Nursing Recovery Care Plan Assignment

Running head: Nursing
Nursing recovery plan
Name of the Student
Name of the University
Authors Note

1Nursing Recovery Care Plan
Brief of case study:
Rachelle is a 31 year lady, suffering from postpartum depression during
the perinatal onset for ten weeks. She is suffering from anxiety
depressive mood disorder and low self-esteem followed by social
withdrawal. She is suffering from depression after 32 weeks of conceiving
the baby as she had to leave her job due to her health condition.
 Rachelle is suffering from post-partum depression with perinatal
onset with 10 weeks history of depressive mood.
 She is feeling worthlessness, lower self-esteem, and hopelessness
with suicidal ideation.
 She feels that she is not a good mother and cannot feel the
connection with her daughter.
 Mornings are difficult for her; she feels anxious, agitated, depressed
and cries continuously.
 Somatic preoccupations with major depressive mood can be seen.
 She lives with her mother and her husband who stays most of the
time outside.
 She has the feeling of social withdrawal and helplessness.
 The she is having some cognitive impairment and lack of
concentration.
 Her daily activities and motor movements are affected.
 Rapid and constant melancholia can be seen with [major] post-natal
depression.
 She has lost her loved ones( her father and her brother) before
having the baby and her sister who has two children, is suffering
from cancer.
HONOS Result
Domain
2. Non-accidental self-injury. 2
4. Cognitive problems. 3
5. Physical illness or disability problems. 4
7. Depressed mood. 4
8. Other mental health issues. 3
9. Relationships. 2
10. Activities of daily living. 4
11. Problems with living conditions.
12. Problems with occupation and
activities.
4

2Nursing Recovery Care Plan
Recovery Focused Nursing Care Plan:
Consume
r Priority
Identifie
d
Goals/Iss
ues
Consum
er’s
strength
s to
address
these
issues
Consumer and
Nursing
Interventions
Persons
Responsible
Timeframe
Rachell
e is
sufferin
g from
severe
depress
ive
disorde
rs and
she
feels
hopeles
s,
worthle
ss and
unmoti
vated.
She is
conside
ring
herself
in as a
failure
for
mother
hood.
Her
confide
nce
level
has
been
decline
d with
differen
t
advers
e
Severe
depres
sion is
the
main
issue
for
Rachel
le. She
feels
guilty
with
self-
accusa
tion.
Self-
doubt
and
social
isolatio
n is
promin
ent
with
consta
nt
anhed
onia.
Hopele
ss
about
reconc
ile the
connec
tion
with
her
chid.
She
realises
that she
cannot
take
care of
her
child
properl
y which
is a
positive
side.
She has
the
insight
about
her
illness
and her
judgem
ent is
intact.
The
above
discuss
ed
attribut
es can
be used
as the
strengt
h for
better
interven
ing
techniq
ues for
Rachelle
should focus
on the self-
care guidelines
which will help
her to
understand her
actual crisis.
The self-care
guidelines
should be
practiced
regularly.
-Proper holding
and positioning
(cradle , side
lying , football
or clutch )
should be
practiced so
that
breastfeeding
will be
improved
(Kandil, Okda
& Mahmoud,
2016).
Rachelle
should be
given
supportive bra
also.
Additionally ,
disposable
bottle and
nipple will be
provided.
Nurses
should talk
to the
patient
sincerely
and try to
teach her
how to
breastfeed
the child
and
develop
better
communic
ation
among
family
members.
-
Medication
s are
suggested
to the
patient by
physicians
to control
the
circumsta
nces
related to
Rachelle’s
mental
and
physical
health.
-
Interperso
nal
General
assessment
of mood,
activity
level and
feeling of
loneliness
with routine
vital signs
assessment
.
-
Breastfeedi
ng
technique
and its
effectivenes
s will be
assessed by
questions.
The
assessment
will be done
every week
by the
nurse.
EPDS (
Edinburgh
Postnatal
Depression
Scale
)assessmen
t tool will
be used by
therapists
and nurses
after every
weekly

