University Nursing Care Plan: Recovery for Postpartum Depression

This report presents a comprehensive Recovery Nursing Care Plan for a patient diagnosed with Major Depressive Disorder (MDD), specifically postpartum depression. The plan addresses the patient's key risk factors, including mood disturbance, dysfunctional grieving, and self-care deficits. It utilizes HONOs scores and an RFNP table to identify consumer priorities, goals, and nursing interventions. The plan focuses on improving the patient's mood, coping mechanisms, and ability to care for her daughter, as well as addressing occupational and activity-related issues. Interventions include encouraging communication, promoting patient involvement in care planning, prescribing antidepressant therapy, and providing occupational therapy and counselling. The plan also emphasizes the importance of monitoring the patient's progress and involves the collaboration of various healthcare professionals, including case managers, psychotherapists, and occupational therapists. The report references several studies to support the effectiveness of the interventions. The timeframe for successful completion is estimated to be 2-3 months.

Running head: RECOVERY NURSING CARE PLAN
Recovery nursing care plan
Name of the student:
Name of the university:
Author note:

1RECOVERY NURSING CARE PLAN
Table of Contents
HONO case score: 2
RFNP table: 2
References: 15

2RECOVERY NURSING CARE PLAN
HONO case score:
The diagnostic focus of the patient after the mental health assessments that have been
dine for the patient point out a few key risk factors and care priorities of the patient, such as
mood disturbance, dysfunctional grieving, a risk for self-directed violence, self-esteem
disturbance, self-care deficit, social isolation, an altered nutrition. Her HONOs scores
indicate at a few key contributors of her present health conditions. Among the given scores
the highest care priorities of the patient include depressed mood (score 4), problems with
activities of daily living (4), and Problems with occupation and activities (4). According to
the DSM assessment and the HONOs scoring the presenting disorder of the patient is Major
Depressive Disorder (Moderate), single episode with peri-natal onset.
RFNP table:
Consumer
s
Priority
Identifie
d
Goals/
Issues
The
consum
er’s
strength
s to
address
these
issues.
Consumer
and
Nursing
Interventi
ons
Person/s
Responsible
Timefra
me
Rachelle
had been
Issue: risks
for
In
collaboratio
The
patient’s
Rachelle will
actively take the
The
suicidal

3RECOVERY NURSING CARE PLAN
suffering
from the
onset of
extremely
depressed
mood and
had been
suffering
from
morning
anxiety,
breathless
ness and
has been
crying all
throughou
t the day.
Consumer
priority #4
ineffective
coping in the
patient as a
result of the
depression
in the patient
and in
response to
the different
stressors that
is associated
with
childbirth
and
parenting in
the first few
months after
the
childbirth.
Goal: after
the
implementat
ion of the
n with the
case
manager
the patient
under
consideratio
n the
patient was
able to
discover the
following
strengths:
-The
patient's
thinking is
goal-
directed -
She is able
to
recognize
the need for
her to
overcome
perception
of the
current
situation
should be
actively
listened to
and
identified.
The
perception
of the
patient with
respect to
the current
situation
should be
listened
because
active
listening to
the
problems
will help in
the better
responsibility of
overcoming own
sense of
worthlessness
and will find
positively
empowering
activities for her
daily life.
Rachelle's
husband will
have to take the
responsibility of
keeping her
engaged in
optimizing and
positively
engaging
activities and
find her strengths
to revert back to
normal happy
tendency
risk factors
of the
patient will
be
measured
for every
12-24
hours.
The shift
from the
depressing
mood and
disturbed
thought
process
should be
analyzed
twice to
thrice a
week.

4RECOVERY NURSING CARE PLAN
recovery
focussed
care
planning the
patient will
be able to
verbalize the
stress
causing
issues and
feelings with
the
significant
other and
will be able
to show
signs of
improvemen
t n the mood
of the
patient after
the care.
the
depression
and be able
to care for
her
daughter.
-There is no
evidence of
any
hallucinatio
ns or
delusions.
-despite
having a
significant
want for
suicide the
patent had
not been
attempting
suicide yet.
-Rachelle is
oriented to
framing of
the nursing
interventio
n. Nursing
interventio
n is based
on the past
and the
present
condition
of the
patient.
Thus, the
past and
present
condition
play a
major role
in better
treatment
and health
outcomes.
(Archer et al.,
2012).
lifestyle again.
The nursing case
manager will
take the
responsibility of
communicating
with patient
effectively,
discovering
depressing
triggers and
overcome it
(Beydoun et al.,
2012).
A
psychotherap
eutic
practitioner
will take the
responsibility
of managing
As the
patient
shifts back
to her
personal
life and
rejoins with
her family
her
progress
has to be
tracked on
a daily
basis.

