Wellness Plans and Advance Directives

This study material provides comprehensive information about wellness plans and advance directives. It covers topics such as the importance of wellness planning, the role of mental health workers and service users, cultural factors in mental health care, the use of documents in wellness planning, successful wellness strategies, WRAP plans, factors of unwellness, collaboration between mental health workers and service users, and advance healthcare directives. The material offers valuable insights and knowledge for anyone interested in understanding and implementing wellness plans and advance directives.

Running Head: WELLNESS PLANS AND ADVANCE DIRECTIVES
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Wellness Plans and Advance Directives
Institution
Name

WELLNESS PLANS AND ADVANCE DIRECTIVES
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Wellness Plans and Advance Directives
Activity 1A
A wellness plan is usually a given list concerning manageable and small steps that gets
any individual moving in a given positive direction. A well-organized wellness plan usually
comes with a positive as well as a lasting change to individuals who are adaptable and consistent;
this is regardless of an individual’s wellness plan goals. Any individual in the public domain that
would like to be healthier, happier, and more emotionally balanced must come up with a well-
organized wellness plan. The information that an individual requires to know as far as wellness
planning is concerned is that any party requires to determine what they are when in the right
mood (Tinetti 2012). It is therefore recommended that an individual starts by making a given list
of feelings and moods when the party considers himself to be in the relevant state of wellness.
The individual is thereafter required to note down how these feelings and moods contribute to
their overall recovery at the end of the day.
Activity 1B
A misunderstanding between mental health workers and mental service users may occur
in line with their roles or rather duties. Mental service user’s role is building positive
relationships with various patients with an aim of creating trust issues with the respective
patients. They are seen to be doing this through listening as well as interpreting their concerns
and needs. The mental service users also work with cares, patients, and families in educating
them in line with their mental health problems. Mental health workers, on the other hand,
provides daily support and care to various patients. They ensure the patients go through the
recommended medications and other treatments; this is under the required instructions of nurses
and doctors (Pear 2010). They, therefore, ensure that various patents are assisted in line with

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their daily activities that may include bathing, eating, and movement. The best communications
techniques that may be used to confirm and clarify the understanding that is between mental
service users and mental health workers is by clearly defining their meanings and roles. The
better understanding will come out in the event that they shall have been defined and every
party’s role clearly noted at the end of the day.
Activity 1C
Cultural factors in the context of mental health care means or rather is relating to various
professionals that are qualified to deliver in line with the mental health disorders or rather
problems. An example of the professionals may include clinical psychologist, school
psychologist, licensed professional counselor, clinical social worker, mental health counselor,
nurse psychotherapist, certified alcohol and drug abuse counsellor finally marital and family
therapist to mention a few (Scott, & Wilson 2011). Other roles may be stated as providing
assistance in line with daily activities, assisting in administering therapeutic care and monitoring
of various patients conditions. The outline for mental, cultural information is introduced in DSM
– IV with a given framework. The framework is all about assessing various relevant information
in line with the cultural features of a given party’s mental health problems. The framework also
looks at how mental health problems relates to a given cultural as well as social history.
Activity 1 D
Some of the additional members that may be consulted during the process of wellness
planning may include clinical psychologist who are normally well trained to assist in diagnoses
as well as providing group and individual’s therapy (Lum, Sudore, & Bekelman 2015). The
second example may be a clinical social worker that is also trained to make diagnoses, provision
of group and individual counseling, and finally, the provision of advocacy and case management.

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The last example is a peer specialist that usually assists various clients with recovery by
developing and recognizing setting goals and strengths.
Activity 1 E
Some of the examples of documents that may be used in the process of wellness planning
include a project description and regulatory consideration document that is used to describe the
project as well as its regulations. The second example is a sample business planning manual that
is usually the reason behind writing the respective plan as well as its external users. Finally is the
annual wellness visit telephone script that is mainly used in assisting in communication between
staff and patients when the respective patients call in line with their desired schedule regarding
Medicare wellness visit to mention a few (Bomba, Kemp, & Black 2012). The following is a list
of regulations or rather legislations that form an ethical and legal framework for the various
mental health care; they include treatment and assessment are provided in the latest restrictive
and intrusive way.
Activity 2 A
What any professional individual in line with mental health may be attempting to
establish when defining another individuals interpretation of wellness is whether they are well
conversant with what it takes concerning the respective wellness. It may as well be another
opportunity that the entire public will be made aware of the requirements in line with the
wellness. The bottom line is that by the end of the day a good number of people from all walks
of life shall have been informed as far as the wellness requirements are concerned (Marchinko, &
Clarke 2011). A wellness toolbox is a given listing of the various things an individual may have
done in the past or rather could do, to assist the individual in staying well. The listing also comes
with the various things the respective individual could instead do to feel better when the

