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Holistic Care Plan for Mental Health Recovery: A Case Study of Mrs. B

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Developing a Holistic Care Plan Using Physical, Mental, and Social Factors

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Introduction

Holistic plan is for individual a patient which is developed considering physical, mental and social condition. Holistic plan is definite for improving health status. “Person-centred care” can be referred to as the treatment of patients with overall dignity and respect towards the patient. This has made the involvement of the clinical condition san different treatment approaches towards the ion consideration to the required treatment. This has also made the inclusion of the provision of information to the patients in the format given by the physicians in the prescription, which would assist them in the decision-making process. Therefore, a holistic plan will be developed to improve the mental health condition of the patients. “Trauma-informed care” can be referred to as services that do not harm, or it can also be considered as, where that do not cause the re-traumatisation or would blame the victims for different efforts for the management of the traumatic condition. In this assessment, Mrs. B’s case has been considered and a holistic plan has been develop for recovery.

Current context of care

Current health care setting in Australia uses m-mental health’s services to improve mental health condition of youth and young adults. In case of Mrs. B, emergency hospital health care setting has been identified as she is suffering prom paranoia and visual hallucination.

Holistic nursing care plan:

Diagnosis

Goals and outcomes

Interventions

Delusion and behavioral problem and Mrs. B has been diagnosed with Alzheimer’s disease

· Improvement of mental health status and slow down the progress of Alzheimer’s diseases.

· Behavioral status improvement

· Gathering physical status and history of Mrs. B

· Ensuring adequate nutrition supply

· Cognitive and Behavioral therapy

The above developed plan can be provided in regular hospital setting and in emergency department of hospital to Mrs. B.

Consumer goal for recovery of future plan

Current goal of recovery plan for Mrs. B is to reduce hallucination in order to prevent fall case. Moreover, another recovery goal is to improve behavior of Mrs. B with cognitive behavior therapy which can be provided at hospital setting by nurses. As per NMBA standards 1, registered nurses are required to apply evidence based care for individual patient in order to improve the health status (Nursingmidwiferyboard, 2022). Therefore, while developed the holistic plan for Mrs. B nursing standards has been maintained. Additionally, recovery goals will be achieved for Mrs. B by following nursing standard 6. Nursing standard 6 highlights the safe and quality nursing practice for each person (Nursingmidwiferyboard, 2022). Holistic method from consumer’s perspective can be defined as external process in terms of mental health services which is required to be productive and active. It is required to identify the mental health recovery goal by nurses. There could be described different mental health issues where some signs can be considered as the following:-

  • “Feeling sad or down”.
  • “Confused thinking or reduced ability to concentrate”.
  • “Excessive fears or worries, or extreme feelings of guilt”.
  • “Extreme mood changes of highs and lows”.
  • “Withdrawal from friends and activities”.

Some clinical judgments that could be addressed for the treatment can be made as the following:-

  • “Physical exam”- There have been findings on the symptom of the physical illness that has the creation the symptoms that have been mimicked towards the mental illness. Physical examinations such as thyroid disorders and the neurologic problem with significant bronchial disease have been created. Supplements and minerals may be added to the diet (New Jersey, 2022). For Mrs. B nurses will take physical health changes each day which will help to understand to future intervention needs and modification required in current holistic care plan.
  • “Mental evaluation”- There could be the evaluation of mental stress, depending on the condition of the feelings and the patient's behavior. There could be the assessment on the daily tasks of the person and the management of the different conditions as per the requirements. Nurses will be in charge of taking records for every day mental health condition improvement.

Strength and resources

There could be different strengths of Mrs. B in order to get the recovery and the improvement of her health. The main issue of the management of the mental strength of Mrs. B was not in the management of her pain due to the agitation and dementia due to Alzheimer's, it was not totally based on the suppression of her emotions, but was totally dependent on the understanding and the acknowledgement of Mrs. B that she would finally get well as soon as possible. The main fact of the recovery of Mrs. B was that she was a person with the feeling of full positivity that made her improve her health (Ross et al., 2019). Another factor that could be included in the improvement of her health was the assurance of the fact that she could rely totally on the physicians for her health and the trust in the doctors and the health care staff looking to her for her betterment. She had total trust issues with the medicament she has been provided with, she was fully confronted by her son that bringing her to the hospital in the emergency situation could relieve her from the pain. But, at some times it was noticed that Mrs. B had arousal emotion that was unpleasant ones as done which needed to be calmed by the ones present near her. Finally, she also thought on the basis that she would be released of her pain by the improvement of the physical environment provided to her, she was a resilient type of person, very consistent enough to rely upon the fact taht she would get recovered in the hospital as soon as possible (Samartzis et al., 2020).

