Recovery Nursing Care Plan Template - Assessment Answer

Introduction

Ben's journey through his mental health crises has been difficult and complex; it's been characterized by despair, borderline personality disorder, substance addiction, and suicidal thoughts in the past. A worrying decline in his mental health and a deepening of his substance usage, mainly methamphetamine and cannabis, led to his recent admittance to the emergency room. He had a psychotic episode during this crisis, requiring immediate attention and assistance. Ben's predicament is significant since it calls for immediate attention to his numerous mental health difficulties, substance misuse, and suicide ideation. Given his susceptibility and the intricacy of his illness, a thorough and well-coordinated recovery strategy that goes beyond his inpatient treatment is necessary. I continue to support Ben in the community through the Community Mental Health Service as a member of the medical staff. To facilitate Ben's stabilization, manage his continuing withdrawal symptoms, and advance his long-term mental health, this recovery plan tries to specify the precise therapies, drugs, and methods required. For a comprehensive and long-lasting approach to his rehabilitation, the strategy will also involve coordination with his network of supporters, including his mother, girlfriend, and place of employment.

In Ben's recovery journey, the active involvement of his girlfriend and mother is paramount. Their current concerns centre on the potential for Ben's future relapse and their strong desire to contribute to his recovery. To bolster the support system around Ben, it's vital to ensure that both his girlfriend and mother are well-informed about his mental health condition, its nuances, and the challenges he may encounter. This knowledge equips them to provide more informed and empathetic support. Research by (Saltzman et al., 2020) indicates that a robust support system significantly aids an individual's recovery by reducing feelings of isolation and fostering a sense of belonging.

Effective communication within the family unit is equally pivotal. Healthy and open dialogue among Ben, his girlfriend, and his mother creates a cohesive support network adaptable to Ben's evolving needs.

Currently, Ben's employment is temporarily on hold due to his mental health condition, and he's residing with his supportive girlfriend. First and foremost, the goal is to facilitate Ben's return to work when he feels ready and capable. Returning to employment is not only essential for financial stability but also contributes significantly to an individual's sense of purpose and self-esteem.

Another essential component of Ben's healing is maintaining secure housing. The mental well-being of a person can be considerably improved by living in a supportive environment.

Ben needs help managing his finances to avoid financial stressors that can aggravate his mental health issues.

To achieve this, family/caregiver education sessions are recommended, offering comprehensive knowledge about depression, borderline personality disorder, and addiction. Research by (Huggett et al., 2018) suggests that educating family members not only enhances their understanding but also reduces the stigma associated with mental illness, positively impacting the person's recovery.

Family therapy sessions are advised for this purpose, proven to enhance family cohesion, resolve conflicts, and improve the family's ability to work together towards Ben's recovery (Alexander & Robbins, 2019).

Lastly, connecting Ben's family members with supportive resources like Beyond Blue and Sane Australia or local mental health support organizations is essential. These organizations provide a wealth of information, access to support groups, and connections with individuals who have faced similar challenges, fostering a sense of belonging and offering practical guidance to family members (Steiner et al., 2023).

Collaborating with vocational rehabilitation services, which offer job coaching, resume building, and interview skills training, is a well-supported approach to help individuals like Ben transition back into the workforce (Torres Stone et al., 2018).

Ben's living circumstances are regularly monitored to make sure he feels comfortable and secure, thereby lowering any stressors that can impede his recovery (Amerio et al., 2020).

He can obtain financial stability by receiving financial counselling and advice on how to manage his money, which would significantly lessen his stress (Moore & Lucas, 2021)

Physical Health (include any physical health issues, any relationships between physical and mental health, impact of identified physical health issues). 

Medication (Attitude towards medication, understanding of medications, side effects, impact on consumer).

First and foremost, it is important to constantly check on Ben's physical health to spot any potential problems that could be harmful to his mental health. Physical health concerns may be more common among people with mental health conditions, and taking immediate action to address them can help keep mental health problems from worsening (Rickwood et al., 2019).

Another crucial element of Ben's healing from his physical and mental health issues is encouraging a healthy lifestyle.

Ben's concerns regarding olanzapine and diazepam missed doses highlight the significance of a thorough strategy for medication management. First and foremost, the main objective is to guarantee Ben's prescription compliance while actively incorporating Ben in medication management. In this aspect, education is essential.

It is crucial to inform Ben about the function and possible adverse effects of his drugs because doing so greatly improves medication adherence and, in turn, therapeutic outcomes (Rush & Thase, 2018).

Early detection and intervention depend on routine physical health evaluations. Nursing interventions include routine physical health exams to look for underlying medical issues and health education to help attain these goals (Potter et al., 2021)

Ben's general well-being can be greatly enhanced by encouraging him to develop routines like frequent exercise, a healthy diet, and enough sleep. A healthy lifestyle has been linked to a reduction in stress, anxiety, and depressive symptoms, according to numerous research (Johanssen et al., 2022).

