Question:

George is a 27 years old male, who has been diagnosed with schizoaffective and sexual abuse.

George is currently out of work and is receiving Disability Support Pension.

He lives in the home of his brother, who is very supportive.

He is a Victorian Mental Health Act (2014) compulsory patient.

He was hospitalized after a recent relapse.

His current treatment involves the use of an electro-convulsive therapy (ECT), mood stabiliser, and antipsychotic drug.

Discuss George’s needs for recovery-oriented mental healthcare nursing care.

Answer to Question: NURSING 3004 Mental Health Nursing

Introduction

A nurse’s role in caring for patients in hospitals is crucial.

The current world is just as critical and important for mental health nurses.

Mental health nurses (MHNs), play an important role in improving mental and physical well-being.

Patients suffering from serious mental health issues recognize that the psychiatrist nurse plays a vital therapeutic role.

Nurses should be given credit for playing an outstanding role in providing mental healthcare services.

To provide effective treatment for mental illness, it is crucial to follow the evidence-based practice. This is what the mental nurses do.

This paper discusses the importance mental health nurse’s role and provides a template for a nursing plan.

George, a single 27-year-old man has been diagnosed as having schizoaffective disorders and suffered from sexual abuse.

He is unemployed, and he receives the Disability Support Penalty.

He lives with his supportive brother and is also a Victorian Mental Health Act [2014] compulsory patient.

After a recent relapse, the hospital admitted him.

In this paper, we will examine the role of the mental health nurse and present an interventional framework to provide George with an evidence-based nursing plan.

What is Recovery Oriented Nursing Mental Health Nursing?

The recovery-oriented approach’s goal is to improve patient outcomes, and patients’ experience in health care settings.

Fisher (2011) stated that the role as a mental nurse could play a crucial and important role in moving mental health care delivery forward. The focus should be on recovery and patient outcomes.

A recovery-oriented approach could be considered the conceptual and transformational framework for mental healthcare service provision.

The main goal of this approach is to take into consideration the experience and insights that clients and their family members have.

This approach was developed to better understand the experiences and perceptions of those suffering from mental illness.

It gives patients the opportunity to tell their stories and to affirm their recovery.

In the psychiatric hospital, and in the community, recovery-oriented care principles can be used to support people and encourage them to participate in their own healing process.

This approach does more than just bring about positive outcomes. It also helps to create a positive recovery process for both mental and bodily health.

The patient safety is the primary focus of an acute psychiatric unit.

Seed & Torkelson (2012) stated that the traditional acute psychiatric unit was dominated by the medical model of treatment. It was not based on a therapeutic and recovery model.

The recovery model is embraced through providing therapeutic care environments. It consists of the following components: self-directed, individualized care, patient-centered, empowering, holistic. non-linear. strength-based. peer supported. respectful. and hopeful. (Seed & Torkelson (2012), p. 395).

The relationship between the care provider and the care receiver is crucial in determining the recovery-oriented practice.

The mental health nurse is the primary care provider.

The nurses should demonstrate the skills and abilities that they can use to support patients’ recovery.

What is Schizoaffective Disease?

Patient George has been diagnosed with schizoaffective disorders and sexual abuse.

The mental illness of schizoaffective disorder can easily be divided into two parts.

The first is called’schizo’ and refers to the psychotic symptoms experienced by the patient. These include psychosis (delusions, hallucinations) and psychosis.

The second section is called ‘affective’ and refers to mood symptoms related to mental health.

The symptoms of psychotic disorders are similar in appearance to schizophrenia. Additionally, the mood symptoms are similar for bipolar disorder which includes depression and mood fluctuation.

Schizophrenia, a mental condition that affects one’s thinking, is called mental health.

The patient might struggle to manage daily life.

George may have mixed symptoms.

This can cause symptoms such as mania or schizophrenia.

Many factors can cause this condition.

There could be environmental, genetic, or chemical factors.

George has schizoaffective disorders due to the environment.

When a person’s life is impacted by stressors such as job related stress, stressful childhood, relationship problems, or sexual abuse, they are called environmental factors.

George experienced sexual abuse as an incident that could affect his mental well-being.

The combination of medication and therapies can be used to treat this mental disorder.

George is being treated by antipsychotic drugs, mood stabilizers and Electroconvulsive treatment (ECT).

This therapy is non-pharmacological, and has been shown to be very effective in treating schizophrenia and bipolar disorder.

According to Benzoni et.al (2015), ECT has been shown to be highly effective in treating patients with mixed disorders, such as George.

