no introduction and conclusion are required and that the word count is 1500 works with 20% over or under allowed
create a Recovery based nursing care plan for the patient in case study 2.the assignment is to be completed in the format provided in the attached document including completion of HONOsOne goal per pageRequiring 22 Referances, UK english
Discipline of NursingComplex Mental Health & Recovery 1Recovery Focused Nursing Care PlanDUE: Sunday 19th April 2015 by 23:59 [End of Week 6].Title: Recovery Focused Nursing Care Plan1500 [approx.] Word Assignment25 %Please see the Recovery Focused Nursing Care Plan Information Packagefor full details of the Assignment.This document provides all of the necessary details for Case Study 2.Case Study 2: The Client with SchizophreniaClinician Role: Case Manager (Nurse): Community Case ManagementTeam.Identifying Information: Bernard is a 25-year-old single male currentlyresiding as an inpatient mother in the local Mental Health Unit where he hasbeen a patient for the past 14/7. Prior to this admission you had been casemanagingBernard in the community for the past 9 months. He was admittedwith worsening psychotic symptoms over a 4/52 period in the context ofpoor compliance with his oral medication that he puts down to due toincreased stress at home and work. He has been re-established on hismedication with good effect and you are seeing him today to review him anddiscuss his discharge plan before he is discharged home in 2/7 time. Bernardis not religious, works part-time as a labourer for his uncle (who is a bricklayer). Bernard lives with his parents and his younger sister in the familyhome.Presenting Complaint: Bernard reports increased paranoid ideation in thepreceding 4/52 stating ‘they’ are watching him, following him and talkingabout him. When asked who ‘they’ are he refuses to identify them, statingthat if he does “they’ will come after you too”.History of Present Problem: Bernard reports first being diagnosed with firstonset psychosis at the age of 22. He was studying Engineering at Universityand was half-way through his final year leading up to mid-year exams whenhe first became unwell. At this time he experience paranoid ideation andDiscipline of NursingComplex Mental Health & Recovery 2heard voices of a commentary nature. He was treated by the local First OnsetPsychosis Team and made a good recovery over time in the community.Eventually he was discharged to ongoing treatment via a private psychiatristand his GP and everything had been going well until 11/12 ago when heexperienced a full relapse of symptoms whilst on a family holiday overseas.He had returned to Australia and had been an inpatient in the local PublicAdult inpatient Unit for almost 2/12 at that time and had subsequently beenassigned a Case Manager to oversee his progress following this episode. Hehad initially made slow but steady progress in the community and hadstarted to work for his uncle as a labourer to earn some extra money. Thishad initially gone well however some of the other workers on the buildingsite had started to make fun of him leading to his becoming increasinglystressed and subsequently more disorganised in his thoughts and actions. Healso reported beginning to feel quite paranoid about his co-workers, andbegan to suspect that they were planning to harm him or his family. Hereports that his poor compliance with medication was accidental and he didnot mean to not take them. Bernard states that although his paranoia hasreceded over the past fortnight he has experienced increasing anxiety,feelings of helplessness and worthlessness, as well as feeling overwhelmedby his situation, saying “I did my best last time and it all just fell to pieces;what’s the point in trying now if that’s what’s going to happen?”.Bernard sleeps 6-8 hours per night, experiencing some difficulty getting tosleep as he tends to lie in bed worrying about his life and future. He deniesany middle-of-the-night or early-morning awakening. His appetite hasincreased since recommencing medication and he report a weight gain of 4kilograms in the past fortnight. He eats large meals and usually snacks ontop of this. Meals at home are usually prepared by his mother. Bernard hadbeen contributing to the running of the household prior to his relapsehowever at present does not feel up to doing household chores. He hasbecome increasingly insular and has avoided social contact, tending to avoidfriends and family who have come to call: he states this is for fear of thembecoming targeted by the same people who were targeting him. Bernarddescribes few interests or activities outside the home; he had been heavilyinvolved in the Drama and Soccer clubs whilst at University however he lostcontact with most of the people he knew from them once he became unwell.He has been unable to establish a new social circle since then.The evenings are most difficult for Bernard — he feels increased anxiety,restlessness and finds that his pattern of negative rumination is markedlyworse during the evening. He describes feeling disconnected from his lifeand unsure of what he is doing. He says he had a clear plan of what hewanted to do with his life but “that is all gone now” and he is struggling toDiscipline of NursingComplex Mental Health & Recovery 3come to terms with the loss. He admits to occasional suicidal ideation in theform of a passive wish to be dead “because it would just be easier” howeverhe denies a history of suicide attempts or current suicidal plan, stating he“could never do that to my Mum and Dad or Sister”. He denies any alcoholor drug abuse; he reports some experimentation with Cannabis and Ecstasyat parties in first year Uni but did not like the feeling and has not triedanything since.


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