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individual is not feeling well. These are the tools that will define what a wellness toolbox is. The
fact that any individual is already well conversant with what a wellness toolbox is, the party is in
the most recommended position of defining wellness since they are going hand in hand with the
wellness toolbox.
Activity 2 B
Some factors, approaches or situations that have always made wellness strategy
successful are as follows; encouraging physical activity that implies incorporating as well as
promoting physical activities into a daily routine (Bomba, & Orem 2015). The second factor is
using gamification based on the fact that the most recommended way of inspiring participation in
line with various wellness activities is by awakening the respective power of friendly
competition. The third example may be by providing access to various healthy meals, i.e.,
gaining access to various snacks, meals, as well as healthy drinks during any working day, is
given to improve the entire health of an individual staff at the end of the day.
Activity 2 C
WRAP plan usually stands for Wellness Recovery Action Plan. It is usually a given self –
management as well as recovery system that is developed in a certain group of people who had
mental health difficulties and at the same time struggling to incorporate various wellness
strategies and tools in their lives. It is usually used to prevent as well as decrease troubling or
intrusive feelings and behaviors (Sarin, Murthy, & Chatterjee 2012). It is as well used in
increasing an individual’s personal empowerment at the end of the day. The Recovery Star was
seen to have been developed by the Mental Health Providers Forum and is usually a given
outcome measure. It is witnessed in enabling people from all walks of life in using services to

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measure their recovery progress that also assists various mental workers and other individuals in
the public domain.
Activity 2 D
Factors of unwellness refer to a given wider range of mental health conditions such as the
various disorders that affect an individual’s moods, behavior, and thinking. An example of this
may include depression, schizophrenia, anxiety disorder, addictive behaviors, and finally eating
disorder (Sabatino 2014). Triggers of unwellness, on the other hand, are the external
circumstances or events that are seen to produce very uncomfortable emotional or rather
psychiatric symptoms an example may include panic, anxiety, discouragement, negative self –
talk and despair. Finally is the early warning signs of unwellness that are internal factors and
may not necessarily arise regarding stressful situations. Some of the examples include
forgetfulness, lack of motivation, inability to experience pressure, and being uncaring to mention
a few.
Activity 2 E
The best way that the mental health workers can collaboratively work with the mental
service users is by ensuring that every individual stick to their role. It is the best option that will
ensure there is a proper implementation of their wellness plan. It is a move that will be ensuring
that every patient is well informed concerning whatever is expected of them as far as wellness
plan is concerned. The mental health workers will always be required to provide daily support
and care to various patients. They ensure the patients go through the recommended medications
and other treatments; this is under the required instructions of nurses and doctors (Kelley,
Wenger, & Sarkisian 2010). They, therefore, ensure that various patients are assisted in line with
their daily activities that may include bathing, eating, and movement. The mental service users,

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on the other hand, will be required to be building positive relationships with various patients with
an aim of creating trust issues with the respective patients.
Activity 2 F
The individuals that may be involved in supporting the person in line with implementing
their wellness plan are both the mental health workers and the mental service users. The other
parties that may be involved in doing the same are the qualified professionals in line with mental
health courses that might include clinical psychologist, school psychologist, licensed
professional counselor, clinical social worker, mental health counselor, nurse psychotherapist,
certified alcohol and drug abuse counsellor finally marital and family therapist to mention a few
(Halpern, & Emanuel 2015). Some of the actions that others may take to help to support a
service user in implementing their wellness plan are as follows, the administering of health risk
assessments only, sending people to their health website plan’s website, hiring various vendors
to help in fixing unhealthy employees
Activity 2G
The mental health workers have a duty of keeping their patient's confidential information
very private as the patients usually want to know the party they can choose concerning sharing
their confidential information. The mental health workers are as well to ensure that there is a
very strong privacy mechanism since this will be promoting public trust as well as confidence in
their respective healthcare services. The third obligation of the mental health workers is to ensure
that the psychologist does not share patients private information without their consent (Tinetti
2012). The fourth is that the insurance companies do not have any access to respective patient’s
records. The fifth obligation is that patients employers are not to be informed when a patient sees
a psychotherapist, and the patient decides to use their firm’s insurance.

