NURS2098: Recovery Focused Nursing Care Plan for Rachelle's Depression

This report details a Recovery Focused Nursing Care Plan for Rachelle, a 31-year-old woman experiencing peripartum depression. The case study describes Rachelle's symptoms, including dysphoria, anhedonia, feelings of guilt and worthlessness, and difficulties bonding with her newborn daughter. The care plan identifies key issues and goals, focusing on reconnecting with family, regaining motivation, and addressing feelings of guilt. Strengths are identified, such as Rachelle's strong work ethic and supportive family. Nursing interventions include dietary improvements, sleep schedule regulation, social engagement, and medication. The plan emphasizes the importance of self-care and the supportive roles of her husband, nurse, and daughter. The timeframe for recovery involves daily monitoring and recording of progress. References and an appendix with additional details from the case study are also included to support the plan.

RUNNING HEAD: HEALTHCARE 0
Complex mental health March 28
2020

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Case study
Rachelle is a 31-year-old married woman. She is a practicing catholic and has nine years
of working experience as a secretary in a local private school. She has a husband and a ten-week-
old daughter. Rachelle recently is facing mood swing more information on this is present in
appendix 1.
Rachelle’s personality
Rachelle is a hard-working woman. She is well organized and committed to what she
does. In further discussion, she revealed that she has lost her motivation for work. There is no
evidence of hallucinations and delusions. Rachelle has no history of self-harm or suicides.
Impression
According to Rachelle's case, she is suffering from depression since ten-weeks, she is
feeling worthless, guilty, and helpless (Otte, et al., 2016). Her consternation power has decreased
and lost her motivation. Rachelle's brother's death in a car accident, her sister's surgery for
cancer, the transition to parenthood, and loss of sense are some of the factors of depression
symptoms in Rachelle. Rachelle has never been hospitalized or received any psychiatric
treatment before.
Rachelle’s case
She is suffering from a moderate level of major depressive disorder. In which people feel
anxiety, stress, loss of appetite, and feels worthless (Ripke, et al., 2013). Rachelle has to monitor
herself to become healthy again (Fullagar, 2013). Her sleep schedules, eating habits, socializing
habits, and motivation to work all needs monitoring to improve her lifestyle again. Below there
is a recovery plan for Rachelle.

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HONOs test for Rachelle
Recovery Focused Mental Health Care Plan

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Patient
priority
Rachelle has
lost motivation
and a sense of
bliss. She has
lost
confidence in
herself. Losing
her family
members in a
delicate
situation gave
her symptoms
of depression.
Rachelle is
feeling guilt
and worthless.
Recovering
from
depression is a
little
challenging? It
is essential to
distinguish
about
situations in
mind.
Rachelle will
Issues and
goals
Issue:
Rachelle is
experiencing
increased
dysphoria,
anhedonia,
feeling guilty
and
worthless.
Rachelle
cries
intensely.
She has self-
isolated
herself. Also,
she is
struggling to
create a bond
with family
and her ten
weeks old
daughter.
Rachelle is
also lost
weight she
needs to gain
back.
Consumer’
s strengths
to address
these issues
Rachelle is a
strong
independent
woman who is
well organized
with her work.
Before getting
unwell she was
working as a
local private
school
secretary. She
was able to
take care of
her child and
family at the
same time
which she is
unable to do
now. Rachelle
has a
supportive
family, they
want her to
recover till
then they can
take care of
Consumer
and Nursing
Intervention
s
Major
depressive
disorder
involves the
symptom of
increased
dysphoria. Also,
she is has
increased
anhedonia, a
situation in
which one
should feel
happy but is
unable to feel
(Dhejne, 2016).
Rachelle is
unable to take
care of her
daughter.
The first step is
Rachelle has to
improve her diet
so that she can
gain her weight
Persons
Responsible
Rachelle’s
husband is
supportive
and wants a
healthy
recovery for
her wife
(Siegel,
Alvaro,
Crano,
Lienemann,
Hohman, &
O'Brien,
2012). He
constantly
motivates her
helps her in
dealing with
the past
where she
has lost her
brother.
Rachelle has
occasionally
thought of
self-harm as
Timeframe
Rachelle will
have to
reconnect
with all that
she has lost
touch with.
She will have
to forget
negative
memories
and only
remember the
positive
memories of
her brother.
Parenting is a
tough job she
will have to
become even
stronger and
let go of all
her fears
about
parenting.

