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Women are likely to get affected by the disorder during their prime age of reproduction, ranging between 25 to 40 years of age. The case of Mandeep Singh is a classic case of Postpartum Depression, identifiable by the feelings that she has, of harming her newly born child and the observable characteristics of being agitated and withdrawn, as well as the consideration, that she is within the prime age of productivity, being 28 years old (Arentsen, 1968). Several factors can contribute to Postpartum Depression to Mandeep. Hormonal changes are among the factors that contribute to this disorder (Duffy, 1983). There occurs a great hormonal change in the body of a woman immediately after giving birth. The hormonal changes are characterized mostly by a greater reduction of serotonin levels in their bodies after they give birth (Harris, 1986). Consequently, the woman may be engulfed by the feelings of agitation, restlessness and hatred for her newly born baby. Status transition is another cause of this disorder. Since the birth of a child is a transition of a woman, from a girl to a mother, then it is associated with stress, on how the woman is going to fit in the new status and roles. If by any chance any other circumstances that can cause stress occurs at the time as this transition, then the woman develops overwhelming stress which ends up as depression, as was the case of Mandeep due to a low economic status (Kumar, 1994). Another factor that contributed to the disorder is the ongoing life stress. Whenever a woman is faced by a long time of stress in her life, then, it accelerates when she gives birth, subscribing to Postpartum Depression. Dysfunctional love relationship is yet another factor that could have contributed to Postpartum Depression for Mandeep, as the long duration she would spend without her husband contributed to stress (Boyce, 2003). 2. The three nursing priority assessments in the case of Mandeep, which would help to devise the actual disorder from which she was suffering, include age. Since this disorder is mostly common for women who are in their prime age of productivity, then assessing the age of Mandeep would serve to indicate if she falls within that age bracket (Mauthner, 1999). Another assessment would be the socio-economic status of Mandeep. This assessment is necessary since the lower economic status of many women is contributory to stress, as they ponder the challenges of bringing up the newly born child, with such economic hurdles. Through the assessment of the economic status of the woman, then, the nurses can trace the actual causative factors to the disorder from which Mandeep is suffering. A significant assessment undertaken by the nurses is the nature of the relationship between Mandeep and her husband. The relationship between a woman who has recently given birth and her partner significantly affects the state of mind of a woman who has recently given birth (Sluckin, 1990). If there is tension and bad blood between the woman and her partner, then, there are greater chances that such a woman will suffer from the disorder. Thus, carrying out the assessment of such factors underlying the life of Mandeep would help the nurses determine the causative factors of the behavior she is exhibiting. 3. Whenever it is evident that the woman having recently given birth harbors the feelings of harming herself or the newly born baby, then treatment interventions becomes necessary. Some nursing interventions are necessary for the treatment of the disorder that Mandeep is suffering. The priority intervention will be given to the administration of
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