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Activity 2 H
A Care Plan and Consumer wellness plan Differences.
This usually provides certain directions on the relevant type of nursing care the family/
individual/ community may need. The known main focus of the respective nursing care plan is
usually to facilitate standardized holistic and evidence-based care (Scott, & Wilson 2011).
Consumer wellness plan, on the other hand, are seen to be providing a way for individuals to
actively participate in their care. The consumer wellness plan has been put in place by NSW
mental healthcare consumers.
Activity 3A
An advance healthcare directive is a given legal, medical document, and it may also be
known as a living will, advance directive, personal directive, advance decisions, or medical
directive. It's purposely meant for various affected patients to specify certain actions to be taken
in line with their health status in the event that they are never in the position of making their own
decisions at the end of the day. An advance directive is legally binding in the context of a mental
health (Lum, Sudore, & Bekelman 2015). It is based on the fact that the respective patients
having the medical challenges are at some point given to make wrong decisions since they are
mentally disturbed. This document will, therefore, prevail and the mental health workers in
charge are given to dance to the respective document terms and conditions.
Activity 3 B

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It is a fact that one person’s advance directive may have or rater come with much greater
scope compared to the other. The respective advance directives normally count on an
individual’s personality. It is then a fact that the entire advance directives may never be the same
or rather may never apply to every individual. An example are the patients that are suffering
from anxiety, and others suffering from bipolar mood disorder are given to have advance
directives of very much different scopes at the end of the day.
Activity 3 C
The process that any individual in the public domain will use in developing an advance
directive is as follows, the reason in line with making a living will, deciding whatever you want,
choosing a very more healthy care proxy, duties of a health care proxy. You after that need to
know your law status, to lawyer or not to lawyer, keeping it on file. Whatever will follow is
dealing with family members, considering when to change your living will and finally speaking
with the experienced doctors (Marchinko, & Clarke 2011). The best way, therefore, to work with
service users in determining which instructions they would like to consider for inclusion in their
respective directive considering support, services, medications, and treatments is by ensuring you
closely work together. This will, at the end of the day, ensure you settle for the best decision as
far as this is concerned.
Activity 3 D
Advance directives usually come with various formats. Below is an example of one
advance directive format that our organization takes.

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Activity 3 E
The process that will be the most recommended to use with the service users in
determining the life management instructions is the same as the one included in their advance
directive like the one discussed in activity 3 C above.
Activity 3 F
The consequences of vague or unclear directives are that in the event that the document is
detected. It is given to be considered null and void as it will never apply in any medical health
organization (Bomba, & Orem 2015). The victims that were a party to it are as well given to face
the full force of the law concerning the respective country. Some steps that can be taken in
ensuring that advance, clear and unambiguous directives are made are as follows, giving yourself
time, considering other people’s experiences, sharing your views with loved ones. The next step
will be appointing a health care proxy, making copies, and finally keeping your advance
directive up to date.
Activity 3 G
It is usually important of assessing any individual’s capability at the respective time of
signing an advance directive since there are normally some incompetent patients. They are
incompetent in that they are unable of making the right decisions for themselves concerning their
personal care. The assessment is also assisting in appointing a relevant healthcare proxy or agent
to act in the capacity of the patient if a need arises. The cognitive approach is usually considering
inside various people's minds, attention, perception, memory, language, thinking, and
consciousness, unlike the status approach that only considers an individual current state of things
(Sarin, Murthy, & Chatterjee 2012). The best approach to assessing capacity at the time of

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signing an advance directive is the cognitive approach. This is following the fact that it considers
a wider range of factors, unlike the status approach.
Activity 3 H
The most appropriate time to seek or rather advice service users to seek legal or rather
other specialist advice when coming up with advance directives is a time when there are several
reported cases of vagueness or not clear advice directives (Sabatino 2014). The services users
can as well be advised when they report to be dealing with a relatively larger number of
incompetent patients who are never in the position of making their own decision.
Activity 3 I
An Independent witness is an individual who signs below the complainant signature and
inserts their contact details. The individual must always be present with the complainant at the
time of signing as the independent witness (Kelley, Wenger, & Sarkisian 2010). There are no
other criteria for a suitable witness. This above description is the only one that applies as far as a
suitable witness is concerned.
Activity 3 J
The best and recommended place where any individuals advance directive can be stored
is normally as critical as preparing another individual in the first place. There are usually a good
number of places that individuals can store the documents however there are certain factors to be
considered that includes, the documents should be portable in that they can be easily available
whenever you are in the world (Halpern, & Emanuel 2015). The second factor is that the
documents must be available promptly and finally is that it must be a safe place that is protected
from theft, flood, and fire or rather any other natural disasters. The visibility of an advance

