MHE: RECOVERY Flashcards
(14 cards)
What are the most important factors in individuals who are experiencing a mental illness?
- Doing something worthwhile
- Being involved in things not related to their own problems
- having ordinary discussions with others
- being included in and connected to communities
- being included in ordinary work roles and settings where it is recognised that everyday ups and downs of life in these settings are in intrinsic pattern to be experienced rather than pathologized
- regaining belief in oneself
- recognising losses of rights, roles, responsibilities, decisions, potential and support them finding out what the person wants and how they want it
- being aware recovery is an attitude, a way of approaching day-to-day challenges and being in control
- having a life outside mental illness
- making meaning out of ones experiences
- recognising that recovery is not the same as being cured, as it is a process with no endpoint or destination
How does reflection improve recovery-informed practice?
- individual understanding
- practice issues
- increases awareness
clarifies aspects of themselves and their roles
- new opportunities
evaluate and incorporate evolving knowledge
brief description of the principle of keeping hope alive that supports recovery- informed practice
Promotes a culture of hope and optimism that can be evidenced by the language that is used, and ensuring people feel valued, important, welcome, and safe. correlates with wellbeing, quality of life, subjective satisfaction with life, spirituality, resilience, self-esteem, and self-confidence. In practice, this means communicating positive expectations and mean communicating positive expectations and supporting the person in doing what they can to maintain hope.
description of the principle of creating relationships of safety that supports recovery-informed practice
Nurses in mental health should be genuine, empathy, warmth, positive regard, flexibility and the therapeutic alliance are most important in determining the outcome of the patient.
description of the principle of self-determination that supports recovery-informed practice
- Self-determination is the basic human right to make and participate in decisions about your life; having a choice in determining how you live your live; and having control over your life. These are fundamental tenets in all the human rights declarations and conventions.
- Self-determination allows people to live a good life according to their own values and beliefs.
description of the principle of engaging with curiosity that supports recovery-informed practice
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description of the principle of promoting citizenship that supports recovery-informed practice
citizenship is central to supporting recovery. it involves attending to the consumer’s rights, social inclusion and meaningful occupation.
description of the principle social inclusion that supports recovery-informed care
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Trauma informed recovery: “Significant research demonstrates clear links between trauma and the onset of a range of mental health problems… This makes it imperative for nurses to be sensitive to the vulnerabilities and potential triggers that may give rise to re-traumatisation and be aware this could impede recovery Consider this statement. How can hospitalisation induce further trauma?
- patients could be frightened of the inpatient environment particularly if it is their first experience of admission to a mental healthcare setting. Therefore, nurses need to find out how the person feels and what they need to feel safe and secure. this may be listening to them, or finding strategies that the person could use; for example, locking their bedroom door or calling for help if someone enters their room.
- nurses should not assume that because they feel safe doesn’t mean that the patient will.
- trauma survivors often feel a lack of safety in receiving services and nurses should respond by lowering their distressing emotions. for example; sitting, listening, or walking with the person; using basic relaxation techniques; and ensuring a calm environment can all be important and make the patient feel safe.
- nurses are often seen as figures of authority. Using the power that comes with this to exercise control over the person to do what you think they ‘should’ do will most likely be counterproductive, be seen as coercive, and re-traumatise the person.
patients should have their preferences in their care plan.
Summary of the 8 areas that require recognition that will enhance understanding of trauma-related care and care delivery.
1. trauma survivors often feel a lack of safety in receiving services:
for the person to feel safe, nurses can respond by helping the person to lower their distressing emotions. For example, the nurse could sit, listen or walk with the person so the individual can be in a caring environment and be more likely to engage their thinking brain and find ways that work for them to feel safe.
Summary of the 8 areas that require recognition that will enhance understanding of trauma-related care and care delivery.
2. impacts of trauma can affect how people react to potentially helpful relationships:
Building trust with a person is essential so you can work with the person. Nurses need to understand how trauma and abuse may have shaped difficulties in relationships and impact on therapeutic relationships.
Summary of the 8 areas that require recognition that will enhance understanding of trauma-related care and care delivery.
3. Coercive interventions may re-traumatize people:
nurses are often seen as figures of authority and using this power comes with this to exercise control over the person to do what you think they should do will most likely be counterproductive, be seen as coercive and re-traumatize the person. Recognize the persons strengths and support them to develop care plans that affirm their preferences for care and how they manage distress.
Summary of the 8 areas that require recognition that will enhance understanding of trauma-related care and care delivery.
4. Interventions that may be seen as shaming and humiliating should be avoided:
Nurses are responsible for always maintaining the dignity and individual rights of the person and providing services in ways that are flexible, individualized, culturally competent, respectful, and based on best practice.
Summary of the 8 areas that require recognition that will enhance understanding of trauma-related care and care delivery.
5. There is a need to focus on what is happening to the person rather than pathologizing the presenting symptoms
Nurses need to develop an understanding of presenting behavior and symptoms in the context of past experiences.