Ben should be given access to appropriate resources to actively take charge of improving both his mental and physical wellness by being guided about the significance of physical well-being and its relation to mental health, including suggestions for nutrition and exercise.

A medication management strategy is necessary to address Ben's fears about missed doses. As part of this strategy, a medication schedule will be created, reminders will be sent, and a tracking system will be put in place to keep track of dosages.

Reminders can greatly increase medicine adherence and lower the chance of missed dose, such as alarms or smart pill boxes (Minaam & Abd-ELfattah, 2018). Regular medication reviews conducted in cooperation with the psychiatrist are also crucial. These evaluations rate the efficacy of the patient's present medication plan and provide the option for any necessary dosage changes or even medication withdrawal (Maj et al., 2021). Ben has to receive the best care possible while avoiding side effects, therefore medication optimization is essential.

Substance Abuse (include current substance use (frequency, quantity, impact of substance use, attitudes towards change)

The main recovery objectives for Ben, who has a history of alcohol, methamphetamine (ice), and cannabis abuse, are to prevent relapse, give him better-coping mechanisms, and promote ongoing education and awareness about the dangers of substance abuse and how it affects mental health.

Individual counselling sessions centred on managing relapse and preventing substance addiction are essential to preventing relapse. People like Ben can investigate the stressors and triggers that may result in substance use with the use of such counselling (Gold et al., 2018). According to research by (Correll et al., 2018), substance addiction counselling is successful in lowering relapse rates and enhancing long-term recovery results.

It is crucial to teach Ben different coping mechanisms, such as mindfulness, methods of relaxation, and taking part in healthy recreational activities. These techniques give him healthy ways to deal with stress and emotional difficulties, which lessens his need to use drugs as a way to cope (Segal et al., 2018).

Ben's engagement in organizations or groups that assist substance misuse is also a good idea. His ability to interact with people who have had comparable experiences in these settings opens new opportunities for continued assistance and relapse prevention (Eddie et al., 2019).

Risk Assessments

The crucial elements of Ben's care plan include ongoing risk assessment and health monitoring. These evaluations should include a review of several risk factors, such as suicidal thoughts, propensity for self-harm, and relapse into substance misuse. The treatment team can keep watchful and quickly address any new hazards owing to routine checkups. To achieve a thorough and well-coordinated approach to controlling these risks, effective collaboration with the treatment team is crucial (Barnes et al., 2020). If any troubling elements come to light during assessments, interventions can be quickly modified. Ben's safety and progress toward recovery are emphasized thanks to this team effort. It reduces the possibility of negative outcomes, encourages his recovery progress, and makes sure he receives the most thorough and sensitive care possible.

Discharge Planning

Ben, his psychiatrist, and his support system are all actively involved in the process of organizing Ben's exit from the hospital. The creation of a structured timetable for follow-up appointments, continuous therapy sessions, and medication management are key elements of this discharge plan. These factors are essential for making sure that Ben's development and well-being are continuously tracked and maintained after discharge (Gonçalves-Bradley et al., 2022). The involvement of Ben's mother, girlfriend, and employer in his discharge plan is equally crucial. They are essential to his rehabilitation process and support it greatly. Giving them a thorough understanding of the strategy and their particular responsibilities equips them to support and encourage Ben as he adjusts to daily life.

Relapse Prevention Plan

A crucial step in Ben's recovery process is creating a relapse prevention strategy together. This individualized strategy includes techniques for efficiently handling stress, spotting early indications of probable relapse, and explaining how to get support in adverse circumstances. The plan is dynamic and is regularly reviewed and updated to reflect Ben's changing needs and his advancement in his recovery (Eisner et al., 2018). Ben is given a proactive toolkit to protect his well-being and strengthen his capacity for resilience against possible obstacles as a result of our active involvement in this process, which encourages a sustainable road to long-lasting recovery.

Conclusion

Ultimately, Ben's recovery plan is a thorough method created to deal with the complex web of his mental health problems, substance misuse, and suicidal thoughts. It recognizes the seriousness of his predicament, his inherent fragility, and the requirement for a well-planned, long-term strategy. First off, the approach is centred on Ben's mental health and emphasizes evidence-based psychotherapy, precise medication control, the development of coping skills, and the development of a unique relapse prevention strategy. These components are meant to equip Ben with the tools he needs to actively manage his mental health, challenge harmful thought patterns, and boost self-esteem. Secondly, the plan recognizes the vital role of family and caregivers. Education and open communication within the family unit, coupled with family therapy sessions, will create a robust support network. Connecting them with relevant resources fosters understanding and equips them to actively contribute to Ben's rehabilitation. Thirdly, facilitating Ben's return to work, ensuring stable living arrangements, and providing financial guidance are integral aspects. These measures promote financial stability, a sense of purpose, and a supportive living environment, all critical for his overall well-being. Fourthly, the plan incorporates physical health by instituting regular health assessments and encouraging a healthy lifestyle. Monitoring physical health and promoting wellness practices will have a positive impact on Ben's overall recovery. Additionally, addressing medication concerns, substance abuse prevention, continuous risk assessment, comprehensive discharge planning, and the creation of a dynamic relapse prevention plan are all essential elements of Ben's recovery journey.

