Recovery Nursing Care Plan Of HONOs scores †MyAssignmenthelp.com

Question: Discuss about the Recovery Nursing Care Plan Of HONOs scores. Answer: 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: Consumers Priority Identified Goals/Issues The consumers strengths to address these issues. Consumer andNursing Interventions Person/s Responsible Timeframe Rachelle had been suffering from the onset of extremely depressed mood and had been suffering from morning anxiety, breathlessness and has been crying all throughout the day. Consumer priority #4 Issue: risks for 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 implementation of the 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 improvement n the mood of the patient after the care. HONOs score 4 In collaboration with the case manager the patient under consideration 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 the depression and be able to care for her daughter. -There is no evidence of any hallucinations or delusions. -despite having a significant want for suicide the patent had not been attempting suicide yet. -Rachelle is oriented to time, place and person. -Rachelles 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 patients 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 framing of thenursing intervention. Nursing intervention 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). 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 encouraged to communicate 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 worthlessness. It is important to note that communication of the feelings of fear, anxiety can effectively reduce the overburdening 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 overburdening of depression can even push a patient to harm oneself and can even undertake suicidal attempts. (Bilszta et al., 2010). The patient will be encouraged to participate in her own care planning so that she can regain control of her life again. Patients are often entrusted with the responsibility of taking his or her own care. This infuses a sense of responsibility of self-awareness and self-improvement into the mind of the patient. The patient is often encouraged to undertake self-improvement plans that will effectively increase the self-control over their own life. (Clark, 2011). The patient will be prescribed antidepressant therapy and counselling Rachelle will actively take the 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 lifestyle again. Thenursing case manager will take the responsibility of communicating with patient effectively, discovering depressing triggers and overcome it (Beydoun et al., 2012). A psychotherapeutic practitioner will take the responsibility of managing her antidepressant and counselling therapies. The psychotherapist 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. (Field, 2010). The suicidal 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. As the patient shifts back to her personal life and rejoins with her family her progress has to be tracked on a daily basis. The patient had been experiencing problems with occupation or activities of daily living. Consumer priority #4 Issue: Rachelle is unable to actively care for her 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 life and will be able to provide adequate care to her daughter Claire. HONOs score: #4 In collaboration with the case manager the patient under consideration 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 participate in the activities of the daily living. -she wants to regain the control or her life and actively participate in the caring for her daughter and her family. Thenursing professional will discuss the realities of parenting and 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 key infant cues (Letourneau et al., 2012). The patient will be instructed to discover practical solutions which can help her retake the responsibility of the activities of daily living. Rachelle will take the responsibility for identifying the infant cues and 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 daily chores. The nursing case manager will take responsibility for monitoring her efforts and progress (Mulcahy et al., 2010). The maternal and child health nurse will take the responsibility of helping her learn infant cues and parenting tricks. This recovery plan will take 2-3 weeks to be successfully completed Rachelle has Problems with occupation and activities pertaining to her career and social life. Consumer priority: #4 Issues: despite having a working business degree and a job as an office manager the patient is unable to rejoin her career. Goal: Rachelle will discover the strength to rejoin her career and will resume her activities. HONOs score: #4 In collaboration with the case manager the patient under consideration the patient was able to discover the following strengths: -Rachelle has intact memory and is capable of recalling her occupational competence. -Rachelle is oriented to person, place, and time. -Rachelle has intact insight and has adequate judgment and decision making power Rachelle will be instructed to enrol an occupational therapy program that will help her rejoin with her career competencies (Mulcahy et al., 2010). Rachelle will be instructed a few time management skills that will help her successfully manage her professional life and her personal life. Rachelle will be instructed to perform in a motivational counselling to help her cope with parenting and join back her occupation at the earliest (Vigod et al., 2010). Rachelle will take the responsibility of identifying her self-worth and sense of importance in her job. Her husband will take the responsibility of helping her and encourage her to take the occupational therapy and group counselling to keep engaged. The occupational therapist and counsellor will take the responsibility of planning and implement her progress (O'hara McCabe, 2013). The nursing case manager will keep track of her progress. This care planning will take 2-3 months to get completed. References: Archer, J., Bower, P., Gilbody, S., Lovell, K., Richards, D., Gask, L., ... Coventry, P. (2012). Collaborative care for depression and anxiety problems.Cochrane Database of Systematic Reviews,10. Beydoun, H. A., Beydoun, M. A., Kaufman, J. S., Lo, B., Zonderman, A. B. (2012). Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: a systematic review and meta-analysis.Social science medicine,75(6), 959-975. Bilszta, J., Ericksen, J., Buist, A., Milgrom, J. (2010). Women's experience of postnatal depression-beliefs and attitudes as barriers to care.Australian Journal of Advanced Nursing, The,27(3), 44. Clark, D. M. (2011). Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: the IAPT experience.International Review of Psychiatry,23(4), 318-327. Depression, P. (2015). Heterogeneity of postpartum depression: a latent class analysis.The Lancet Psychiatry,2(1), 59-67. Earls, M. F., Committee on Psychosocial Aspects of Child and Family Health. (2010). Incorporating recognition and management of perinatal and postpartum depression into pediatric practice.Pediatrics,126(5), 1032-1039. Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: a review.Infant Behavior and Development,33(1), 1-6. Lefkowitz, D. S., Baxt, C., Evans, J. R. (2010). Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the Neonatal Intensive Care Unit (NICU).Journal of clinical psychology in medical settings,17(3), 230-237. Letourneau, N. L., Dennis, C. L., Benzies, K., Duffett-Leger, L., Stewart, M., Tryphonopoulos, P. D., ... Watson, W. (2012). Postpartum depression is a family affair: addressing the impact on mothers, fathers, and children.Issues in mental health nursing,33(7), 445-457. Mulcahy, R., Reay, R. E., Wilkinson, R. B., Owen, C. (2010). A randomised control trial for the effectiveness of group interpersonal psychotherapy for postnatal depression.Archives of women's mental health,13(2), 125-139. O'hara, M. W., McCabe, J. E. (2013). Postpartum depression: current status and future directions.Annual review of clinical psychology,9, 379-407. Vigod, S. N., Villegas, L., Dennis, C. L., Ross, L. E. (2010). Prevalence and risk factors for postpartum depression among women with preterm and low?birth?weight infants: a systematic review.BJOG: An International Journal of Obstetrics Gynaecology,117(5), 540-550.