Detailed Recovery Focused Mental Health Care Plan: Case Study Analysis

This report presents a detailed mental health recovery-focused care plan, drawing from a case study of a 27-year-old woman named Kate who is experiencing symptoms of depression and potential bipolar disorder. The report outlines the patient's history, including job loss, family stressors, and presenting complaints such as sadness, anxiety, and sleep disturbances. It covers the formulation of an impression, discussing potential diagnoses and the impact of various stressors. The main body of the report delves into the history of the present problem, including symptoms of bipolar disorder and the impact of hallucinations. It includes a medical history, and family history. It also includes a mental status examination and a formulation of impression. The report then explores medicaments (treatment), including anti-manic and mood stabilizer drugs, and various therapies such as behavioral, cognitive, interpersonal, and social rhythm therapies, along with education. The report concludes with a discussion of nursing care plans. The report emphasizes the importance of recovery-focused care in mental health, emphasizing the role of nursing interventions, medication, and therapeutic approaches in improving the patient's quality of life and promoting recovery. The document is contributed by a student to be published on the website Desklib, which provides all the necessary AI based study tools for students.

MENTAL HEALTH
RECOVERY FOCUSSED
CARE PLAN

Contents
INTRODUCTION...........................................................................................................................................3
Case study................................................................................................................................................3
MAIN BODY..................................................................................................................................................3
Family history ..........................................................................................................................................4
Formulation of impression...........................................................................................................................5
Medicaments (Treatment).......................................................................................................................5
CONCLUSION...............................................................................................................................................8
REFERENCES................................................................................................................................................9

INTRODUCTION
Mental health is demonstrated as cognitive behavioral as well as emotional well –being, this is
all about how group of people behave, thinks and feel. Mental health this term means absence of
mental disorder. Mental health could affect physical health, daily living and relationship. The users of
mental health service they review their planning care which could help in personalized care which are
associated with the focused on recovery, along with the aim of enhancing specific goals of individuals
and in addition they have been designed in order to maximize social integration and achievements.
Nursing practice is demonstrated as care of patients suffering from any metal health or illness.
Case study
Kate she is a 27 years old, she had worked in retail industry in a fashion or clothing shop for
probably 9years but in which store she used to work due to the reason of closing down, she lost her job,
Recently she was referred to the inpatient unit by her grandparents. Kate she has been living with her
sister veronica. Her father died in an accident 6 months ago and she did not see him 1.5 years and she
regret for that, why didn't she meet and why they were not closed. When kate lost her father she is
used to cry and isolate herself, someway she was facing depression. When kate lost her job thus they
decided that veronica would do part time job and kate would look after Jamie who is the son of
veronica. (Pisciotta, Denneson,and et. al., (2019)).
MAIN BODY
Presenting complaint
The statement of Kate shows that she was upset and sad all the time along with this somewhere she
also had regret why didn't she help her sister, and all these sadness were underlying depression.
Current life stressors reported by the kate include;
There are several stresses which kate is going through, kate is having a guilt that she didn't see her
father. And she couldn't help her sister. Kate mother had a cancer surgery in-fact she has been
recovered still kate is fearful, and this statement was given by the kate .Therefore due to all these
reasons she was in trauma and depression this was leading to the poor mental health,bipolar disorder.
In the inpatient unit by the nursing practitioners all these issues were recorded. This phase mainly
focuses on the diagnosis of mental illness. Psychiatric medication are provided in the inpatient unit.
There is main goal of nursing are to help patients going through mental illness, as well as encourages
recovery bring them back to life in this way nursing were providing treatment and giving medication at
different interval of time.
History of present problem
Kate given the statement that she is not able to sleep, whole day she stays upset and having
mood swings, intense crying whole night, she self isolated herself, anxiety, having elevated mood , she