3Nursing Recovery Care Plan
situatio
ns .
The
self-
worth
and
confide
nce
with
positivit
y
toward
s the
feeling
of
mother
hood
must
be
introdu
ced to
herself.
Managi
ng
depress
ion
with
followin
g
agitatio
n and
anxiety
is the
most
importa
nt to
make
herself
as a
better
mother
with
positivit
y for
better
care of
her
daught
er.
HONO
S
score=
4
treating
Rachell
e.
In
collabor
ation
with a
clinical
nurse
Rachell
e can
identify:
-
motivati
on in
living
and
rejuven
ating
the
relation
with her
child.
-
willingn
ess to
think
rational
e and
positive
ly.
-
encoura
ging
herself
to take
care of
her
child
Claire
with
respect
to find
happine
ss in
mother
hood.
- learn
how to
-Medication
should be
consumed by
her with
maintaining
professional
suggestions.
- Rachelle
should attend
the counselling
sessions and
therapies.
-She should
maintain a
diary or journal
during this
period.
- She should
express her
thoughts with
the nurses
and
therapists.
-Development
of mother’s
behaviour
towards
positive coping
with
maternity(Font
ein-Kuipers et
a., 2016).
- She should
develop better
relationships.
Development
of relationship
with the baby.
Claiming ,
identification
and
attachment
will be
established by
development
plan(Bidgood
et al., 2018).
- Interpersonal
therapy might
therapy
will be
organised
by
therapists.
The family
members
of the
patient
should
also be
involved in
the
therapy.
-
Multidiscip
linary
team will
be
involved in
the
implement
ing NURSE
approach.
The teams
will be
included
Nutritionis
ts ,
physicians
, spiritual
nurses,
psychologi
sts,
mental
health
nurse,
physical
therapists
and most
importantl
y the
family of
the patient
.
-Medical
practitione
rs who
involves
sessions(Ly
dsdottir et
al., 2019).

4Nursing Recovery Care Plan
Consu
mer
priority
:1
implem
ent the
self-
care
skills
and
guidelin
es in
during
taking
acre of
chid
and
herself
also.
- She
would
learn to
manage
both
her and
the
Claire’s
necessit
ies and
prioritis
e them
accordi
ngly.
-
Training
s given
by the
nurses
should
be
practice
d by the
patient
to
improve
her
lifestyle
. – she
should
underst
and the
long
term
be helpful for
better
understanding
of
relationship(Le
nze & Potts,
2017).
-The nurses
will help or
assist in
identifying
different types
of cries of the
baby for
hunger, illness
and
discomfort(Mo
hr et al.,
2019).
-The
interventions
related to
N.U.R.S.E.
(Nourishment,
understanding,
Rest and
relaxation,
Spirituality and
exercise)
approach
might help her
to cope with
the
depression(Sh
erwood &
Barnsteiner,
2017).
- Meditation
and breathing
exercises will
help her to
reduce her
anxiety and
breathing
problem during
her crisis.
-Alternatives
such as
aromatherapy
in
alternative
medical
practices
will help
Rachelle
in
aromather
apy and
bright light
therapy.

5Nursing Recovery Care Plan
and the
short
term
goals of
the
nursing
interven
tions
and
proceed
accordi
ngly.
and bright light
therapy help in
reducing
mental stress
and anxiety.
Her
daily life
activitie
s are
suffered
by
physical
inability
and
problem
regardin
g the
occupati
on and
activitie
s are
affected
.
Rachelle
needs
to solve
her
physical
problem
s with
better
and
appropri
ate
interven
tions in
future.
Consum
er
priority
:2
Inability
of
physica
l
activitie
s and
difficulti
es in
occupat
ion.
Her
motor
skills
are
affecte
d also.
Pregna
ncy
affects
physica
l
conditio
n of
the
patient
which
might
be
respons
ible for
poor
physica
l
activitie
s.
Physica
l
Regular
check -
up and
treatme
nt will
help to
increas
e the –
physical
activity
with
motivati
onal
therapi
es
describ
ed in
the
previou
s
section.
-past
medical
history
and
family
medical
history
are
known
which
can
help in
the
treatme
nt of
the
Vital signs of
the patient
such as heat
rate ,
respiratory
rate, pulse rate
, blood
glucose level
and Hb level
should be
checked by the
nurses or the
health
professional.
Physical
assessment
should be done
by the help of
the nurses and
health
professionals.
She has rigid
posture and
she is
slumped
slightly
forward.
Proper physical
therapist
should help
her by giving
training on
proper
postures and
avoiding
slumps.
-Nurses
will check
vital signs
and train
the patient
with ADL
training(R
essinka,
2017).
-
Occupatio
nal
therapists
will help
her with
different
relaxation
therapies
and
exercises.
- Doctors
will help
her in
hormonal
therapy .
- Dietician
will make
a diet plan
for her
with
proper
suggestion
s.
- monthly
check-up of
vital signs
and regular
visit to the
physician
will help to
maintain
vital signs
of her body.
- Pain
assessment
will be
done with
the help of
VAS ( visual
analogue sc
ale) every
month(Finit
sis et al.,
2016).
- Every
week the
nutritional
routine will
be changed
by the
nurse in the
collaboratio
n with
nurses.

