Recovery Flashcards

1
Q

Research involving those with the lived experience of mental illness have identified what are the most important factors in their recovery

A
  1. Having self determination
  2. Discovering a more active sense of self (personal agency)
  3. Valuing themselves as a person through their interactions with others
  4. Realising the need to help themselves and to take responsibility for their distress
  5. Seeing the potential for richer identities other than that of a person with mental illness
  6. Reflecting on positive experiences leading to consideration of other potentials
  7. Exploring experiences with reference to both the present and the future self
  8. Finding ways to monitor and manage the symptoms of distress
  9. Tapping into their own inner wisdom
  10. Having optimism
  11. Recognising the importance of spirituality
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2
Q

How can the environment facilitate recovery?

A
  • Environments can facilitate a person’s recovery through support from the person’s immediate family, significant other, friends and support in the person’s community. These support networks can enable encouragement and reduce feelings associated with isolation and anxiety during recovery.
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3
Q

How does reflection in nursing improve recovery-informed practice? (Evans et al., 2017, p. 33).

A
  • Reflection enables nurse’s individual understanding of a range of practice issues, increases awareness and clarifies aspects of themselves and their role. It involves being open to new opportunities and challenges, as a significant amount of learning is gained from interactions and relationships with health consumers. This reflects the nurse’s capacity and willingness to be open to change in attitude and thinking and evolves knowledge to implement in their practice
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4
Q

Give a brief description of how the following principles support recovery- informed practice: Keeping hope alive

A
  • In promoting hope, it can ensure people feel valued, important and safe. In practice communicating positive expectations and supporting the person in doing what they can enables hope to be maintained.
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5
Q

Give a brief description of how the following principles support recovery- informed practice: Creating relationships of safety

A
  • Professional boundaries, create trust and mutual regard and genuine desire to help the individual and their whanau.
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6
Q

Give a brief description of how the following principles support recovery- informed practice: Self-determination

A
  • Self-determination can enable a person to participate in decisions and have control over their life. It enables people to live a life according to their beliefs and values. In practice to demonstrate self-determination you must maximize the person’s autonomy and the person’s capacity to make informed choices to ensure they are involved in decisions about their care.
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7
Q

Give a brief description of how the following principles support recovery- informed practice: Engaging with curiosity

A
  • Having a genuine interest in the person, their health, wellbeing, beliefs and values.
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8
Q

Give a brief description of how the following principles support recovery- informed practice: Promoting citizenship

A
  • People must feel a sense of belonging and relationships, with other members of society, people need to be able to do the things that they like to do and value most so they can grow and develop. Maintaining people in employment mitigates people becoming dependent on mental health services; citizenship is based on the 5 Rs, rights, responsibilities, roles, resources and relationships.
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9
Q

Give a brief description of how the following principles support recovery- informed practice: Social inclusion

A
  • Promote a person’s rights and give them access to supports to increase social inclusion. In promoting personal agency discover what gives the most meaning to the person for example their hobbies, passion and work.
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10
Q

Give a brief description of how the following principles support recovery- informed practice: Facilitating self-help and personal responsibility

A
  • In asking questions about the person and their experience, their strengths, and how they have overcome adversity on the past can help promote understanding. For example, what are you most concerned about at the moment? How did you overcome these difficulties in the past?
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11
Q

“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” (Evans et al., 2017, p. 30). Consider this statement. How can hospitalisation induce further trauma?

A
  • Hospitalization can induce further trauma as a person could feel loss of control over their body and their environment, which could be a potential trigger for that person if they have experienced trauma history. It could make them become distressed due to feeling helpless and powerless in a hospital environment.
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12
Q

Give a summary of the following eight areas that require recognition that will enhance understanding of trauma related care and care delivery: Complex trauma and its effect have been unrecognised in mental health systems

A

Complex trauma and its effect have been unrecognised in mental health systems:

  • It is necessary to take a precaution approach that assumes that every person who seeks mental healthcare may have experienced trauma.
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13
Q

Give a summary of the following eight areas that require recognition that will enhance understanding of trauma related care and care delivery: Trauma survivors often feel a lack of safety in receiving services

A
  • Reiterating the necessity for the person to feel safe, nurse, can respond by helping the person to lower their distressing emotions, for instance listening or going for a walk with the person to ensure a calm environment can be important as they will be more likely to engage their thinking brain and find wats that work for them to feel safe.
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14
Q

Give a summary of the following eight areas that require recognition that will enhance understanding of trauma related care and care delivery: Impacts of trauma can affect how people react to potentially helpful relationships

A
  • Building trust can enable you to work with the person. Trauma often occurs, when a person’s trust has been violated by other people. Nurses need to understand how trauma and abuse may have shaped difficulties in relationships and impact therapeutic relationships.
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15
Q

Give a summary of the following eight areas that require recognition that will enhance understanding of trauma related care and care delivery: Coercive interventions may re-traumatise people

A
  • Nurses are often seen as a figure of authority, and we need to be mindful of that. Using the power that comes with this to control the person to do what you believe they ‘should do’ will likely re-traumatise the person. As a nurse we must recognize the person and their strengths to support them to develop a care plan that affirm their preferences for their care.
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16
Q

Give a summary of the following eight areas that require recognition that will enhance understanding of trauma related care and care delivery (Evans et al., 2017, pp. 30-31).: Interventions may be seen as shaming and humiliating

A
  • Nurses are always responsible in maintaining the dignity and rights of the person and providing services that are flexible, competent culturally, respectful, individualised and based on the best practice for that person.
17
Q

Give a summary of the following eight areas that require recognition that will enhance understanding of trauma related care and care delivery : Need to focus on what is happening to the person

A
  • In the context of past experiences, a nurse needs to be able to develop an understanding of the behaviour presented and the symptoms
18
Q

Give a summary of the following eight areas that require recognition that will enhance understanding of trauma related care and care delivery: Increasing understanding and skills when working within a framework of trauma informed care

A
  • There are an increased number of dedicated training programs that have been developed for people working in healthcare and welfare settings.