was suffering from bipolar disorder due to this reason she was referred to local inpatient unit. Bipolar
disorders are are known as mood disorders which experiences the manic mood episodes is called bipolar
disorder. patient with bipolar disorder may have suicidal thought, in this manic phase patient may feels
elated, agitated and energized their inner depression makes them to inflict to self injury. The nursing
practitioners they support their patients emotionally and mentally (Jewett, Kerr, Tamminen, and et. al.,
(2019)). Patient is well treated in a proper way. They communicate with their patients in a proper
manner. They provides wide range of care which includes medicines, therapy, counseling as well as
trauma care. Nurses were providing specialized care. Nursing practice they enhance the quality of life.
Bipolar disorder could affect individuals at any age, or socioeconomic status. Nurses were providing care
to the mental health disorder patient. They were communicating with patient friendly therefore the
patient could share all the information without hesitation. On daily basis whole body check up was done
and blood pressure were also checked. Nursing practice their main goals are to review the care which
helps in personalized care as well as focus on the recovery. Patient also experienced symptoms of
hallucination mentioned below;
Visual- Seeing such kind of things which are not real (Kourgiantakis, and et. al., (2020)).
Auditory - Hearing different kinds of voices and sounds, which are only heard by the patient not by
others.
Tactile- Feeling some touch as if something is crawling on the skin.
Activity level- Increased perceived energy, Psycho- motor slowing down.
Content- Delusion and thoughts occurs to harm self and others.
Past Psychiatric history
Kate didn't had psychiatric treatment, and she avoided previous episodes of depression. There is no past
history in terms of mania. This was recorded in the inpatient care unit. By looking into previous history
further recovery methods were held. Whole body checkup was done on regular basis and proper care
was given in the inpatient care unit.
Pre- morbid personality
kate had a good personality she was committed to their job as well as she was friendly too. She was
laborious women and motivating.
Medical history
Kate ankle ankle was fractured when she was 21.
Family history
Kate had a sister veronica and mother she had cervical cancer and father died in an accident but her
grandmother was depressed but presently she do not have any details regarding this. Mental illness are

most importantly transferred genetically. Kate grandmother had depression issues, bipolar disorder
thus this might be the reason Esther had a bipolar disorder because such kind of mental illness are
commonly transferred genetically .Her grandmother left her mental illness untreated so there might be
possibility mental illness transferred from one generation to another( King, and et. al., (2019)).
Mental status examination
General appearance – Kate she was underweight and cooperative as well as she is hostile personality.
Motor activity – She has excessive psycho-motor activities such as she was not able to sit and her hands
were wringing
Speech –She was very talkative and her stone was quite soft and as well as she had high pitch of volume.
Thought process – She had flow of thoughts and form of thinking (Hom, Albury,and et. al., (2020)).
Perception – There is no evidence of hallucination and delusion.
Formulation of impression
Kate symptoms were checked and medicament's were prescribed. There are many symptoms which are
often seen in bipolar disorder these are mentioned below;
 Manic episodes may show symptoms such as sleep disorder, high energy, and loss of reality.
 Depressive episodes may include loss of interest and low motivated, low energy.
 Mood- Anger, anxiety, sadness, and euphoria
 Cognitive – This includes racing thoughts, hallucination, delusion, and lack of concentration.
 Behavioral - The behavior of patient might not be normal while suffering from bipolar disorder,
they do have risk-taking behavior, impulsivity, restlessness, agitation and self harm, they mainly
have disorganized behavior.
 Psychological- Agitated depression
 Sleep – There might be difficulty during sleep, or the patient might experience the excessive
sleepiness.
Medicament's (Treatment)
Anti manic and mood stabilizers drugs are prescribed which includes, lamotrigine, valproic acid, and
divalproex sodium, carbamazepine. There are many responsibilities of nursing practice regarding
mental health, which includes maintaining record of patients and in addition developing a care plan
for the patients. Medicament's are given in different intervals and blood pressure is checked on
regular basis. The nursing practitioners they usually support patients mentally so patient could feel
motivated. There are number of therapies which are provided by the nurses or psychologists for the