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directive can be ensured by storing the document in a way that they are usually available
promptly. This way, they will be readily available and so visible.
Activity 4 A
Some of the things that can assist in making an emotionally safe environment for service
users may include catching up with other carets in their local organization area. The second point
is spending time with their respective friends and families; the third point is taking time out for
themselves for things like exercise and hobbies (Tinetti 2012). The fourth is organizing respite
services for the people they care for and finally going for various holidays.
Activity 4 B
Some of the communication skills one would use in supporting a person in crisis or
distress may include speaking slowly, and this is following the fact that there are words that
sounds similar to one another in the event that they are spoken quickly. It is therefore advisable
that an individual speaks carefully and slowly; this way, the individual’s words will be less likely
mistaken by others (Pear 2010). The second point is that an individual should avoid using slang;
this is also following the fact that a common mistake various professionals have been making is
using more complicated and bigger words. The third point is that an individual should stop and
listen since communication is usually a two-way traffic. One of the most vital communication
skills is usually the ability to stop and listen ethically and actively regarding what the distressed
party is talking about.
Activity 4 C

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An example of where the discussion took place in line with the respective nature of
distress was in a given mental illness organization (Scott, & Wilson 2011). The discussion was
between affected patient and a mental service user concerning the challenges the patient was
currently going through as well as the relevant actions that are to be put in place.
Activity 4 D
Mental health professionals always follow the instructions of an advance directive. They
have never violated the instructions of rather the terms and conditions that are well stated in the
various advance directives. This is based on the fact that it is a legally binding contract and it
never only applies in the event that the patient never followed the required process or rather
procedure (Lum, Sudore, & Bekelman 2015).
Activity 4 E
Mental health professionals may, at some point, require emergency assistance from
various superior or other members of staff following the cases they normally handle. There are
certain cases that their patient’s normal reasoning level reduces or rather is altered due to their
illness (Bomba, Kemp, & Black 2012). They are always given to behave in a different manner
that may require assistance from another professional mental expert. The organization policy in
line with the emergency assistance is that it only applies where there is an alarm. The procedure
is as follows; the assisting professional must start seeing the various patients as potential clients;
the individual must be courteous and respectful, the party should as well never show indifference
to the patients.
Activity 4 F
Debriefing is a certain report of a given project or mission or rather the information so
obtained. It can as well be described as a given structured process following an event or exercise

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that is seen to be looking at the actions taken. The coping model is a given systematic framework
used for prevention. It’s usually defined as a recommended model that various staff members are
in the position of using to guide them through various processes of establishing Therapeutic
Rapport with any party after a crisis incident. The respective COPING Model can as well be
used to structure a staff debriefing. The other model of debriefing that was used before is the per
– unit model (Marchinko, & Clarke 2011). This a simple but very much useful model in which a
given cost estimate is made for a single unit. The total cost estimate is seen to result from the
multiplication of the estimated cost per unit times the other respective number of units.
Reflective practice is usually the given ability to reflect on an individual’s actions with the aim
of engaging in a respective process of continuous learning while debriefing is a certain report of
a given project or mission or rather the information so obtaine. My job role is paying certain
critical attention to the practical theories and values which are seen to be informing everyday
actions at the end of the day, by examining practice reflexively and reflectively.
Activity 4G
The documents that are usually used within our organizations include Jodi underson,
student share, Adam O’Brien rn, Mary Reed, and finally to mention a few is well-being (Bomba,
& Orem 2015). The chosen documents may include Jodi Under son and Mary need that have
been involved in various roles and activities. Some of these roles may include detecting
diagnosing, preventing, and treating severe and common mental disorder, mental retardation, and
epilepsy.

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References
Tinetti, M. E., (2012). The retreat from advanced care planning. Jama, 307(9), 915-916.
Pear, R., (2010). Obama returns to end-of-life plan that caused a stir. New York Times.
Scott, A., & Wilson, L. (2011). Valued identities and deficit identities: Wellness Recovery
Action Planning and self‐management in mental health. Nursing Inquiry, 18(1), 40-49.
Lum, H. D., Sudore, R. L., & Bekelman, D. B. (2015). Advance care planning in the
elderly. Medical Clinics, 99(2), 391-403.
Bomba, P. A., Kemp, M., & Black, J. S. (2012). POLST: An improvement over traditional
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Marchinko, S., & Clarke, D. (2011). The Wellness Planner: empowerment, quality of life, and
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Bomba, P. A., & Orem, K. (2015). Lessons learned from New York’s community approach to
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Sarin, A., Murthy, P., & Chatterjee, S. (2012). Psychiatric advance directives: potential
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Kelley, A. S., Wenger, N. S., & Sarkisian, C. A. (2010). Opiniones: End‐of‐life care preferences
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