• Subject Name : Nursing

Clinical and Personal Recovery for Patient with Psychotic Disorder

The psychotic disorder is the condition that directly impacts the brain and it directly affects the thought process that gets impaired (Werbeloff et al., 2015). The mental illness is considered to be one of the most complication states of the patient thus it requires urgent attention and patient should address with proper recovery model (Jacob, 2015). Therapeutic communication is necessary to improve the patient-nurse rapport that is required to deliver quality care to the patient (Amoah et al., 2019). The essay will include two sections in which the first section will discuss the two recovery method for mental illness. The second section will include reflection over the therapeutic communication to improve quality of care.

There are different recovery methods when it comes to treating mental illness in the patient that is important to improve the social functioning. Two most important recovery methods include clinical and personal recovery method. Clinical recovery includes eradicating the symptoms that are related to the psychotic disorder to improve the lifestyle of the patient. On the other hand personal recovery deals with empowering and re-establishment positive identity to improve patient skills to deal with the issue and increase power for self-management (Roosenschoon et al., 2019). The clinical recovery is more focused to decrease the revocation of the symptoms that will help to improve the functionality of the individual concerning the health status. Moreover, personal recovery is more patient-centric and it is designed as per the patient symptoms to improve the health status. On comparing clinical and personal recovery method personal recovery is considered to be more effective as it is framed as per the client current health status and aim to reduce complications faced by the patient (Van Eck et al., 2017).

The study presented by Slade & Longden, (2015) discussed the comparison in the clinical and recovery method. The clinical recovery is considered to be consistent that aim to decrease the symptoms so that patient can lead to a normal lifestyle that is important for better health status. Moreover, the personal recovery is more subjectively framed by the patient that helps the health care professional to specifically address the specific issue of the patient. The personal recovery is considered to be non-consistent and it is more effective when it comes to recovery of the patient dealing with mental illness. Many aspects are covered in the personal recovery method that includes the centrality of hope, identity, meaning and personal responsibility.

One of the articles presented by Eck et al. (2018) describe that clinical recovery helps to reduce the symptoms that are related to the psychotic disorder to such intensity that it will not affect the behavioural aspect of the individual. The clinical recovery can be directly measured by different scales that help to measure the intensity of the symptoms on a scale of mild to severe. As per author both the recovery method aims to reduce the issue and complications but personal recovery is preferred as it helps to provide person-centred cares that reduce the recovery time of the patient. 

The personal recovery model is considered to be best while dealing with Psychotic disorder patient due to its increase efficiency and accuracy in improving the lifestyle of the patient. The personal recovery model is considered to be a holistic recovery approach that follows the positive psychiatry approach that aims to improve the individual ability to reframe goals and improve life after mental illness. The personal recovery method aims to promote well-being by building hope and optimism that improve positivity in the individual concerning life (Bejerholm & Roe, 2018). Moreover, the study presented by Thomas et al., (2016) describe that personal recovery not only address the clinical aspect of the disorder but it also aims to improve functional aspect that includes social and occupational aspect. The personal recovery framework included different aspects that are important to consider while addressing the patient issue. Some of the aspects are recovery, managing stress, improvement in self-management, interpersonal relationship and empowerment.

Both recovery models are appropriate as per their working pattern and they aim to assist the patient in need. The personal recovery model is considered to be more appropriate while improving the wellbeing of the patient dealing with mental illness due to its personalized working pattern. One the other hand clinical recovery is similar for all patients and they work on the set pattern without addressing the individual specific need.

Person-centred care is the new face of the improved health care system and health care professional are considered to have proper skills to address the specific need of the patient. Health care professional should use the right communication method to improve the understanding and rapport with the patient (Santana et al., 2018). After understanding the importance of personal recovery method of the psychotic disorder patient I will try to improve my therapeutic communication skills to improve rapport with the patient. According to Abdolrahimi et al., (2017) therapeutic communication is considered to be key skills of the health care professional and they are expected to use their interpersonal skills to improve the bond with the patient. Therapeutic communication will help to improve the care by framing it to be holistic and person-centred that is important for quality care.

I will try to improve my communication skills so that I will be able to improve conversation with the patient that is important for personal recovery method. There are different aspects of the communication that is necessary to incorporate in the conversation while dealing with the patient. I will attend different workshops and training session that are helpful to improve the communication skills that are important for the incorporate empathy and active listening in clinical practise.

Communication is considered to be two ways process and it not only includes the speaking but listening too. Active listening helps the individual to understand the perspective of other individuals that is important for the conversation. Active listening helps the individual to understand the feelings of the other individual that is important to identify the issue. Active listening includes removing all distractions, feeding back the conversation and understanding speakers sound (Haley et al., 2017). The nurses are expected to use the right communication skills that will help them to deliver quality care concerning the person-centred approach. The active listening helps the health care professionals to improve the listening orientation, reflective understanding and questioning skills. Evidence-based can be utilized to improve knowledge concerning active listening in health care (Jahromi et al. 2016). 

Compassionate care is preferred nowadays due to its holistic approach that includes patient, family members and health care professionals. One of the important aspects of compassionate care is empathy that helps the health care professionals to understand the meaning and feelings of the speakers that help in easy communication. The empathy helps the nurse to perceive the speakers feeling and thought process with judging them that will help the patient to expresses freely. The nurses are expected to understand others feelings and thought by putting themselves into their position to understand their mental status concerning the situation (Bauchat et al., 2016).

