Recovery Focused Nursing Care Plan | Study

Running Head:Recovery Focused Nursing Care Plan
Recovery Focused Nursing Care Plan
Name of Student
Name of the University
Authors Note

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Table of Contents
Recovery Focused Nursing Care Plan........................................................................................................................................................................................ 3
Reference...................................................................................................................................................................................................................................... 5

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Recovery Focused Nursing Care Plan
Consumers
Priority
Identified
Goals/Issues
The consumer’s strengths to
address these
Issues.
Consumer and Nursing Interventions Person/s
Responsible
Timeframe
#1 On discussing
the issues with
Jack, a short-
term goal for
Jack was
decided.
The first goal is
to bring his
paranoia under
control to
ensure that he
can carry out his
everyday
activities
without
interruption and
bring his life
back on a
healthy flow.
The aim is to
make Jack self-
dependent and
lower his
symptoms.
It has been seen that Jack is
suffering from continuous
paranoia, which is making him
unable to talk to anyone freely
about his problems and what
exactly he is experiencing. His
paranoia is taking over his life as
he fears that the ‘warlords’ are
after him. It has been seen that
many adult men diagnosed with
paranoid schizophrenia face
problems with activities of daily
living, which includes complying
with medication (Samuel, Thomas
& Jacob, 2018). He has distanced
himself from his family and is
overeating. Binge eating has been
seen to be a manifestation of
paranoid schizophrenia as well
(Sreeraj et al., 2018). So it can be
understood that he has already
given in to many of the effects, and
these may be his weakness.
However, Jack has said that he
would never commit suicide as he
would never do that to his family.
This shows that he is ready to fight
his disease and control it as much
as possible. It is obvious that he
There are many interventions that can
help with auditory and visual
therapies. One of them is Cognitive
Behavioural Therapy. It has been
seen that this has proven helpful in
combating auditory hallucinations
(Pontillo et al., 2016).
The recovery model of mental health
states that the main intervention
should be based on the support of the
healthcare professionals as well as
encouraging social support for the
patients (Jacob, 2015). So Jack’s
parents must be involved in the
process and educated on how to
support him. As Jack has conveyed,
they are already very supportive of
him and his problems; thus, this
should be easy to do. It has been
observed that family interventions
result in much better patient
outcomes in mental healthcare
settings. It has been especially helpful
in the case of schizophrenia patients
(Caqueo-Urízar et al., 2015). It is
important to make Jack feel that
everyone in his family is here to
support him. He has reported feeling
hopeless, so this is very important for
The Registered Nurse
and the Caregivers are
primarily responsible for
helping him with this.
Apart from that, his
family is also responsible
for helping him through
this.
2 weeks to 4 weeks

3Recovery Focused Nursing Care Plan
will need more help at first and a
lot of motivation, but eventually,
he will be successful.
It must be remembered that Jack
has been feeling down, so the
nurses must not have a negative
attitude with him at any point
(Ahmed et al., 2016).
him.
#2 After coming up
with the first
goal, Jack
expressed his
wish to
reconnect with
his friends. So,
the next goal is,
once Jack is
able to carry out
his daily
activities, he
must be
encouraged to
become more
social. This
involves
encouraging
him to talk to
his friends
again. This goal
is aimed at
regaining his
social life and
rehabilitation.
He refuses to communicate his
exact problems in fear of
endangering the people around him
and fears that people are watching
him. It has been observed that
patients of paranoid schizophrenia
experience getting social
dysfunction that those who did not
experience paranoia (Pinkham,
Harvey & Penn, 2016). Jack used
to be heavily involved in the local
footy club and used to swim and
surf before he became ill and left
those activities. So it is evident
that Jack has already isolated
himself from the activities that
he used to love. This paranoia
is not letting him get close to
his loved ones in fear of
hurting them. So it is possible
that he will require some work
to overcome that fear.
Behavioural interventions targeted for
social cognition may be helpful in the
primary stages of this process. This
process is aimed at improving the
neural mechanisms for underlying
social cognition, which would help
the patient in real-world social
functioning (Dodell-Feder, Tully&
Hooker, 2015). This will also help
him to communicate with his old
friends and put him in ease. It is vital
that his friends support him with this.
Jack’s social issues and rehabilitation
can be helped by enrolling him in a
support group (Freeman et al., 2019).
It is critical that Jack gets support
from people who understand him and
can actually feel what he is going
through. Support groups help people
talk about their problems, which is
something Jack is having serious
trouble with. Based on the Recovery
model, he needs support and belief
that he can get through his issues.
Patients who have gone through the
same issues as they can give him that
reassurance and hope. It must be
remembered that this will come after
The nurses will take an
integral part of providing
the therapies. Jack’s old
friends should be
contacted. His family
will continue to play a
critical role in caring for
Jack. Finally, the
participants of the
hospital support group
will help him again with
his confidence and social
issues.
4 weeks to 5 weeks

