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Recovery Focused Nursing Care Plan

CHIME Recovery Process 1:

Hope and optimism about the future is the first selected process of CHIME conceptual recovery framework. Having hope and optimism regarding the future for Alexander’s case as this process is characterized by the motivation to change; valuing success; thinking positive; and having dreams and aspirations (Ballesteros-Urpi, 2019). All of these aspects are important in order to fasten Alexander’s recovery, making him believe that he will come out of this and will be fine soon, and will also help in leading a lively amd a happy and healthy life. This will give him hopes to look forward towards the bright side of life and being optimistic for his future.

MH Nursing Interventions for the Consumer:

Intervention 1: The first intervention for developing the hope and optimism in Alexander about his future would be the provision of social support. Patients will mental illness often feel social isolation and this makes their condition quite difficult to get improved . This nursing intervention involve assessment and evaluation of the support group. This helps in depicting the support that is needed by the patient requirements at the specific time. Patients that faces social isolation find it difficult in improving their mental health condition (Cleary, Sayers & Lopez, 2016).

Intervention 2: The second intervention for developing the hope and optimism about the future would be promoting an attitude of realistic hope by nurses in the patient. This intervention focuses on the intrinsic worth of the patient and identifying the instantaneous issues and categorizing them as manageable in time and this helps in providing the patient support. The nurses must focus on giving realistic hopes rather than unrealistic ones as this will not help out the patient in any way and might even exacerbate the situation more.

Intervention 3: The third intervention for developing the hope and optimism would be providing the openings to the patient so that they will be enable to verbalize their feelings of hopelessness. The nurses through this intervention will promote a sympathetic and compassionate environment by captivating time in order to listen to the patient and his needs in a nonjudgemental way. Such approaches helps in establishing trust, reducing the patient’s feeling of being isolated, and in promoting to cope as well as restore the hope. Opening up inspires hope. Showing warmth, genuineness, empathy, compassion, and unconditional positive regard always help in reducing the feeling of hopelessness (Coloni-Terrapon et al., 2020).

Critical Discussion Linking Interventions back to the CHIME Recovery Process 1:

The above three intervention provided for developing the hope and optimism in the patient helps effective recovering of the patient. Incorporating all these interventions into the clinical practice results in achieving the CHIME recovery process i.e., “Hope and Optimism”. There interventions effectively help the patient in re-establishing the hope for the future and in making them optimistic. As per the scenario the patient has started feeling like his life is worthless and there is no hope of it getting better. It often makes the patent feeling depressed, discouraged, or anxious regarding the sudden event that has happened in his life (Seo & Lim, 2019). The patient feel trapped, overwhelmed, and insecure, might also leave them in self-doubts due to their current situations. He might also consider the challenges of his life as unconquerable and feel that there are no elucidations to their problems. The given interventions would help in displaying the positive future orientation, verbaliizing their feelings, enabling them to take active part in their care. Not only this, but the patients will be able set their consistent goals with optimism, self belief, and meaning in life.

CHIME Recovery Process 2:

Empowerment is the second selected process of CHIME conceptual recovery framework. Empoweing Alexander will make him feel as a self-determining agent as he will have some control over his health related decisions. Empowerment can be defined as a procedure of allowing an individual to do as per their choice. Empowering a patient dealing with mental health issue helps them in managing his life and the respective environment by himself. It is the amalgamation of freedom and power. It promotes the autonomous self-regulation that helps in maximizing the potential of the patient regarding his health and wellness. It entails focusing on the individual’s strengths, control over his life by himself, and taking personal accountability (Selman et al. 2017).

MH Nursing Interventions for the Consumer:

Intervention 1: The first intervention for empowering Alexander or similar patients that have been going through such trauma and depression would be involving him in his decision‐making processes. Shared decision making processes between the patient and health providers are considered as an ethical requirement (Tambuyzer, Pieters & Audenhove, 2011). Shared decision making is encouraged in the field of mental health in order to empower the patient. It is considered to be an important approach as when patients actively participate in managing their care by collaborating with the health professionals, better health outcomes have been observed. Increased participation results in higher‐quality decision making, better engagement, and enhanced treatment adherence that collectively help in improving the health outcomes (Slade, 2017). 

Intervention 2: The second intervention for empowerment would be engaging the patient in effective cognitive health associated programs. These programs help the patient in a considerable manner by improving their psychological status as well as their well-being. Patients that are engaged in these programs will develop a great sense of impending and introspection, reflecting upon their own mental schemata, and in mobilizing their inner energies and efforts in right direction. This will work in step-by-step process by first developing self-regulation, self-monitoring, interactive mind-reading, self-representation, and self-concept (Khabbache et al., 2017).

