400218 Mental Health Nursing Practice 1
Question:
Answer:
Criterion 1: Meaning of recovery in mental health and 3 principles:
Mental health recovery means not only getting better or achieving improvement in the health condition but also achieving a satisfying life through the effective treatment process. Most of the patient suffering from mental health issue has reported that their journey of recovery from mental distress has not been steady, rather they have faced ups and downs and have discover new things as well (Slade & Wallace, 2017). In some cases of mental health recovery the treatment process does not refer to the total recovery from the mental health issue like the recovery from physical health related issues. The concept of recovery from mental health problem is different for many people. Mental health recovery could be define as the gaining control over life while experiencing mental health issues. Study has indicated that putting the concept of recovery in action focus on the support, building resilience, inducing hope, empowerment and respect (Gilburt et al., 2013). Thus, it can be said that there are different perceptions of describing recovery in mental health issues and there is no single definition for the recovery of psychological problems. However, some process could be taken into consideration as the process of recovery in mental illness. Such process includes, providing holistic view regarding the mental illness and focus on the person and their specific symptoms, make the patient belief that recovery is possible with the effective treatment, induce hope, encouraging the people to participate in the treatment process, support from family and wider community and inspire the people to provide importance to their life so that they could live a satisfactory meaningful life (Kidd, McKenzie & Virdee, 2014). The recovery process in mental illness aims to help the patient to look beyond the level of survival and existence and set proper goals to inspire them in order to move forward. It emphasis that the people may not be able to fully control their lives; however, they could maintain well-being through the recovery process while living with mental illness (Gilburt et al., 2013).
The recovery of mental illness includes some principles that is important to maintain in order to provide adequate recovery oriented treatment process and ensure that the process of recovery has been implemented in a proper way. One of such principle is Dignity and Respect in the recovery process. Recovery oriented treatment process of mental health issue should focus on courteous, honest interaction, respectful behaviour and maintain dignity of the consumer. The principle of dignity and respect indicates that it is important to provide respect to the values, cultures, beliefs and ethics of the consumer. It would help to involve the patient in the treatment in an effective manner (health.gov.au, 2018). The second principle includes Partnership and Communication. According to this principle, it is important to acknowledge that individual patients are expert in their own life. It is important to share the relevant information about treatment. Effective partnership and communication helps to realise the patient about their goals and expectations and induce hope to achieve them (Tondora et al., 2014). The third principle is Uniqueness of Individual. The principle indicates that the recovery process need to be personal, different and unique in case of each individual and need to focus on the requirement of individual in order to prepare proper care plan according to their requirements. Empowerment is an important part of this principle as it helps the patient to recognise that they are the central priority of the care process (Slade et al., 2014). Such principles help to involve in proper recovery oriented practice and evaluate the care plan in an effective manner.
Criterion 2: Application of recovery in mental health nursing:
In order to putting the principles of recovery in action to facilitate the recovery process of the patient with mental health issue it is important to utilise the concept of the principle in an effective manner (Slade & Longden, 2015). In order to introduce the process of recovery it is important to provide proper diagnosis in order to identify the central problem and the factors contributing to the poor mental health of the patient. Effective diagnosis would facilitate the process of introducing effective recovery oriented practice (). In the recovery process it is important to induce hope. Providing hope to the patient regarding the possibility of recover from the mental illness could help to encourage the patient in order to contribute effectively in the recovery process, thus could foster the recovery. It would help to develop resilience and self-esteem. The recovery process should provide support to the patient in order to achieve the personal goal of the patient. In addition support from the family, friends and wider community is also required. Such support helps to develop sense of purpose and helps the patient to control the illness and live a meaningful life (Shepherd et al., 2014). Furthermore, such support helps the patient to build effective relationship with the people in the society. Effective communication plays an important role in the recovery of mental health issue. It is important to show respect to the dignity, religion, culture, values and beliefs of the patient during communication. Effective communication helps to provide adequate information about the treatment to the patient, thus helps to maintain the ethics of informed consent. Effective communication also helps to gain the trust of the patient which is very important in order to achieve positive outcomes in mental health recovery and helps to get the consent of the patient regarding the treatment (Fortinash & Worret, 2014). Furthermore, it is important to introduce empowerment in the recovery process as it would help the patient to gain confidence and independence. With proper psychotherapy such recovery oriented approaches could be facilitated (Tondora et al., 2014).
Criterion 3: Importance of therapeutic relationship with consumer:
Therapeutic relationship could be termed as the therapeutic alliance as well that means the relationship between the client and the health professional. It is the relationship through which the client and the health professional engage with each other in order to introduce effective beneficial changes in the health condition of the client. Effective therapeutic relationship helps to demonstrate clear boundaries through which adequate understanding, genuine interaction, equality in the partnership and effective support is maintained. Maintaining boundary is important in order to protect the ethics and dignity of the patient and the health professional as well (Berry & Greenwood, 2015). Such process helps to establish effective functional therapeutic relationship. It is important to build therapeutic relationship in the recovery of mental illness as it helps to establish empathy and understanding between the health professional and the client. In order to provide adequate care it is important to understand the feelings, beliefs, thoughts and personal significance. It is necessary for the clients to feel free for discussing their experience and story without any hesitation and fear. Effective therapeutic relationship helps to develop capacity to utilize the relationship to induce personal development change and growth. Hence it is important for the health professional to involve in effective therapeutic relationship in order to facilitate the recovery (Sandhu et al., 2015).
