NURS2098: Comprehensive Recovery-Focused Care Plan for Ben

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This assignment presents a recovery-focused nursing care plan developed for Ben, a 25-year-old male diagnosed with schizophrenia. The plan addresses three key issues: hallucinations and disturbed thought processes, sensory and perceptual alterations affecting daily living, and social isolation due to paranoid ideation and anxiety. For each issue, the plan identifies the consumer's strengths, specific interventions (both consumer and nursing-led), assigns responsibilities to various stakeholders including Ben, his parents, and the case manager, and sets timeframes for achieving goals. Interventions include therapeutic communication, environmental modifications, medication management, and social engagement strategies. The plan emphasizes partnership between the patient and care providers, aiming to improve Ben's mental condition, daily living activities, and social interactions.
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Running head: RECOVERY FOCUSSED CARE PLAN ESSAY
Recovery focussed care plan essay
Name of the student:
Name of the university:
Author note:
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RECOVERY FOCUSSED CARE PLAN ESSAY
Table of Contents
Recovery focussed nursing care plan:........................................................................................3
References................................................................................................................................20
Appendix:.................................................................................................................................22
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RECOVERY FOCUSSED CARE PLAN ESSAY
Recovery focussed nursing care plan:
Consumers
Priority
Identified
Goals/
Issues
The
consumer’s
strengths to
address
these
issues.
Consumer
and Nursing
Interventions
Person/s
Responsible
Timefram
e
#1
Hallucinatio
n sand
delusions.
Ben had
been
suffering
from
schizophren
ia and also
had been
suffering
from
Goal/Issue 1
Issue:
Disturbed
thought
process
which can
eventually
lead to self-
harming
tendencies
and
violence if
not
Strengths 1
Ben with the
help of his
case
manager had
been
successfully
re-
established
on his
medication
for his
mental
Interventions
1
First and
foremost
gaining the
trust of the
patient and
providing him
with a sense
of respect
and
importance is
vital for the
recovery
Responsibility 1
Ben agrees to
take
responsibility
for talking to
his parents and
involving them
in the care
planning
procedure to
improve the
care and
recovery
process.
Timefram
e 1
The risk
factors or
triggers
for Ben
needs to
be
identified
within 24-
48 hours.
In case
the
paranoid
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4
RECOVERY FOCUSSED CARE PLAN ESSAY
paranoid
ideations
for the past
8 months,
which can
be easily
accounted
for the
disturbed
thought
process that
he had been
suffering
with. The
patient had
been feeling
being
‘watched’ or
‘chased’ by
‘them’. He
also had
been
exceedingly
experiencin
addressed
adequately.
Due to the
uncontrolle
d
progression
or
worsening
of his
Schizophren
ia, which is
causing the
exceeding
paranoid
ideations.
Goal:
Ben will
experience
notable
reduction in
his paranoid
ideations
and his
disorder
which will be
a notable
help for him
and will help
drastically to
improve the
present
paranoid
ideations he
is
experiencing.
Ben has also
expressed
the fact that
he had been
a motivated
hardworking
and sincere
student.
Building on
his strengths
will help him
focussed care
planning
(Sekar et al.,
2016). Hence,
in this case,
the nurse will
have to
engage with
the patient in
a therapeutic
communicati
on and
accept that
the voices
and visions
are real.
The next
plausible step
will be to
explore and
identify the
exact triggers
Ben’s parents
and family will
be taking
responsibility
for taking care
of him and
supervising him
and his
activities
throughout the
day.
Ben’s case
manager would
also be taking
the
responsibility
of assisting Ben
in the process
of self-
exploration and
recovery so
ideations
and
resultant
self-
harming
tendencie
s or
violence,
the
monitorin
g
frequency
will be
needed to
enhanced
accordingl
y.
As Ben
adjusts to
his home
life, care is
needed to
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RECOVERY FOCUSSED CARE PLAN ESSAY
g ideations
where he
feels being
followed
and talked
about all
the time,
and he
refused to
identify who
‘they’ are
and stating
that he
cannot
disclose
much
information
otherwise
others will
be followed
as well. His
perceptions
and worries
signify the
visual and
auditory
hallucinatio
ns will
decrease
significantly
. He will
start to
reconnect
with reality
slowly and
will be able
to steadily
recognize
the
difference
between
reality and
imagination
.
HONOS
score: 4
identify the
drive and
motivation
that is
required to
develop and
stick to a
particular
recovery
focussed care
plan.
Ben also has
expressed
that he has
partial insight
of illness and
understand
that he has a
psychotic
condition
which needs
to be
addressed
for the
hallucination
s, both visual
and auditory
and identify
the exact
nature and
characteristic
s of the
hallucination
(Green,
Horan & Lee,
2015).
Based on the
triggers that
have been
identified for
the
hallucination
s that the
patient had
been
that adequate
care can be
taken for him.
be taken
to adjust
the
monitorin
g and
supervisio
n sessions
accordingl
y to
ensure
meeting
the exact
needs for
the
patient.
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RECOVERY FOCUSSED CARE PLAN ESSAY
state where
he is
exceedingly
feeling
paranoid
due to the
visual and
auditory
hallucinatio
ns.