Intervention 3: The third intervention for empowering Alexander would be Psychosocial rehabilitation. Psychosocial rehabilitation services aims to empower the patient within the framework of the psychological health promotion of each specific individual. This helps the individual in obtaining and fulfilling the required resources and estabilishing the coping skills. It will provide different means of developing self concept in them along with diminishing the stigma regarding the perceived mental disability. It eventually enhances the self confidence that the patient has lost and will improve the quality of his life (Sakellari, 2017).

Critical Discussion Linking Interventions back to the CHIME Recovery Process 2:

The above three intervention i.e, Shared decision making process, engaging the patient in effective cognitive health associated programs, and Psychosocial rehabilitation effectively take part in empowering the patient. Incorporating all these interventions into the clinical practice leads to an outcome that is in itself a CHIME recovery process “Empowerment”. These interventions collectively will help in integrateing the mental health promotion as well as prevention into the daily practice, by being skilled at Psychosocial rehabilitation service approaches, adapting cognitive health associated programs strategies, and shared decision making to the local context also enables to ensure an effective communication as well as mutual learning not only between the healthcare provider and patient but, also among the staff members and whosoever is involved in the whole process of treatment (Thomas et al., 2016). These Practices when implicated into work collaborating with the other local associations will also help in identifying and addressing the risk factors, resources, and possessions within the field and smooth the progress of collaborative community health enhancement projects. These interventions are generalized to the individuals of all age groups with the signs of mental illness (Aggarwal, 2016).

Reference List for Hope and Mental Health Nursing

Aggarwal, N. (2016). Empowering people with mental illness within health services. Acta Psychopathologica, 2, 36. doi: 10.4172/2469-6676.100062

Ballesteros-Urpi, A., Slade, M., Manley, D., & Pardo-Hernandez, H. (2019). Conceptual framework for personal recovery in mental health among children and adolescents: a systematic review and narrative synthesis protocol. BMJ open, 9(8), e029300. https://doi.org/10.1136/bmjopen-2019-029300

Cleary, M., Sayers, J. M., & Lopez, V. (2016). Hope and mental health nursing. Issues in Mental Health Nursing, 37(9), 692-694. https://doi.org/10.1080/01612840.2016.1221676

Coloni-Terrapon, C., Favrod, J., Clement-Perritaz, A., Gothuey, I., & Rexhaj, S. (2020). Optimism and the psychological recovery process among informal caregivers of inpatients suffering from depressive disorder: A descriptive exploratory study. Frontiers in Psychiatry, 10, 972. https://doi.org/10.3389/fpsyt.2019.00972

Khabbache, H., Jebbar, A., Rania, N., Doucet, M. C., Watfa, A. A., Candau, J., Martini, M., Siri, A., Brigo, F., & Bragazzi, N. L. (2017). Empowering patients of a mental rehabilitation center in a low-resource context: a Moroccan experience as a case study. Psychology Research and Behavior Management, 10, 103–108. https://doi.org/10.2147/PRBM.S117456

Priebe, S., et al. (2017). Do patients prefer optimistic or cautious psychiatrists? An experimental study with new and long-term patients. BMC Psychiatry, 17, 26. https://doi.org/10.1186/s12888-016-1182-1

Sakellari, E. (2017). Empowering mentally ill people: A new health promotion challenge? International Journal of Care Sciences, 1(1), 21-25.

Selman, L. E., Daveson, B. A., Smith, M., Johnston, B., Ryan, K., Morrison, R. S., Pannell, C., McQuillan, R., de Wolf-Linder, S., Pantilat, S. Z., Klass, L., Meier, D., Normand, C., & Higginson, I. J. (2017). How empowering is hospital care for older people with advanced disease? Barriers and facilitators from a cross-national ethnography in England, Ireland and the USA. Age and Ageing, 46(2), 300–309. https://doi.org/10.1093/ageing/afw193

Seo, M.A., & Lim, Y.J. (2019). Optimism and life satisfaction in persons with schizophrenia living in the community. International Journal of Social Psychiatry65(7–8), 615–620. https://doi.org/10.1177/0020764019868256

Slade M. (2017). Implementing shared decision making in routine mental health care. World Psychiatry : Official Journal of the World Psychiatric Association (WPA), 16(2), 146–153. https://doi.org/10.1002/wps.20412

Tambuyzer, E., Pieters, G., & Van Audenhove, C. (2014). Patient involvement in mental health care: one size does not fit all. Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, 17(1), 138–150. https://doi.org/10.1111/j.1369-7625.2011.00743.x

Thomas, S., Jenkins, R., Burch, T., Calamos Nasir, L., Fisher, B., Giotaki, G., Gnani, S., Hertel, L., Marks, M., Mathers, N., Millington-Sanders, C., Morris, D., Ruprah-Shah, B., Stange, K., Thomas, P., White, R., & Wright, F. (2016). Promoting mental health and preventing mental illness in general practice. London Journal of Primary Care8(1), 3–9. https://doi.org/10.1080/17571472.2015.1135659

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