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have to
understand
what she can
control and
what she
cannot control.
The things or
situations that
can't be
controlled
create a mess
in the head.
Recommendat
ion for the
patient is to
invest time in
situations or
matters that
can be
controlled
patient should
not waste time
on situations
that are
already out of
hand.
Rachelle
should not
Rachelle has
to control her
sleeping
hours as well.
Goals:
Rachelle will
have to
reconnect
with her
family. She
will have to
bring back
her
motivation
and reduce
her guilty
feeling. She
will have to
realize her
worth again
and realize
what she is
capable of.
her duties.
Rachelle's past
life states that
she was a
social person
because she
has friends
from school
and
community
both. Rachelle
was didn’t
meet her
brother for 1.5
years and after
losing him in a
car accident
she started
feeling guilty
and worthless.
Rachelle has a
willingness to
try and have
happy mental
health again.
She has the
power to fight
and wants to
bring back the
again that he has
lost in the past
few months
(Lang,
Beglinger,
Schweinfurth,
Walter, &
Borgwardt,
2015). Rachelle
has to add more
proteins to her
diet in order to
gain weight.
With the help of
her family and
nurses, she will
have to consume
balanced meals
to gain weight.
Now Rachelle
has to work on
herself to get
back to her
normal life. In
cases like this
patient or
consumers have
to make their
working plan.
well. Her
family is
always with
her to advise
her in tough
situations.
Rachelle's
nurse is also
present to
advise her on
ant difficulty.
Also,
Rachelle's
daughter is a
big support to
her because
she wants to
get healthy
again so that
she can take
care of her
daughter like
before.
For
accomplishin
g all these
things she
will have to
monitor
herself daily
and record
the healthy
changes.

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force herself
to look after
her daughter.
Rachelle's
family have to
support her in
this. She
should only
provide care to
her child, start
working, and
does the
housework
only when she
wants to do it.
motivation she
has lost. Even
after severe
depression
symptoms she
never thought
of harming
herself or went
towards
alcohol
consumption
or substance
dependence.
Rachelle’s
family is her
biggest support
they are
supporting her
in her difficult
phase of life.
Rachelle's goal
is to gain
weight, bring
back the
motivation,
and finally, let
go of the guilty
Rachelle will
have to control
her sleep
routines. She
sleeps for ten to
fifteen hours.
She will have to
slowly reduce
her sleep
duration by
avoiding extra
sleeping. She
can spend some
time with her
family in order
to bring her
sleep routines to
seven hours or
eight hours of
sleep (Swartz, et
al., 2016).
Initially,
Rachelle should
start spending
time with her
family and do
some fun
activities. That
will bring her
closer to her
family again and

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feeling and
sense of being
worthless.
will keep her
awake as well.
For bringing
back her
motivation she
will have start
practicing small
fun tasks with
friends, family
and completely
avoid the
negativity. Also,
she has to take
care that she
doesn't
overschedule
herself (Menges,
2017).
Rachelle has to
start socializing
so that she starts
feeling at ease
and let go of her
past (Slavich,
2014). She has
to first forgive
herself and have

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start
remembering
her brother for
their happy
moments.
Medical
professionals
will provide
required
medication to
her but her
illness needs
self-care the
most.
References
Dhejne, C. V. (2016). Mental health and gender dysphoria: A review of the literature.
International Review of Psychiatr, 44-57.
Fullagar, S. (2013). Traveling with and beyond depression: Women's narratives of recovery and
identity. Accessible tourism: Concepts and issues, 123-138.
Lang, U., Beglinger, C., Schweinfurth, N., Walter, M., & Borgwardt, S. (2015). Nutritional
aspects of depression. Cellular Physiology and Biochemistry, 1029-1043.
Menges, J. I. (2017). When job performance is all relative: How family motivation energizes
effort and compensates for intrinsic motivation. Academy of Management Journal, 695-

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719.
Otte, C., Gold, S., Penninx, B., Pariante, C., Etkin, A., Fava, M., et al. (2016). Major depressive
disorder. Nature reviews Disease primers, 1-20.
Ripke, S., Wray, N., Lewis, C., Hamilton, S., Weissman, M., Breen, G., et al. (2013). A meta-
analysis of genome-wide association studies for major depressive disorder. Molecular
psychiatry, 497.
Siegel, J., Alvaro, E., Crano, W., Lienemann, B., Hohman, Z., & O'Brien, E. (2012). Increasing
social support for depressed individuals: A cross-cultural assessment of an affect-
expectancy approach. Journal of health communication, 713-732.
Slavich, G. M. (2014). From stress to inflammation and major depressive disorder: a social
signal transduction theory of depression. Psychological Bulletin, 774.
Swartz, R., Bayley, M., Lanctôt, K., Murray, B., Cayley, M., Lien, K., et al. (2016). Post-stroke
depression, obstructive sleep apnea, and cognitive impairment: rationale for, and barriers
to, routine screening. International journal of stroke, 509-518.
Appendices
Appendix 1
Rachelle has expressed that from the past ten weeks since her daughter's birth she is
experiencing increased dysphoria, anhedonia and feeling worthless and guilty. She has also
mentioned of intense crying, self-isolation and is struggling to bond with people. She has also
mentioned she is unable to take care of her daughter. Rachelle is sleeping ten to fifteen hours
every night. She finds no difficulty in falling asleep, getting up the middle of the night, or
waking up early in the morning. Rachelle's appetite has decreased in the past two months. She
has lost eight kilograms.