Nursing Care Plan | Case Study

Running head: NURSING CARE PLAN
NURSING CARE PLAN
Student Name
Student ID
Author Note

PUBLIC HEALTH1
Case Study: Rachelle
Rachelle is a thirty-one year married woman who had given birth to her daughter ten
weeks ago. Rachelle is catholic in religion. She had been working in a private school for the
last nine years and known to be a very hard working employee. Rachelle used to be a
concentrated and coordinated individual until her child born. She is suffering
from peripartum onset disorder and was dealing with feelings of worthlessness and
hopelessness as a mother.
She is suffering from dysphoria, emotions of poor self-esteem, and felt unable to care for the
baby adequately as a mother during the ten weeks of the postpartum period.
Rachelle has issues with bonding with her newborn baby, social-isolation problem in addition
to that she has anhedonia.
Rachelle is also suffering from a lactation problem, which triggers the depression problem in
her.
Rachelle has a problem of role identity as a mother and acquires low self-esteem.
Rachelle is often getting anxiety attacks. The condition can be triggered by her family related
traumatic experience of her brother's death six months back, with whom she did not meet for
one and a half years. The second trigger is the cancer diagnosis of her elder sister, who is
thirty-seven years old and divorced.
Rachelle is ignoring her self-care and lacking nutrition for that.
Rachelle is also suffering from suicidal thoughts.

PUBLIC HEALTH2
HONOs Scoring:
Domain
Overactive, aggressive,
disruptive behaviour.
0
2. Non‐accidental self‐injury 2
3. Substance use and misuse. 0
4. Cognitive problems 3
4. Physical illness or disability
problems
1
6. Hallucinations or delusions 0
7. Depressed mood 4
8. Other mental health issues 3
9. Activities of daily living 4
10. Relationships 2
11. Problems with living
conditions
1
12. Problems with occupation
and activities
4
Consume
rs
Priority
Identified
Goals/Issues
The
consumer’s
strengths to
address these
issues
Consumer and
Nursing
Interventions
Person/s
Responsible
Timeframe
Rachelle Issue 1: Strengths 1 Interventions 1 Responsibili Timeframe

PUBLIC HEALTH3
is
suffering
from
post-
traumatic
disorder
for the
death of
her
brother
and
cancer
diagnosis
of her
sister
(Yehuda t
al.,
2015).
She has
low self-
esteem,
including
dysphoria
and
depressiv
Severe
depression,
which
triggers by
her feeling
that she
lacks her
daughter's
adequate
maternal and
care abilities
and poor
self-
perception
has skewed
her self-
image and
contributed
to
anhedonia,
and the loss
of self-
esteem plus
self-
culpation
Rachel is able
to understand
that she is not
taking proper
care of her
baby and
herself as well.
Realisation is
a strength of
the recovery.
Her condition
of maternal
care for her
child
diagnosed
quickly. The
time gap is not
huge and can
be filled by
proper
maternal
caregiving.
Rachelle is a
Schema and
dialectical
behavioural
counseling
should be
provided for her
self-harming
thoughts
including
keeping the self-
harming objects
out of her reach
(Fassbinder et
al., 2016).
Cognitive
behaviour
therapy need to
start as soon as
possible with the
proper assistance
of a mental
health nurse and
psychologist
ty 1
Rachelle's
husband,
mother, the
mental
health nurse
who guides
her and the
other
representati
ves of the
multidiscipl
inary team,
must share
responsibilit
y
1
Regular
assessments
are indeed
necessary
to help the
person
to get out of
despair and
reconnect
with its
healthy
environmen
t and the
ideations of
self-harm
can be kept
in control.