Recovery Focused Nursing Care Plan – NURS2098 – Nursing Assignment Help

Assignment Task

Clinician Role:
Case manager: Mental Health Continuing Care Team.

Presenting Information:
Anjelica (prefers to be called ‘Angie’) is a 23-year-old single female currently admitted as an inpatient on the Hospitals Mental Health Unit where she has been a patient for the past 3/52.
Angie was admitted with worsening psychotic symptoms over an 6/52 period in the context of poor compliance with her oral anti-psychotic medication; she states that this was unintentional and puts her increased forgetfulness in this regard down to due to increased stress at home linked to everyone in her family having to self-isolate due to COVID-19; she additionally commented that she wonders if the medication is causing her to lose her memories. She has been re-established on the same oral anti-psychotic medication medication with good effect and you are seeing her today to review her and discuss his discharge plan before she is discharged home in approximately 1-2 weeks’ time. You have been her case manager for the past 9-months; she has been quite well for the first 6-months of that period prior to her becoming non-compliant with her medication.

Presenting Mental Health Complaint:
Angie reports starting to become increasingly paranoid around 9/52 ago (6/52 prior to her admission); initially she said she started to feel uneasy about the causes of the virus and started to worry that people weren’t be honest about the cause of the virus. She says she withdrew from her family and isolated herself in her room, sleeping during the day and staying up overnight. Whilst awake overnight she started to intercept messages through her iPad from an “Alien Strike Group called the Zysperepeenion” who were spreading COVID-19 an attempt to weaken the human race before a full alien invasion was launched to destroy humanity. She became gradually more preoccupied with this belief until eventually she started to suspect that the ‘Zysperepeenion’ had also infiltrated many governments around the world leading them to participate in spreading the virus in exchange for ‘immunity’ once the invasion started. She stopped eating and drinking (losing 4kg) and taking her medication; and once her family became aware of her relapse they contacted her MH Case Manager (you) and she was subsequently admitted for urgent treatment to stabilise her mental state.

Considerations for Recovery Focused Care Planning:
The Recovery Focused Nursing Care Plan for Angie should illustrate how collaboration between the consumer and the nurse guides the development of goals and therapeutic interventions.
Ideally, the nurse collaborates with Angie in planning care and aims to have her lead the process in prioritising goals for her recovery.
This can be difficult to do with a psychotic consumer who may at times struggle to determine the difference between delusional and reality-based stimuli and can also be complicated by negative symptoms such as her feeling hopeless, helpless, unmotivated as well as experiencing the negative cognitive distortions often associated with mental illness.
The nurse’s communication of the firm belief in Angie’s capacity, ability, resourcefulness and potential for recovery is critical in empowering her to begin the journey towards recovery.
Equally the nurse’s communication of the firm belief that Angie will Recover with time is essential in engaging with her.
Setting practical, reasonable, manageable, short-term, Recovery-Oriented goals that Angie can accomplish without much difficulty is important in fostering a sense of hope and improved self-esteem.
The nurse should expect that with the psychotic client, early interventions may need to be aimed at “doing for” the consumer [after accurate identification of those abilities that remain intact vs. those that are compromised] whilst still maximising what the person can still do for themselves. As Angie starts to recover this balance will shift toward her being able to do more and more.
The Recovery Focused Care Plan will also need to include consideration regarding the involvement/capacity of family, friends and other significant supports in supporting Angie, but the expectation should be that she will gradually assume more independent functioning as her mental state improves.