5RECOVERY NURSING CARE PLAN
HONOs
score 4
time, place
and person.
-Rachelle’s
memory at
the present
in intact
and her
judgment is
not
impaired by
any
manner.
-Rachelle
has insight
into her
illness
though she
is feeling
angry that it
has
happened to
her
The patient
should be
encouraged to
find
empowerment
from the
positive
activities and
relationships
in her life that
will help her
to change her
hopeless and
helpless
feeling too
optimistic
feelings.
The
patient
will be
encourage
her
antidepressan
t and
counselling
therapies. The
psychotherapis
t practitioner's
counselling
therapies are
one of the best
ways to cope
up with the
depression
because
sometimes
medications
are unable to
reduce
depression in a
patient. for
such patients,
a customized
counselling
therapy plays
a key role.

6RECOVERY NURSING CARE PLAN
d to
communic
ate her
feelings of
fear and
anxiety
with either
her
husband
or her care
nurse so
that she
can
overcome
the
triggers of
self-harm
or
worthlessn
ess. It is
important
to note that
communica
tion of the
(Field, 2010).

7RECOVERY NURSING CARE PLAN
feelings of
fear,
anxiety can
effectively
reduce the
overburden
ing effect
of anxiety.
The higher
levels of
anxiety can
lead to
depression
in the long
and this
can
negatively
impact the
health of
the patient.
The
overburden
ing of
depression
can even
push a

8RECOVERY NURSING CARE PLAN
patient to
harm
oneself and
can even
undertake
suicidal
attempts.
(Bilszta et al.,
2010).
The
patient
will be
encourage
d to
participate
in her own
care
planning
so that she
can regain
control of
her life

9RECOVERY NURSING CARE PLAN
again.
Patients are
often
entrusted
with the
responsibili
ty of taking
his or her
own care.
This
infuses a
sense of
responsibili
ty of self-
awareness
and self-
improveme
nt into the
mind of the
patient.
The patient
is often
encouraged
to
undertake
self-

10RECOVERY NURSING CARE PLAN
improveme
nt plans
that will
effectively
increase the
self-control
over their
own life.
(Clark, 2011).
The patient
will be
prescribed
antidepressant
therapy and
counselling
The patient
had been
experiencing
problems with
occupation or
Issue:
Rachelle is
unable to
actively care
for her
In
collaboratio
n with the
case
manager
The nursing
professional
will discuss
the realities of
parenting and
Rachelle will
take the
responsibility for
identifying the
infant cues and
This
recovery
plan will
take 2-3
weeks to be

11RECOVERY NURSING CARE PLAN
activities of
daily living.
Consumer
priority #4
daughter and
she stays in
her bed for
the most part
of the day.
She cannot
complete her
daily chores
either and
cries
randomly all
throughout
the day.
Goal: the
patient will
be able to
participate
and
successfully
complete all
the activities
of her daily
the patient
under
consideratio
n the
patient was
able to
discover the
following
strengths:
-Rachelle
understands
the need for
her to care
for her
daughter
and she
recognizes
her failures
as a mother.
-she
understands
her inability
to
recognize
with the
patent that the
activity can be
exhausting
(Lefkowitz,
Baxt & Evans,
2010).
Rachelle will
be instructed
to identify
different
infant cues
and along
with their
subsequent
meaning.
Rachelle will
be instructed
to increase her
sensitivity to
the different
participate
efficiently in
learning the
meaning of the
cues.
-She will also
take the
responsibility for
finding possible
and practical
solutions for her
ADL activities
throughout the
day.
Her husband will
take the
responsibility of
providing
support so that
she can only take
the stress she is
capable of in
successfull
y
completed