According to the study, patients suffering from schizoaffective syndrome are resistant with many pharmacological treatments. Such patients can be treated effectively with Electroconvulsive treatment (ECT).

Patients can also manage their own disorder by themselves.

George is best served by a recovery-oriented strategy.

These risk factors include ineffective coping and suicidal thoughts.

The patient can be treated in an inpatient or community setting with recovery-oriented care.

For George, the most suitable setting is the community.

According to the Mental Health Act (2014) (Assessment and treatment order), patients can be referred in-patiently or to community settings based on an assessment by a registered mental healthcare practitioner.

George will find the community setting most appropriate to manage his symptoms and promote recovery-oriented wellbeing.

It is common to view community setting as an important setting in health promotion.

You can divide and differentiate communities in many different ways.

A community could refer to the people living within a given geographical area. It could also be defined as the administrative area where the service is located. But it can also be understood as a group of people that share common characteristics.

These settings are not home-like. They are community-based facilities, which can be privately or publicly funded and provide care facilities and inpatient treatment.

These facilities are very important for those with mental disorders. They help people build positive relationships with their neighbors and other members of the community.

This is where nursing staff can play a major role.

Role Of The Mental Health Nurse In A Recovery-Oriented Approach

The recovery-oriented approach promotes collaboration between care providers and recipients. This also encourages meaningful interaction between the two.

The nurse is able to focus on the strengths and help consumers on their path to recovery.

The promotion of cultural hope through community-based service in healthcare settings strengthens the positive elements of mental health treatment. (Australian College of Mental Health Nursing 2017.

It is important to encourage collaboration in decision-making for goal setting and understanding consumers’ feelings and aspirations.

It is also crucial for nurses to provide programs and services that reflect the cultural interests, experiences and cultural needs of the consumer.

People involved in the recovery have access to their care plans.

Nurses play a vital role in the recovery-oriented approach. They educate and help people to recover (Australian College of Mental Health Nursing 2017.

Families, friends, and any other support groups are also involved in recovery to help patients feel more confident.

Nurses create a safe and healthy environment that meets the needs of their patients.

Recovery-oriented approaches are a form of social movement which focuses on empowerment and making people hopeful for the future.

Nursing Care Plan

George will be receiving a nursing intervention for his mood disorder and schizophrenia as part of his recovery-based nursing program.

George has mixed conditions and requires the nursing treatment plan to support his recovery and allow him to lead a normal, happy life.

Communicating Hope is the first intervention in a recovery-oriented approach. It involves communicating hope to people.

Hope assists the patient in coping with past events and illnesses that may have had a negative impact upon their mental health.

Patients who suffer from mood disorders or depression are often in a state of hopelessness.

Many patients with mood disorders are unable to channel their energy and feel hopeless.

An alternative to medical treatment is the recovery-oriented model.

It can be hard for patients to recover from a mental disorder.

It will be determined what the patient’s dysfunctional attitudes are and how they can be helped to set goals.

The nurse and patient relationship is one of compassion and understanding.

George will be encouraged to believe in his chances of recovery.

George will be assisted by Nurse to believe in him and feel optimistic about the future.

His perspective will shift from one of despair to one of hope for the future.

It will be possible to communicate therapeutically by respecting the dignity, rights, and building trustful relationships.

Strength-based approach. This is the next treatment option for George.

According to Xie’s study (2013), strength-based therapy allows practitioners acknowledge that every person is unique and can rely on them to overcome challenges.

Recovery-oriented mental health care emphasizes that mental well-being is achieved through a process, which can also be a personal journey towards living a meaningful and fulfilling life.

The nurse will encourage the patient to use coping skills, and will emphasize his strengths.

Nurses will recognize George’s capabilities by monitoring his daily life and activities. This will enable them to encourage confidence and focus on George’s potential.

Nurses will listen to and nurture the consumer’s feelings, hopes, aspirations and desires.

Reciever-oriented care focuses on understanding and promoting consumers’ hopes, dreams and goals.

Next, we will provide education and encourage self-care management.

Self-care and management help people improve their abilities to connect with themselves.

George will learn about the importance of medication and how to abide by it.

A nurse will also teach George self care strategies and coping techniques (Bradshaw & Pedley 2012.

The patient will be given all the details about his treatment and care. He will also have an opportunity to participate in his care.

The Recovery-Oriented Approach is intended to provide holistic healthcare to the patient. It will therefore focus on all aspects and manage illness.

Participating in the personal and medical care of the patient, as well as the preparation and administration of medications, will foster trust and self-determination (Seed, Torkelson (2012).

Transparency is key to building positive relationships with George.