In order to establish effective therapeutic relationship it is important to maintain the standard 2 of NMBA code of practice that provides guidelines for establishing effective therapeutic and professional relationship. According to the standard it is important to communicate effectively and induce respect for the dignity, culture, values and beliefs of the patients in order to establish effective therapeutic relationship. The nurses need to provide support to the consumers and direct them to resources to facilitate the decisions related to health. It is important to use consultation, coordination, supervision, delegation and referrals to engage in a therapeutic relationship effectively (nursingmidwiferyboard.gov.au, 2018). Nurses utilise such guidelines to establish effective therapeutic relationship with the consumer in mental health practice.
Criterion 4: Therapeutic relationship and recovery principles:
In order to establish effective therapeutic relationship in the treatment of mental health issue in order to facilitate the recovery of the patient it is important to maintain the therapeutic relationship according to the principles of recovery of mental health. In this regards, the nurses need to include the principle of dignity and respect in the therapeutic relationship. Dignity and respect is maintained in the therapeutic relationship through the consisting, courteous, honest and respectful behaviour during interaction. Sensitivity regarding the culture, beliefs, thoughts and values of the consumer helps to establish trustworthy therapeutic relationship between the health professional and the client (Berry & Greenwood, 2015). The principle of partnership and communication is also included in the therapeutic relationship. Effective partnership leads to the acknowledgement of individual’s field of expertise. Successful partnership helps to provide adequate support in order to make sense about the recovery process. Effective communication includes providing information and communicate freely and clearly to enable the engagement of the client in the treatment, thus, strengthen the therapeutic relationship. Inducing partnership and communication in the therapeutic relationship leads to the successful outcomes in mental health practice as it helps to realise the client about their personal goals, hopes and aspirations (Tondora et al., 2014). Therapeutic relationship also based on the uniqueness of the individual. In order to build successful relationship it is important to understand the strength and weaknesses of individual. It would help to establish the therapeutic relationship in a meaningful way (Sandhu et al., 2015). Such therapeutic relationship would help to encourage the patient to participate in the treatment effectively thus, could foster the recovery process.
References:
Berry, C., & Greenwood, K. (2015). Hope-inspiring therapeutic relationships, professional expectations and social inclusion for young people with psychosis. Schizophrenia research, 168(1-2), 153-160.
Fortinash, K. M., & Worret, P. A. H. (2014). Psychiatric Mental Health Nursing-E-Book. Elsevier Health Sciences.
Gilburt, H., Slade, M., Bird, V., Oduola, S., & Craig, T. K. (2013). Promoting recovery-oriented practice in mental health services: a quasi-experimental mixed-methods study. BMC psychiatry, 13(1), 167.
health.gov.au (2018). Department of Health | Principles of recovery oriented mental health practice.. Retrieved from https://www.health.gov.au/internet/publications/publishing.nsf/Content/mental-pubs-i-nongov-toc~mental-pubs-i-nongov-pri
Kidd, S. A., McKenzie, K. J., & Virdee, G. (2014). Mental health reform at a systems level: widening the lens on recovery-oriented care. The Canadian Journal of Psychiatry, 59(5), 243-249.
nursingmidwiferyboard.gov.au (2018). Nursing and Midwifery Board of Australia – Registered nurse standards for practice.. Retrieved from https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards/registered-nurse-standards-for-practice.aspx
Sandhu, S., Arcidiacono, E., Aguglia, E., & Priebe, S. (2015). Reciprocity in therapeutic relationships: a conceptual review. International journal of mental health nursing, 24(6), 460-470.
Shepherd, G., Boardman, J., Rinaldi, M., & Roberts, G. (2014). Supporting recovery in mental health services: Quality and outcomes. Implementing Recovery Through Organisational Change, London.
Slade, M., & Longden, E. (2015). Empirical evidence about recovery and mental health. BMC psychiatry, 15(1), 285.
Slade, M., & Wallace, G. (2017). Recovery and mental health. Wellbeing, recovery and mental health, 24-34.
Slade, M., Amering, M., Farkas, M., Hamilton, B., O’Hagan, M., Panther, G., … & Whitley, R. (2014). Uses and abuses of recovery: implementing recovery?oriented practices in mental health systems. World Psychiatry, 13(1), 12-20.
Tondora, J., Miller, R., Slade, M., & Davidson, L. (2014). Partnering for recovery in mental health: A practical guide to person-centered planning. John Wiley & Sons.
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