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Jack has made some improvements
with his social cognition and in
reconnecting with his friends.
#3 After achieving
the above goals,
Jack talked
about long-term
goals. For the
long-term goal,
the aim is to
keep him in a
stable condition
with the best
quality of life he
can possibly
have. A relapse
should be
avoided. In the
course of time,
he aims to go
back to
studying. This
goal is to help
him pursue his
dreams and
preventing a
relapse.
While Jack was very apprehensive
about taking the medications as
they ‘messed with his memory’, it
was very clear that Jack loved his
studies. He was engulfed in despair
because he could not pursue what
he wanted to, so it is very likely
that given the chance and
motivation, he will try his best to
continue his education. As
mentioned before, keeping a
positive attitude is the key (Ahmed
et al., 2016).
To keep the symptoms and paranoia
at bay, Jack must be educated and
encouraged to remain compliant with
his medications. This education will
be conveyed to his family as well,
and they will enable him to keep up
with his medication (McIlroy, 2018).
Being regular with taking his
medicine is the key to keep him
stabilized and to prevent him from
relapsing. He must be explained the
way the medications work and why it
is important to continue taking them,
and that non-adherence may cause a
relapse (Dufort & Zipursky, 2019).
This is bound to be helpful in keeping
him healthy.
He must be given a healthy set of
rules to follow, like staying away
from alcohol and prevent overeating.
Jack must continue visiting the
support group to keep him stabilized
and stop him from feeling depressed
again. He has had many comorbid
issues, including feeling hopeless and
anxiety and these issues can be kept
under control by regularly visiting the
support group (Tan & Rossell, 2016).
His care manager will
have a central role in this
intervention. His family
support is also critical in
this stage as it is a long
term goal, and they are
the key to keeping Jack
healthy for a long time.
Jack’s friends are
important, as well.
Finally, Jack must
continue the support
group as well to keep
him connected and
confident.
2 months to 6 months

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Reference
Ahmed, A. O., Marino, B. A., Rosenthal, E., Buckner, A., Hunter, K. M., Mabe, P. A., & Buckley, P. F. (2016). Recovery in schizophrenia:
What consumers know and do not know. Psychiatric Clinics of North America. https://psycnet.apa.org/doi/10.1016/j.psc.2016.01.009
Caqueo-Urízar, A., Rus-Calafell, M., Urzúa, A., Escudero, J., & Gutiérrez-Maldonado, J. (2015). The role of family therapy in the management
of schizophrenia: challenges and solutions. Neuropsychiatric disease and treatment, 11, 145–151. https://doi.org/10.2147/NDT.S51331
Dodell-Feder, D., Tully, L. M., & Hooker, C. I. (2015). Social impairment in schizophrenia: new approaches for treating a persistent
problem. Current opinion in psychiatry, 28(3), 236–242. https://doi.org/10.1097/YCO.0000000000000154
Dufort, A., & Zipursky, R. B. (2019). Understanding and managing treatment adherence in schizophrenia. Clinical Schizophrenia & Related
Psychoses. https://doi.org/10.1097/YIC.0000000000000125
Freeman, D., Taylor, K. M., Molodynski, A., & Waite, F. (2019). Treatable clinical intervention targets for patients with
schizophrenia. Schizophrenia research, 211, 44-50. https://doi.org/10.1016/j.schres.2019.07.016
Jacob K. S. (2015). Recovery model of mental illness: a complementary approach to psychiatric care. Indian journal of psychological
medicine, 37(2), 117–119. https://doi.org/10.4103/0253-7176.155605
McIlroy, M. L. (2018). Medication Adherence Among Patients with Schizophrenia and Schizoaffective-Bipolar Type Disorder: A Clinical
Education Approach to Improve Medication Compliance (Doctoral dissertation, Brandman University).
https://search.proquest.com/openview/13590e4d3e2b70a9334a03e897eb1e19/1?pq-origsite=gscholar&cbl=18750&diss=y
Pinkham, A. E., Harvey, P. D., & Penn, D. L. (2016). Paranoid individuals with schizophrenia show greater social cognitive bias and worse
social functioning than non-paranoid individuals with schizophrenia. Schizophrenia research: cognition, 3, 33-38.
https://doi.org/10.1016/j.scog.2015.11.002
Pontillo, M., De Crescenzo, F., Vicari, S., Pucciarini, M. L., Averna, R., Santonastaso, O., & Armando, M. (2016). Cognitive behavioural
therapy for auditory hallucinations in schizophrenia: A review. World journal of psychiatry, 6(3), 372–380.
https://doi.org/10.5498/wjp.v6.i3.372
Samuel, R., Thomas, E., & Jacob, K. S. (2018). Instrumental activities of daily living dysfunction among people with schizophrenia. Indian
journal of psychological medicine, 40(2), 134. 10.4103/IJPSYM.IJPSYM_308_17

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Sreeraj, V. S., Masali, M., Shivakumar, V., Bose, A., & Venkatasubramanian, G. (2018). Clinical utility of add-on transcranial direct current
stimulation for binge eating disorder with obesity in schizophrenia. Indian journal of psychological medicine, 40(5), 487.
10.4103/IJPSYM.IJPSYM_551_17
Tan, E. J., & Rossell, S. L. (2016). Comparing how comorbid depression affects individual domains of functioning and life satisfaction in
schizophrenia. Comprehensive psychiatry, 66, 53-58. https://doi.org/10.1016/j.comppsych.2015.12.007