Family-centered and Culturally Sensitive care: This approach is not only important for exploring patient’s expectations, wants, and interests but also for promoting and improving self-care.

In addition to person-centered interventions, it’s important that family-centered interventions be promoted.

A recovery-oriented approach allows families to better understand their loved one’s experiences and the path of recovery (Davidson et.al., 2016).

George’s brother will benefit from the help of a nurse who will explain George’s recovery journey and show him how his brother can assist him in therapy, education sessions, support services, and other trainings.

Patients feel secure with their loved ones, and often feel supported by them.

George’s brother is supportive so he will feel more supported and motivated to manage his condition.

George’s brother will offer him counseling and psychological support if he’s feeling depressed about his brother’s condition.Community Integration:Community integration could be understood as the central focus of the recovery oriented approach.

Patients will find a more familiar and comfortable environment in which to live.

The patient’s choice in food, treatment and activities is respected and accepted.

Community integration makes the patient feel more at home and comfortable.

George will be supported in community integration and encouraged to take part meaningful activities. He will also make meaningful connections and participate in social and recreational activities.

These interventions place less emphasis on mental healthcare programs and more emphasis on meaningful work for patients.

“Combating discrimination, promoting empowerment self determination respect and the intrinsic equality between individuals in rehabilitation” is another benefit of community setting (Davidson et.al. 2016, p. 46).

Learning and gaining knowledge is also possible through community integration.

Positive Risk-Taking and Positive Learning: Nurses play an important role in helping individuals to make better decisions and take control of their lives.

It is challenging to play the role of nurse because they must reduce potential risks and provide more opportunities for positive learning.

A therapeutic relationship will be maintained between the nurse and the patient in order to build trust and safety.

Patient and nurse can develop a trusting relationship and a participatory relationship.

Because of the potential for environmental stressors, nurses will encourage collaborative decision making and support.

For managing distress in George, intervention will include sensory modulation therapy.

He will also participate in creating recovery workbooks and health plans.

For risk management, a trauma assessment plan will also need to be prepared.

Nurse will identify triggers and possible relapses.

Nurse will also help to develop strategies that prevent and combat such triggers.

Conclusion

This paper examines the role of the mental nurse in providing recovery-oriented care to patients with mental disorders.

Recovery oriented approach (ROA) is a groundbreaking approach to helping patients get on the road to recovery and living a fulfilled life.

Recovery-oriented mental illness practice refers the combination of goals, skills, and capabilities that helps people recognize their strengths while taking care of their recovery.

Australia’s Government and policy makers are increasingly concerned about mental health.

The mental health nurses are skilled, knowledgeable, and able to address this problem in both in-patient and community settings.

Paper discussed George’s case, who is suffering with schizoaffective disorders and has been the victim sexual abuse.

This is a very important approach in mental health nursing. It focuses only on the recovery period.

Recovery is not about the desired outcomes in health, but the journey patients take to achieve their physical, mental, and psychological well being.

George received the evidence-based treatments for his recovery through paper.

The care plan incorporates interventions that support recovery-oriented mental service.

References

Australian College of Mental Health Nursing, (2017).

What is Mental Health Nursing?

Retrievedhttps://www.acmhn.org/about-us/about-mh-nursing Benzoni, O., Fazzari, G., Marangoni, C., Placentino, A., & Rossi, A. (2015).

(2015).

Resistant mood and schizoaffective problems treated with electroconvulsive therapies: A case series with 264 patients.

Journal of Psychopathology. 21, 266-268.Bradshaw, T., & Pedley, R. (2012).

The evolving role of mental nurses in the physical and mental health

care for people with serious mental illness.

International Journal of Mental Health Nursing 21, 3: 266-273.Davidson, L., Carr, E., Bellamy, C., Tondora, J., Fossey, E., Styron, T., … & Elsamra, S. (2016).

Principles for recovery-oriented Inpatient Care.

Handbook of Recovery in Inpatient Psychiatry (pp. 39-58).

Springer International Publishing.Fisher, J. E. M. (2011).

The therapeutic role for mental health nurses: Implications to the

The practice of psychological therapies.McLaughlin, J. M. (2016).

Recovery-Oriented and Inpatient Psychoiatric Nursing Practice.Master’s Projects. Paper 44Seed, M. S., & Torkelson, D. J. (2012).

Starting the recovery journey in acute mental health care

The self-care deficit theory of Orem is used. Issues in mental health nursing, 33(6), 394-398.Xie, H. (2013).

Recovery from mental illness using a strength-based approach.

Iranian journal

Psychiatry, behavioral sciences, 7(2).