Nursing Recovery Care Plan Assignment

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

Nursing Recovery Care Plan1
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

Nursing Recovery Care Plan2
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
situatio
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.
HONO
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
treating
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.
-Medication
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
therapy
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
sessions(Ly

Nursing Recovery Care Plan3
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.
S
score=
4
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
implem
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
be helpful for
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
in
dsdottir et
al., 2019).