References

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Amerio, A., Brambilla, A., Morganti, A., Aguglia, A., Bianchi, D., Santi, F., & Capolongo, S. (2020). COVID-19 lockdown: Housing built environment’s effects on mental health. International Journal of Environmental Research and Public Health, 17(16), 5973. https://doi.org/10.3390/ijerph17165973

Barnes, T. R., Drake, R., Paton, C., Cooper, S. J., Deakin, B., Ferrier, I. N., & Yung, A. R. (2020). Evidence-based guidelines for the pharmacological treatment of schizophrenia: updated recommendations from the British Association for Psychopharmacology. Journal of Psychopharmacology, 34(1), 3-78. https://doi.org/10.1177/0269881119889296

Correll, C. U., Rubio, J. M., & Kane, J. M. (2018). What is the risk‐benefit ratio of long‐term antipsychotic treatment in people with schizophrenia?. World Psychiatry, 17(2), 149-160.  https://doi.org/10.1002/wps.20516

Eddie, D., Hoffman, L., Vilsaint, C., Abry, A., Bergman, B., Hoeppner, B., & Kelly, J. F. (2019). Lived experience in new models of care for substance use disorder: a systematic review of peer recovery support services and recovery coaching. Frontiers in Psychology, 10, 1052. https://doi.org/10.3389/fpsyg.2019.01052

Eisner, E., Drake, R., Lobban, F., Bucci, S., Emsley, R., & Barrowclough, C. (2018). Comparing early signs and basic symptoms as methods for predicting psychotic relapse in clinical practice. Schizophrenia Research, 192, 124-130. https://doi.org/10.1016/j.schres.2017.04.050

Gold, A. K., Otto, M. W., Deckersbach, T., Sylvia, L. G., Nierenberg, A. A., & Kinrys, G. (2018). Substance use comorbidity in bipolar disorder: A qualitative review of treatment strategies and outcomes. The American journal on addictions, 27(3), 188-201.  https://doi.org/10.1111/ajad.12713

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Havsteen-Franklin, D., Patsou, M., Somaini, G., & Altamirano, J. C. (2020). Reimagining Attachment Traumas: Perspectives on Using Image-Making in Psychoeducation for People with Borderline Personality Disorder. In Neurological and Mental Disorders. IntechOpen. https://books.google.co.in/books

Huggett, C., Birtel, M. D., Awenat, Y. F., Fleming, P., Wilkes, S., Williams, S., & Haddock, G. (2018). A qualitative study: experiences of stigma by people with mental health problems. Psychology and Psychotherapy: Theory, Research and Practice, 91(3), 380-397. https://doi.org/10.1111/papt.12167

Johansen, K. K., Marcussen, J., Hansen, J. P., Hounsgaard, L., & Fluttert, F. (2022). Early recognition method for patients with schizophrenia or bipolar disorder in community mental health care: Illness insight, self‐management and control. Journal of Clinical Nursing, 31(23-24), 3535-3549.  https://doi.org/10.1111/jocn.16181

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Maj, M., van Os, J., De Hert, M., Gaebel, W., Galderisi, S., Green, M. F., & Ventura, J. (2021). The clinical characterization of the patient with primary psychosis aimed at personalization of management. World Psychiatry, 20(1), 4-33.  https://doi.org/10.1002/wps.20809

Minaam, D. S. A., & Abd-ELfattah, M. (2018). Smart drugs: Improving healthcare using smart pill box for medicine reminder and monitoring system. Future Computing and Informatics Journal, 3(2), 443-456. https://doi.org/10.1016/j.fcij.2018.11.008

Moore, K. A., & Lucas, J. J. (2021). COVID‐19 distress and worries: The role of attitudes, social support, and positive coping during social isolation. Psychology and Psychotherapy: Theory, Research and Practice, 94(2), 365-370.  https://doi.org/10.1111/papt.12308

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Saltzman, L. Y., Hansel, T. C., & Bordnick, P. S. (2020). Loneliness, isolation, and social support factors in post-COVID-19 mental health. Psychological Trauma: Theory, Research, Practice, and Policy, 12(S1), S55. https://doi.org/10.1037/tra0000703

Segal, Z., Williams, M., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression. Guilford publications. https://books.google.co.in/books

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