Date of Conferral
11-17-2025
Date of Award
November 2025
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Mark Wells
Abstract
Depression is a prevalent mental health condition among older adults in long-term care (LTC) facilities and is often managed primarily through antidepressant medications. While these medications can be effective, their overuse in elderly populations increases the risk of falls, sedation, cognitive decline, and adverse drug interactions. This project addresses the need for safer, evidence-based alternatives by promoting non-pharmacological interventions that support holistic well-being. The proposed approach integrates gratitude journaling, vitamin D testing to identify deficiencies, and vitamin D supplementation for residents experiencing mild to moderate depressive symptoms. Implementation is led by nursing staff and supported by the interdisciplinary care team, with routine PHQ-9 screenings to monitor mood changes and guide individualized adjustments to care. The project also aims to validate clinical practice guidelines for non-pharmacological treatment of depression in LTC settings using the AGREE II tool. These guidelines combine nutritional and psychological interventions to enhance mood, reduce dependency on antidepressants, and foster person-centered, sustainable care practices. By addressing both physiological and emotional contributors to depression, this approach empowers nurses to deliver comprehensive, compassionate care that improves resident outcomes and promotes safe, equitable mental health management. Ultimately, implementing this guideline has the potential to strengthen staff competency, reduce medication-related risks, and support positive social change within long-term care environments.
Recommended Citation
Elder, Kaylene, "Over Reliance on Antidepressant Medication in Long-Term Care Facilities: Rethinking Mental Health Approaches" (2025). Walden Dissertations and Doctoral Studies. 18705.
https://scholarworks.waldenu.edu/dissertations/18705
