual symptoms five weeks after thedelivery. Some of the symptoms included irritability, anger,nervousness, loss of appetite and sleep, lack of concentration and adeep feeling of disconnection from her newborn baby and the entirefamily. In addition, the patient felt so scared, confused and lostinterest in some of the activities such as playing with kids in theneighborhood, which she previously enjoyed doing (O’Hara,2013). Atfirst, JM thought that the symptoms were normal considering the factthat it was her first delivery and probably the feeling will get awaywith time. On the contrary, the symptoms persisted with thedevelopment of other abnormal feelings, for instance, hallucinations,delusions and overwhelming suicidal thoughts (Patelet al 2012).That’s when she decided to visit our medical facility. After adiagnosis, it was established that the patient was suffering frompostpartum depression.
Drug therapy, treatments and follow-up care.
Inher medication, electroconvulsive therapy (ECT) was recommended sothat they can help treat the severe depressions such as suicidalthoughts and hallucinations which she was suffering from (Fitelson,Kim, Baker & Leight, 2011).On top of that, appropriate choice of antidepressants were prescribedto the patient to address the issue of lack of appetite and sleep.Also, JM was referred to a psychotherapist who is a specialist intreating postpartum depression to give the patient emotional supportand also help her understand her feelings and what she was goingthrough. Frequent exercises to help raise her self-esteem were alsorecommended after she fully recovers from childbirth. Lastly, JM wasadvised to return to the clinic after every two weeks for a follow-up(Fitelsonet al 2011).
Postpartum depression’s implications and its impact to the entire family unit.
Postpartumdepression, if not treated can have diverse implications to a newbornchild and the family at large (O’Hara,2013). Tobegin with, children become prone to frequent temper tantrums, sleepdisturbances, insecurity and impaired cognitive development. Theeffects extend to both child’s father and the entire family. Itaffects their ability to take care of the child, besides, they feelguilty for not playing their parental role effectively. A newbornchild is expected to bring joy, excitement and happiness to the wholefamily. However, postpartum depression results to misery, sorrow andapathy (Gress-Smith,Luecken, Lemery-Chalfant & Howe, 2012).
Fitelson,E., Kim, S., Baker, A. S., & Leight, K. (2011). Treatment ofpostpartum depression: clinical, psychological and pharmacologicaloptions.InternationalJournal of Women’s Health, 3,1-14.
Gress-Smith,J. L., Luecken, L. J., Lemery-Chalfant, K., & Howe, R. (2012).Postpartum depression prevalence and impact on infant health, weight,and sleep in low-income and ethnic minority women andinfants. Maternaland child health journal, 16(4),887-893.
O’Hara,M. W. (2013). Postpartumdepression: Causes and consequences.Springer-Verlag.
Patel,M., Bailey, R. K., Jabeen, S., Ali, S., Barker, N. C., &Osiezagha, K. (2012). Postpartum depression: a review. Journalof health care for the poor and underserved, 23(2),534-542.