According to a report by the CDC (2007), accidents and unintentional injuries continue to be one of the top ten leading causes of death

in the United States. Accidents and injuries can arise from a variety of different situations ranging from psychological disorders,

drug use and alcohol consumption, car accidents, and firearms, to suspected abuse and violence. Accidents and injuries also happen in

health care facilities. Falls are included as one of the Never Events and both falls and falls with injuries are an NDNQI nurse

specific indicator. Nurses have a significant role in reducing falls and injuries in the health care setting.

Nurses also have a significant role in advocating for the safety of their patients. Noticing signs and symptoms that may indicate

physical abuse is typically a part of conducting a health assessment interview and physical exam. In addition, assessing an elderly

patient’s fall risk is also completed during the health assessment interview and exam. Then, appropriate safety measures can be

implemented to help ensure quality care.

This week, you will explore the leading causes of accidents and injuries across the lifespan. You will also examine how depression is

manifested at different ages and strategies nurses can use when advocating for patients.

Reference: Heron, M. (2007). Deaths: Leading causes for 2003. National Vital Statistics Report, 56(5), 1-96. Retrieved from


By the end of this week, students will be able to:

Identify ways in which depression manifests across the lifespan in a variety of clinical settings
Determine the responsibility of the BSN nurse to advocate for patients presenting with suspicious injuries or illnesses

Identify the pre-eminent causes of accidents and injuries to children and the elderly

The following is the ASSIGNMENT
One of the issues patients who face a drawn out illness or an extend hospital stay deal with is a tendency to become depressed. How

does a patient’s age influence the way in which depression can manifest? How does the nurse’s role differ when working with patients

with depression based on the clinical setting? Please answer the following:

Describe depression-related problems that patients may have. If you have worked or are currently working in patient care, you may

choose to describe problems that you have actually encountered.
Find an article in the professional nursing literature in the Walden Library that provides strategies that might help patients with

depression in your work setting.
Share the reference and discuss at least two nursing interventions that BSN nurses could use to help patients with these problems.
See the readings for this topic below



Allan, H.T. (2013). The anxiety of infertility: The role of the nurses in the fertility clinic. Human Fertility, 16(1), 17-21. doi:

Retrieved from the Walden Library databases
Barnes, J., Aistrop, D., Allen, E., Barlow, J., Elbourne, D., Macdonald, G.,…Sturgess, J. (2013). First steps: Study protocol for a

randomized controlled trial of the effectiveness of the Group Family Nurse Partnership (gFNP) program compared to routine care in

improving outcomes for high-risk mothers and their children and preventing abuse. Trials, 14(285), 1-12.
Retrieved from the Walden Library databases
Buijck, B.I., Zuidema, S.U., Spruit-van Eijk, M., Bor, H., Gerritsen, D.L. & Koopmans, R. (2014). Determinants of geriatric patients’

quality of life after stroke rehabilitation. Aging & Mental Health, 18(8), 980-985. doi:10.1080/13607863.2014.899969.
Retrieved from the Walden Library databases

Haugan, G., Innstrand, S.T. & Moksnes, U.K. (2012). The effect of nurse-patient interaction on anxiety and depression in cognitively

intact nursing home patients. Journal of Clinical Nursing, 22, 2192-2205. doi: 10.1111/jocn.12072
Retrieved from the Walden Library databases
Lepkowska, D. (2014). The sexual exploitation of boys is being overlooked by frontline services. British Journal of School Nursing, 9

(5), 318.
Retrieved from the Walden Library databases
Liu, C. H. & Tronick, E. (2013). Rates and predictors of postpartum depression by race and ethnicity: Results from the 2004 to 2007 New

York City PRAMS Survey (Pregnancy Risk Assessment Monitoring System). Maternal Child Health Journal, 17, 1599-1610. doi:

Retrieved from the Walden Library databases

McQueen, K., Montogomery, P., Lappan-Gracon, S., Evans, M. & Hunter, J. (2008). Evidence-based recommendations for depressive symptoms

in postpartum women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 37, 127-136. doi: 10.1111/j.1552-6909.2008.00215.x
Retrieved from the Walden Library databases

Nicklas, J.M., Miller, L.J., Zera, C.A., Davis, R.B., Levkoff, S.E. & Seely, E.W. (2013). Factors associated with depressive symptoms

in the early postpartum period among women with recent gestational diabetes mellitus. Maternal Child Health Journal, 17, 1665-1672.

doi: 10.1007/s10995-012-1180-y.
Payne, D. (2014). Elderly care: Reflecting on the ultimate ‘never event’. British Journal of Nursing, 23(13). 702.
Retrieved from the Walden Library databases

United Nations Children’s Fund. (2014). Hidden in plain sight: A statistical analysis of violence against children. New York, NY:

UNICEF. Retrieved from

Yildirim, A., Asilar, R.H. & Karakurt, P. (2012). Effects of a nursing intervention program on the depression and perception of family

functioning of mothers with intellectually disabled children. Journal of Clinical Nursing, 22, 251-261. doi: 10.1111/j.1365-

Retrieved from the Walden Library databases

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