Empathy in the communication helps the nurse to assist the patient with kindness and the aim will be to support them during the care. There are aspects of the empathy that are necessary to improve patient care which includes understanding the suffering, relating with the patient and reacting appropriately toward suffering. Communication workshops and seminars are helpful for the health care professional to understand the importance of empathy in the care (Sinclair et al., 2017).

I will improve my active listening skills by utilizing the evidence-based practise to increase my understanding. Empathy will be improved after attending the workshops and seminars to add information related to empathy is communication.

The essay can be concluded by adding that personal recovery is preferred due to its person-centred approach that is important for the quality of care. Clinical recovery is a good method for assisting the patient but it uses the same framework to deal with the different patient and it fails to maintain the equity in the health care. I will try to improve my communication skill by incorporating active listening and empathy that will help me to deliver person-centred care that is necessary for personal recovery method. I will attend different session and seminar that are helpful to improve my communication skills which are necessary for clinical practice. I will also utilize the evidence-based method to understand the technique that can help to improve the communication pattern.

References for Therapeutic Communication in Nursing Students

Abdolrahimi, M., Ghiyasvandian, S., Zakerimoghadam, M., & Ebadi, A. (2017). Therapeutic communication in nursing students: A Walker & Avant concept analysis. Electronic Physician9(8), 4968–4977. https://doi.org/10.19082/4968

Amoah, V. M. K., Anokye, R., Boakye, D. S., Acheampong, E., Budu-Ainooson, A., Okyere, E., & Afriyie, J. O. (2019). A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC Nursing, 18(4), 1-8. https://doi.org/10.1186/s12912-019-0328-0 

Bauchat, J. R., Seropian, M., & Jeffries, P. R. (2016). Communication and empathy in the patient-centered care model—why simulation-based training is not optional. Clinical Simulation in Nursing, 12(8), 356–359. https://doi.org/10.1016/j.ecns.2016.04.003 

Bejerholm, U., & Roe, D. (2018). Personal recovery within positive psychiatry. Nordic Journal of Psychiatry, 1–11. https://doi.org/10.1080/08039488.2018.1492015 

Eck, R. M. V., Burger, T. J., Vellinga, A., Schirmbeck, F., & Haan, L. D. (2018). The relationship between clinical and personal recovery in patients with schizophrenia spectrum disorders: A systematic review and meta-analysis, Schizophrenia Bulletin, 44(3), 631–642, https://doi.org/10.1093/schbul/sbx088

Haley, B., Heo, S., Wright, P., Barone, C., Rao Rettiganti, M., & Anders, M. (2017). Relationships among active listening, self-awareness, empathy, and patient-centred care in associate and baccalaureate degree nursing students. NursingPlus Open, 3, 11–16. https://doi.org/10.1016/j.npls.2017.05.001 

Jacob K. S. (2015). Recovery model of mental illness: A complementary approach to psychiatric care. Indian Journal of Psychological Medicine37(2), 117–119. https://doi.org/10.4103/0253-7176.155605

Jahromi, V. K., Tabatabaee, S. S., Abdar, Z. E., & Rajabi, M. (2016). Active listening: The key of successful communication in hospital managers. Electronic Physician8(3), 2123–2128. https://doi.org/10.19082/2123

Roosenschoon, B. J., Kamperman, A. M., Deen, M. L., Weeghel, J. V., & Mulder, C. L. (2019). Determinants of clinical, functional and personal recovery for people with schizophrenia and other severe mental illnesses: A cross-sectional analysis. PloS One14(9), 1-14. https://doi.org/10.1371/journal.pone.0222378

Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., Quan, H., & Lu, M. (2018). How to practice person-centred care: A conceptual framework. Health expectations: An International Journal of Public Participation in Health Care and Health Policy21(2), 429–440. https://doi.org/10.1111/hex.12640

Sinclair, S., Beamer, K., Hack, T. F., McClement, S., Raffin Bouchal, S., Chochinov, H. M., & Hagen, N. A. (2017). Sympathy, empathy, and compassion: A grounded theory study of palliative care patients' understandings, experiences, and preferences. Palliative Medicine31(5), 437–447. https://doi.org/10.1177/0269216316663499

Slade, M., & Longden, E. (2015). Empirical evidence about recovery and mental health. BMC Psychiatry 15(285), 1-14. https://doi.org/10.1186/s12888-015-0678-4

Thomas, N., Farhall, J., Foley, F., Leitan, N. D., Villagonzalo, K.-A., Ladd, E., & Kyrios, M. (2016). Promoting personal recovery in people with persisting psychotic disorders: Development and pilot study of a novel digital intervention. Frontiers in Psychiatry, 7(196), 1-12. https://doi.org/10.3389/fpsyt.2016.00196 

Van Eck, R. M., Burger, T. J., Vellinga, A., Schirmbeck, F., & de Haan, L. (2017). The relationship between clinical and personal recovery in patients with schizophrenia spectrum disorders: A systematic review and meta-analysis. Schizophrenia Bulletin, 44(3), 631–642. https://doi.org/10.1093/schbul/sbx088 

Werbeloff, N., Dohrenwend, B. P., Yoffe, R., van Os, J., Davidson, M., & Weiser, M. (2015). The association between negative symptoms, psychotic experiences and later schizophrenia: A population-based longitudinal study. PLOS ONE, 10(3), 1-12. https://doi.org/10.1371/journal.pone.0119852

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