His paranoid
ideations
are
associated
with his
progressing
schizophren
ia which is
worsening
by the day,
and requires
specific and
targeted
with
treatment.
This
represents
connection
with the
reality and
this will
eventually
help him
recover by
sticking to
the care plan
made
specifically
for him.
suffering
from, the
next
intervention
will be to
eliminate the
environment
al triggers or
stimuli so
that the
frequency
and impact of
the
hallucination
s are
reduced.
According to
the 5th
principle of
recovery
focussed
mental health
care,
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RECOVERY FOCUSSED CARE PLAN ESSAY
intervention
s.
Consumer
priority
4
partnership
and
communicatio
n, the
communicatio
n between the
patient and
care provider
and the
partnership
has a huge
impact on the
recovery
journey and
reducing the
stress
facilitating the
hallucination
triggers
(Health.gov.au
, 2019). Hence,
the nurse will
communicate
and partner
with the
patient to
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RECOVERY FOCUSSED CARE PLAN ESSAY
identify the
stressors
facilitating the
hallucination
triggers and
protective
factors that
help him
overcome it.
The last
intervention
for this goal
will be to
help Ben
identify real
time
distraction
activities that
help him
relate with
the reality
and engage
him in those
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RECOVERY FOCUSSED CARE PLAN ESSAY
activities to
help him
overcome his
hallucination
(Searles,
2018).
#2
Ben had
been
suffering
from
sensory and
perception
alterations
which has a
direct
impact on
his ability to
carry out
activities of
daily living.
Goal/Issue 2
Issue:
Ben’s
thought
process is
clouded by
the
alterations
in his
sensory
perceptions
due to his
auditory
and visual
hallucinatio
n, which are
Strengths 2
In this case
as well, the
impact of the
his partial
understandin
g of his
mental;
condition
and the
pressing
need for
treatment to
improve his
mental
condition will
Interventions
2
Firstly, Ben’s
ability to
carry out
activities of
daily living
will be
explored
assessed and
characterized
in acute
details (Coid
et al., 2016).
Based on the
assessment
Responsibility 2
His parents will
be responsible
for the
supervising and
supporting him
through the
entire process
of recovery.
His case
manager will
also be
responsible of
supporting,
assisting and
supervising him
Timefram
e 2
The risk
factors or
triggers
for Ben
needs to
be
identified
within 24-
48 hours.
In case
the
paranoid
ideations
and
resultant
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RECOVERY FOCUSSED CARE PLAN ESSAY
The patient
has
described
themes of
loss,
worthlessne
ss,
helplessness
, and
hopelessnes
s, which
eventually
leads to
prolonged
thought
process
disturbance
in turn
affecting his
day to day
living
activities.
disrupting
and
affecting his
ability to
participate
in daily
activities.
Goals:
Ben will be
able to
overcome
from the
disturbed
thought
process by
helping him
reduce the
frequency
and impact
of the
paranoid
ideations,
help him find
the strength
to stick to a
focussed care
plan.
His
dedication
and
hardworking
nature will
also help in
sticking to
the exact
care planning
and
implementati
on and
bounce back
from
withdrawals
or relapses.
the exact
triggers that
are
restricting
him to carry
out his
activities of
daily living
will be
identified
with the help
of the patient
and his family
members
(Pot-Kolder
et al., 2018).
As per the
first principle
of recovery
oriented
mental
health care
for the
progress.
Ben himself will
need to take
the
responsibility
to respond to
the treatments
willingly and
receive the
care planning
and
implementatio
n
wholeheartedly
.
Lastly, the
nurse care
worker
supporting him
through the
process of
activities of
self-
harming
tendencie
s or
violence,
the
monitorin
g
frequency
will be
needed to
enhanced
accordingl
y.
As Ben
adjusts to
his home
life, care is
needed to
be taken
to adjust
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RECOVERY FOCUSSED CARE PLAN ESSAY
Consumer
priority: 3
so that he
can regain
the ability
of carrying
out
personal
activities of
daily living.
He will also
be provided
assistance
to help him
through the
process of
activities of
daily living
until he is
able to
carry them
out himself.
The fact that
he had been
re-
established
on the
medication
regimen with
the help of
case
manager will
also help him
drastically
improve the
impact and
frequency of
the
hallucination
s and will
help him
slowly regain
the ability to
focus on his
activities of
daily living.
delivery, the
exact triggers
and unique
strengths of
protective
factors will
be identified
to help him
overcome
the
deleterious
impact and
slowly regain
his ability to
carry out
activities of
daily living
(Health.gov.a
u, 2019).
He will be
prescribed
antipsychotic
medication
daily living will
be responsible
for
safeguarding
his health and
welfare along
with his dignity
and respect.
monitorin
g and
supervisio
n sessions
accordingl
y to
ensure
meeting
the exact
needs for
the
patient.
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RECOVERY FOCUSSED CARE PLAN ESSAY
HONOS
score: 3
to help
reduce the
frequency
and impact of
the psychotic
episodes
(Chen et al.,
2016).
Lastly, with
discussion
with his
family and
parents, a
care provider
will be
assigned to
him to
support him
through the
activities of
daily living,
until he is
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