Different priorities for the safety, care and recovery of Mrs B

There were the provisions of different priorities for the safety, care and recovery of Mrs B for

The improvement in her health can be described in the following ways:-

  • There was the provision of her different physical needs that included the fulfilment of her maintenance and assistance in her diet. Measures were made for the fulfillment of the needs of her issues, like assistance towards her to get relief from the pain, to decrease her thinking towards the experience of the strokes and the brain injuries.
  • There was the provision of psychoactive medications and the manager ent of the different “non-clinical interventions” that have been found to be more effective for the improvement of the mental health conditions of Mrs. B. There has been the provision of different medicaments, which would help in the avoidance of her hospitalisation of her. It was required for Mrs. B to the non-pharmacologic measures that have been aimed at the provision of improvement in the hallucinating behaviour of the patient (Corlett et al., 2019).
  • There has been the formation of the choices of the different communication skills for the patient by the nurses for management of her Alzheimer’s dementia and hallucinations. There must be the provision of “antipsychotics”, for the improvement of the behavioral symptoms that have been based on the biological and genetic framework of Mrs B (Turner et al., 2020).
  • There were provisions of different non-pharmacologic interventions for the management of her interventions that was fully identified to manage her dementia and then Alzheimer's condition. There was the provision of the “person-centred and strengths-based approach” in order to give counselling and teachings for the improvement in the health of Mrs B.
  • The major priority was put towards the provision of the 6Cs by the clinical staff that could be addressed as “care, compassion, courage, communication, commitment and competence”, which could be set as the central values for compassion in the practice strategy towards the improvement of the patient (Wang et al., 2018).

Strategies and interventions which could be utilised

There could be the provision of different strategies that could be utilized by the clinical staff for the improvement in the health of Mrs B can be considered as the following:-

  • There could be the “Psychiatric evaluation” that could assist in the determination of the types of dementia and the different evaluations of the tests required for the diagnosis.
  • She was provided with behavioural cognitive therapy by the nurses for the improvement of her health. It can be referred to as talking therapy that would assists in the management of the problems the patient in which patient has its thought during the disease of Alzheimer's, dementia and hallucinations (Szczechowiak et al., 2019). It can be defined as the change in the thoughts of the patient.
  • Mrs B was provided with the medicaments of “DESVENLAFAXINE 200 mg PO MANE, Mirtazapine 30 mg PO NOCTE” which coil assist in the provision of pharmacological therapy to the patient and assist in the recovery of the improvement of her health. She was also provided with the medicaments like Paracetamol and the Ventolin-PRN for the management of her pain (Humpston et al., 2019).
  • There were encouragements made by the clinical staff for the management of her health through the practice of yoga and meditation, communication skills training an engagement of her in group activities (James et al., 2019).

Conclusion

It can be concluded that a holistic plan impro ves the overall health status of a person and the person-centred holistic plan is beneficial for improving the health status of individual patients. In this case, Mrs B is a patient who is suffering from mental health conditions such as delusion, hallucination and Alzheimer's disease. A holistic plan for Mrs. B includes checking physical status regularly as well as her mental health status. For Mrs. B's safety purpose clinical nurses and registered nurses must communicate in an effective way. Additionally, the holistic plan can be delivered in a collaborative way to Mrs B.

References

Corlett, P. R., Horga, G., Fletcher, P. C., Alderson-Day, B., Schmack, K., & Powers III, A. R. (2019). Hallucinations and strong priors. Trends in cognitive sciences, 23(2), 114-127.https://doi.org/10.1016/j.tics.2018.12.001

Humpston, C. S., Adams, R. A., Benrimoh, D., Broome, M. R., Corlett, P. R., Gerrans, P., ... & Linden, D. E. (2019). From computation to the first-person: auditory-verbal hallucinations and delusions of thought interference in schizophrenia-spectrum psychoses. Schizophrenia Bulletin, 45(Supplement_1), S56-S66.https://doi.org/10.1093/schbul/sby073

James, B. D., & Bennett, D. A. (2019). Causes and patterns of dementia: an update in the era of redefining Alzheimer's disease. Annual review of public health, 40, 65-84.https://doi.org/10.1146/annurev-publhealth-040218-043758

New Jersey, (2022). Mental Health Resource Guides. Retrieved on: 18 October 2022, Retrieved From: https://www.nj.gov/education/safety/wellness/mh/docs/NJDOE_MentalHealthGuide.pdf

Nursingmidwiferyboard, (2022). Registered nurse standards for practice. Retrieved on: 18 October 2022, Retrieved From: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Ross, C. A., & Margolis, R. L. (2019). Research domain criteria: strengths, weaknesses, and potential alternatives for future psychiatric research. Complex Psychiatry, 5(4), 218-236.https://doi.org/10.1159/000501797

Samartzis, L., & Talias, M. A. (2020). Assessing and improving the quality in mental health services. International journal of environmental research and public health, 17(1), 249. https://doi.org/10.3390/ijerph17010249

Szczechowiak, K., Diniz, B. S., & Leszek, J. (2019). Diet and Alzheimer's dementia–Nutritional approach to modulate inflammation. Pharmacology Biochemistry and Behavior, 184, 172743.https://doi.org/10.1016/j.pbb.2019.172743

Turner, D. T., Burger, S., Smit, F., Valmaggia, L. R., & van der Gaag, M. (2020). What constitutes sufficient evidence for case formulation–driven CBT for psychosis? Cumulative meta-analysis of the effect on hallucinations and delusions. Schizophrenia bulletin, 46(5), 1072-1085.https://doi.org/10.1093/schbul/sbaa045

Wang, S., & Agius, M. (2018). The use of music therapy in the treatment of mental illness and the enhancement of societal well-being. Psychiatria Danubina, 30(suppl. 7), 595-600.https://hrcak.srce.hr/file/382323

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