6Nursing Recovery Care Plan
inabiliti
es
must
be
resolve
d with
the
help of
professi
onal.
She
needs
assista
nce in
her day
time to
take
care of
herself
and
have
some
time to
accomp
lish her
persona
l goals.
HONOS
score=
4
patient.
-
Pregnan
cy
related
or post
natal
physical
rigidity
are
commo
n
clinical
problem
s which
have
chances
of
improve
ment of
the
physical
health
of
patient.
-
patient
does
not
have
insomni
a or
sleep
apnoea
which
is a
good
sign
and she
does
not
have
any
chronic
disease
history ,
so the
recover
y will
Nurses with
give her ADL
training to
improve her
daily living.
Daily living
requires
suggested
postures for
standing ,
sitting ,
kneeling and
infact nappy
changing . The
ADL training
will involve
every
suggestion.
Pelvic
floor ,abdomin
al muscle and
circulatory
exercises will
help in
control
urination,
reducing pain
and
regularising
circulation.
Slow-
walking ,stretc
hes, Kegal are
some common
examples(Mistr
y et al., 2017).
For relaxation,
Rachelle can
opt for
meditation,
mental
imagery , yoga
, Jacob’s
Techniques.
Nutritional
habits and
hormonal
therapy are
very important

7Nursing Recovery Care Plan
not be
difficult.
-her
mother
and
husban
d are
willing
to help
her in
taking
care of
the
baby.
also. Green
vegetables and
vitamin A,E,K,
B rich foods
should be
consumed(Hort
ensius etv al.,
2019).
She was good
at her
profession and
psychological
counselling
will help her
to accept her
new life with
encouraging
herself to
motivate
towards her
future.
Cognitiv
e
impairm
ent and
other
mental
health
issues
with self
injury
ideation
and
relations
hip
problem
s.
Priority :
3
Inability
to
count
Serial
7’s and
a digit
span of
4
forward
. She
denies
previou
s
episode
s of
depress
ion.
She
feels
very
disappo
inted
from
life as
she lost
-History
of
malada
ptive
behavio
ur was
recorde
d.
-Denial
of the
suicidal
thought
s.
-
Memory
is
intact.
-Cognitive
behavioural
therapy
should be
given .
-Rachelle
should take
help from a
bereavement
support group
and spiritual
therapies to
cope with the
deaths of her
loved ones.
The
bereavement
sessions and
spiritual
therapies will
help to realise
the present.
- Rachelle and
her husband
can go for
- Cognitive
behaviour
al therapy
will be
given by
psychologi
st.
-GP,
mental
health
nurses,
social
workers,
spiritual
therapists,
counsellor
s.
-Spiritual
therapies
are
conducted
by
spiritual
nurses.
-MMSE (Mini
Mental
State
Assessment
) scale will
be used to
check
cognitive
state in
every
weekly
sessions(Sa
ntiago-
Bravo et al.,
2019).
-
Bereaveme
nt risk
assessment
tool will also
be used by
the
therapists
per
month(Park

8Nursing Recovery Care Plan
her
father
and
brother
. Her
sister is
sufferin
g from
cancer
and she
cannot
cope
with
the
post
partum
depress
ion.
couples
therapy or
counselling .
Mike should
prioritise his
personal life
and share time
with her and
their baby.
- She can join
some
recreational
activity such
as art therapy
and music
therapy.
er,2018).

9Nursing Recovery Care Plan
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10Nursing Recovery Care Plan
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