NURS1066: Context of Mental Health Nursing: Recovery Nursing Plan
Recovery Nursing Plan
Case Study: Kate
Kate is a 27-year-old single female, a single woman referred to the local inpatient Unit by her GP.
As a case manager, the Recovery Care Plan is-:
HONO Case Score:
The diagnostic assessment of the patient is done through the mental health evaluations which would show the sign or symptoms of patient describing the risk factors, issues and correction method, for example, any sudden mood disturbance, experiencing a dysfunctional grieving, or showing the signs of the risk for self-directed violence, any symptoms in the self-esteem disturbance, any sort of self-care deficit, any signs of withdrawal or a social isolation and showing the altered nutrition (Burgess, 2020). As per Kate’s HONOs scores, it shows key pointers depicting her present health conditions. From this, the scores projected from the highest care priorities show that the patient often experiences a depressed mood (score 4), shows the problems with the daily activities or the daily living (4), along with experiencing the problems with occupation and handling of the activities (4). As per the DSM assessment along with the HONOs scoring shows the disorder of the patient having the Major Depressive Disorder (Moderate) and reflecting the single episode with peri-natal onset.
The consumer’s strengths to
|Consumer and Nursing Interventions|
Kate had been suffering and shows the signs of the onset extremely mood swings, withdrawals and also shows the constant suffering especially the morning anxiety, crying inconsolably, feeling withdrawn and experiencing sadness whole day
Consumer priority #4
Issue: Signs and risks for ineffective coping is shown in the patient causing the signs of depression and having the limited patient response to the different stressors which is attached to the childbirth and parenting issues during the first few weeks or months after the childbirth
Goal: It is important to implement recovery focussed care planning and having the patient care to show the signs of verbalizing and stressful care that indicate the issues and feelings related to the signs of the overall improvement and help the patient overcome the care.
HONOs score 4
From the coordination and collaboration with the case manager along with the patient care that is part of the consideration often the sign of the patient should be discovered to show the following strengths:
-The patients need to develop the goal-directed
–There is a sign of recognizing a need and often it comes from the depression along with the care for her sister's daughter.
-The patient does not show any signs or evidence of any hallucinations or delusions (Jones, 2020).
-The patient shows the suicidal tendency and to end the emotional turmoil, but as per the history has not shown any significant want or any major tendency to attempt in trying.
-Kate is just in a situation that is limited to the time, place and person.
-Kate shows visible signs of good memory while recalling, relating and presenting an intact judgment that is not unsound or impaired in any manner.
-Kate shows no insight within her illness even though there are episodes of feeling angry, feels resentment, feeling withdrawn but as such she has not sunk into the stage of the unrecoverable mode.
Kate’s present perception of the situation is to sit down, sleep and actively involved in listening to correct the situation. She needs to identify the perception related to the patient and how there can be stages that can help to earn respect, be socially valued and start keeping well by motivating herself in the active engagement to the situation. Through constantly listening, she can get a better frame of mind and develop a nursing intervention. Nursing intervention can be deemed as the past and the present situation showing the patient's condition. It even represents how the past and present conditions can play a major role in earning better treatment and health outcomes.
Kate should be motivated to find out a true self, through the mode of empowerment and engaging herself in the positive activities along with the relationships which can create a life that would redefine the change along with correcting the hopeless feeling and setting herself into the optimistic feelings.
From the patient perspective, it is important to encourage Kate to open up and communicate her feelings, her sudden bolt of fears, showing the signs of the anxiety such as unable to take care of the baby, of household or her sister. Ability to communicate and being able to overcome the challenge of self-harm or facing the issue of worthlessness. The patient also has shown signs of feeling fear, anxiety and has taken remarkable steps to feel overburden due to the effect of anxiety. There is also a sign of higher levels of anxiety that has resulted in depression. But in the long run, the negative impact of health is limited to the patient. The patient feeling secluded, sad and pressurized can be corrected through the push and ensuring the patient is not harming oneself or not undergoing any suicidal attempts.
Kate should be motivated to participate and develop care planning to regain control of her life again. Kate should also be given additional responsibility to cure one own care. It often infuses and results from a sense of responsibility along with having self-awareness and attaining a self-improvement image to gain control (Llewellyn-Beardsley, 2020). The patient's mind should be corrected and guided with the encouragement to take self-improvement plans along with control over the self increase solution of own life.
Kate should be given antidepressant therapy and include the counseling
Kate should be given active care and also engage in the responsibility that can help to develop a sense of worthlessness along with gaining positive empowering activities to correct her daily life (Fibbins, 2020).
Kate mother and sister should be given guidance and direction to keep her more engaged and provide her optimizing responsibility to activities along with finding strengths to correct the normal happy life again
The nursing case manager will take the responsibility of communicating with patient effectively, discovering depressing triggers and overcome it (Kerr, 2020)
A psychotherapeutic practitioner will take the responsibility of managing her antidepressant and counseling therapies. The psychotherapist practitioner's counseling therapies are one of the best ways to cope up with the depression because sometimes medications are unable to reduce depression in a patient. for such patients, customized counseling therapy plays a key role.
Kate has shown the suicidal tendency and also shows the risk factors about the patient having the measured that shows every 12-24 hours.
The shift showing the signs of the depressing mood along with the protruding disturbed thought process needs to be rectified and analyzed twice or to thrice a week.
Kate has to also ensure she is shifting herself and restoring the back of her life along with gaining and rejoining her job or working on her family life to progress that can be tracked daily (Jones, 2020).
The consumer’s strengths to
address these issues.
Consumer and Nursing
Shows the sign of the nutrition- weight loss (8kg and also shows the unhealthy eating habit often snacking.
The issue of nursing is to diagnose the focused altered nutrition
To have a healthy maintained diet and there should be proper nutrients, that help to cope with difficulty in experiencing the emotional ways to strengthen it.
Honos score 4
-Kate often shows a sign of diminished appetite, but there is also a recognized way of understanding the problem is not to eat her favorite snack but to get adequate calories.
-To get support from mother, sister, and friends by getting food when not cooking.
-Kate knows she is unwell, feeling sad and depressed, but she needs to correct her situation by staying engaged and active.
Kate needs to make a positive change (Jones, 2020).
Kate along with the baby needs to get a well-balanced diet
-To get the medical evaluation and also understand the investigation based on the potential health problem that can diagnose weight loss (Foster, 2020).
-BMI needs to be monitored and checked weekly
-To have the full nutritional counseling along with seeking help from the nutritionist
-To have the constant assessment and consultation done by the psychologist to test her triggers and keep a check on her habits.
-Kate needs to follow a healthy diet and attain a balanced daily intake which involves every 2 hours eating and keep herself engaged.
- Kate should understand her nutrition counseling and understand her weight loss issues
-The nurse needs to maintain a record and the balance chart
-To have the small frequent meals than to have the three big meals leading to a loss in appetite.
-Kate should eat alongside with others in her family or close ones.
-To get full nutritional and psychological counseling, to judge week 1.
-To get the meal frequency to be substantially be increased during the 4 weeks (Foster, 2020).
-Kate needs to engage and have healthy snacking.
-Weekly weight checks.
|Consumers Priority||Identified Goals/Issues||The consumer’s strengths to address these issues.||Consumer and Nursing Interventions||Person/s Responsible||Timeframe|
Issue: Violence and shows self-destructive behavior.
Goal: Kate shows the safety signs to be maintained and there should be a reason to live to be strengthened.
HONOS Score: 4
With case manager following issues was found-:
-Kate needs to understand support [system and constant monitoring of the changes with the high intensity to the frequency of any sort of self-harm ideation.
- Kate's Case