patients with bipolar disorder, these therapies are known as psychotherapy which is most
importantly used to treat bipolar disorder. Such kind of therapies are mentioned below;
 Behavioral therapy – This therapy mainly focuses on the patient behavior and this therapy is
quite helpful in decreasing stress.
 Cognitive therapy – This type of therapy helps in identifying patterns of thinking and along
with this, this therapy includes learning as well as accompany mood shifts.
 Interpersonal therapy – Such kind of therapies includes relationships and they have
important aim to decrease the strains.
 Social rhythm therapy – This type of therapies are very essential as well as helpful to
maintain the sleep patterns thus a patient could maintain a normal schedule of sleep.
 Education – This is important part for the patient with bipolar disorder, they can easily
observe their early symptoms or learn about their treatment and signs.
Specific problems people with bipolar disorder
 This has been evaluated that almost 60% of peoples with mental illness are addicted to
drugs and alcohol. The drug abuse could increase the symptoms of depression and
mania, there should accurate treatment should be given for the peoples with bipolar
disorder. The abuse drugs and alcohol should not be taken during bipolar disorders or
poor mental health because such kind of substances could trigger the mimic moods
episodes. The plan care of nursing suggests their patients who are going through mental
health disorder that they should maintain their sleep patterns because a change in a
sleep pattern could disturb the functioning of brain which includes mood episodes and
additionally emotions. Nurses always provides effective care to the patients with
disorders, and develops the record keeping. In acute inpatient unit, many guidelines
were given to the Esther to avoid triggers which include alcohol, drug abuse, and
caffeine, have a healthy diet and a good sleep. Medicines were prescribed for the
treatment of bipolar disorder, these are known as first-line treatment such as
lamotrigine monotherapy. And second line treatments are mood stabilizer such as
lamotrigine with the combination of lithium. There is most effective treatment available
for the patients with poor mental health that is combination of medicines as well as
psychotherapy, and this also have been seen that most of the peoples they do takes
more than one drug for example mood stabilizing drug and benzodiazepines or in
addition antidepressant and antipsychotic (Leuci, Quattrone, Pellegrini, Pelizza, and et.
al., (2020)). The nurses care plans for patients they do provide finest and safe
environment as well as enhance the self- esteem. They also guide their patients towards
appropriate social behavior. There are some nursing care plans mentioned below;
 Complete self care deficiency

 Risk for injury
 Impaired social interaction
 Disrupted family process
 Total – self care deficit – This may include manic excitement, and severe anxiety. Patient
may experience racing thoughts and along with this poor concentration.
Physiological
The lesions in the right sided of the limbic system basal ganglia or temporobasal areas this
have been seen that they induce the secondary mania.
Nursing diagnostic focus
Care plans they plays a vital role in terms of mental health in the nursing works, they works as
therapeutic tool. All the care plans they probably provides effective care. They improves standards of
record keeping and they acts as a framework in terms of care planning. The main aims of care plans are
to develop accurate records. Mental health care plans they encourages recovery. A mental health plans
these are very supportive for the patients going through mental disorders. The effective care includes
desire outcomes, diagnosis evaluation and rationale and in addition this also includes interventions.

CONCLUSION
As per discussed above that plan care of mental health recovery are very essential for the
patient with bipolar disorder or poor mental health. The effective care can only improve the
quality of life of the peoples. The care plans they plays an important role in the terms of
recovering from bipolar disorder.

REFERENCES
Books and journals
Leuci, Quattrone, Pellegrini, Pelizza, and et. al., (2020). The “Parma—Early Psychosis” program:
General description and process analysis after 5 years of clinical activity. Early intervention in
psychiatry, 14(3), 356-364.
Jewett, Kerr, Tamminen, and et. al., (2019). University sport retirement and athlete mental health: A
narrative analysis. Qualitative Research in Sport, Exercise and Health, 11(3), 416-433.
Pisciotta, Denneson,and et. al., (2019). Providing mental health care in the context of online mental
health notes: advice from patients and mental health clinicians. Journal of Mental Health, 28(1),
64-70.
King, and et. al., (2019). Relationship between perceived nurse caring and patient satisfaction in patients
in a psychiatric acute care setting. Journal of psychosocial nursing and mental health
services, 57(7), 29-38.
Kourgiantakis, and et. al., (2020). Teaching Note—Enhancing Social Work Education in Mental Health,
Addictions, and Suicide Risk Assessment. Journal of Social Work Education, 56(3), 587-594.
Hom, Albury,and et. al., (2020). Suicide attempt survivors’ experiences with mental health care services:
A mixed methods study. Professional Psychology: Research and Practice, 51(2), 172.
Rashed, and et. al., (2019). Madness and the demand for recognition: A philosophical inquiry into
identity and mental health activism. Oxford University Press.