recovery Flashcards
Research involving those with the lived experience of mental illness have identified what are considered to be the most important factors in their recovery.
Doing something worthwhile
Being involved in things not related to their own problems
Having ordinary discussions with others
Being included and connected
Recognising everyday ups and downs are normal and accepted, not pathologised
Regaining belief in self
Recognising loss
Making meaning out of one’s experience
Recovery is not a cure
Recovery is an attitude
Having life outside of mental illness
How can the environment facilitate recovery? (p33)
Personal support, community relationships, having a healthcare system that creates optimism, shifting focus to self-determination, empowerment and resourcefulness rather than focussing on the debilitation caused by mental illness. Least restrictive care, enabling environments where relationships are valued. Decision making is shared, everyone contributes, behaviour is seen as communication and power and authority are open for discussion.
How does reflection in nursing improve recovery-informed practice? (p33 )
Increases awareness and clarifies aspects of themselves and their role, being open to new challenges and seeking opportunity, reflection, critical thinking and analysis are essential skills for the nurse in mental health reflection allows for analysis and critical evaluation of a skill, knowledge deficit or challenging case for example.
What are the recovery principles that support recovery informed practice?
Hope (and keeping it alive) Creating relationships of safety Self-determination Engaging with curiosity Promoting citizenship Social inclusion Facilitating self-help and personal responsibility
Name the 6 principles in recovery informed practice
Hope (and keeping it alive)
Creating relationships of safety
Self-determination
Promoting citizenship
Social inclusion
Facilitating self-help and personal responsibility
Consider this statement and discuss the following;
When experiencing trauma, why do people find it difficult to think clearly?
It is much harder to access the thinking part of the brain and focus is on the distressing emotion rather than perspective and fear will drive behaviours such as avoidance, fight flight response.
How can hospitalisation induce further trauma?
Restricted environment, heightened sense of authority and loss of autonomy, loss of security and safety, not knowing others around you, lack of knowledge re expectations and future, being torn away from familiar environments and people
Give a brief summary of the following.
• Trauma survivors often feel a lack of safety in receiving services
Nurses must make clients feel safe and welcomed with explanation, listening, basic relaxation techniques, recognising risk around re-traumatisation
Give a brief description of how the following principles support recovery- informed practice; Hope (and keeping it alive)
Hope (and keeping it alive)
Positive expectations, optimism creating a sense of value and worth - Remind them how far they’ve come
Give a brief description of how the following principles support recovery- informed practice; Creating relationships of safety
Creating relationships of safety
Professional boundaries, trust and mutual regard, a genuine desire to help the person and their family
Take the time to find out how they feel and what you can do to help them feel safe
Give a brief description of how the following principles support recovery- informed practice; Self-determination
Self-determination
Promoting autonomy with focus upon personal strengths and personal responsibility while engaging in collaborative relationships and reflection
- Promoting choice - generate options for them and support the person to appreciate their rights to make their own life decisions
- Maximins the persons capacity to make informed choices and ensure they’re involved in decisions concerning them
- Encourage person to gain control by maximising their ability to self regulate and personal responsibility for what they do
Engaging with curiosity
Having a genuine interest in the person, their lives and beliefs
Give a brief description of how the following principles support recovery- informed practice;Promoting citizenship
Promoting citizenship
Attending to rights, social inclusion and meaningful occupation
Occupational commitment ensures the work environment and service structure conductive to promoting recovery-oriented practice
To be able to do things they like, are good at and value so they can grow and learn
Give a brief description of how the following principles support recovery- informed practice; Social inclusion
Social inclusion
Advocacy on social determinants, challenging stigma and discrimination, developing community partnerships
Attend to self esteem and self identity
Give a brief description of how the following principles support recovery- informed practice; Facilitating self-help and personal responsibility
Facilitating self-help and personal responsibility
articulate goals, motivations and priorities. use communication techniques like ‘MI, reflective listening’
Give a brief description of how following essentials support recovery informed practice and how you will apply these to your practrice
recovery is a journey, often non-linear and the client is the expert. The clinicians role is to support recovery through fostering hope and optimism, reducing self-stigma and seeking opportunity.
Recovery definition
being able to create and live a meaningful life in a community of choice with or without the presence of mental health issues. recovery begings as soon as a person develops mental health problems, emphasising hope, positive mental health and wellness
What is recovery?
it is a strengths based approach that focuses on what people can do well and aims to help people with MI set new goals and aspirations that inspires hope and take part in relationships and meaningful acitivites.
Discuss the concept of recovery in mental health and addiction services including reference to at least three principles of recovery - exam question
The concept of recovery is about creating a supportive optimistic environment that empowers the patient by using a recovery informed approach underpinned by recovery principles. Recovery is a journey defined by the individual and they are the experts on personal recovery. It is non-linear and the recovery experience is an evolving experience that grows with the individual and sometimes spiral back, therefore it is an active ongoing process that has no end. Recovery moves with the individual and during this process, the individual is supported in facilitating self help and personal responsibility by creating goals that are achievable and within reach, further motivating the person once achieved. Hope is central to recovery and will sustain people in times of distress. It correlates with self-determination, self esteem and self worth. In practice this means communicating positive expectations and celebrating accomplishments and facilitating keeping hope alive.
When you say mum has dementia, what does that mean?
Dementia is a term used to describe an onset of symptoms when a person experiences gradual loss of brain function r/t physical changes to the structure of their brain. dementia is a slow progressive cognitive failure that affects memory, reasoning, language and ADL’s.. Symptoms tend to be worse in the evening [sundowning]. There are many causes of dementia but alzheimers is the most common, other causes are vascular dementia, parkinsons and huntingtons disease and a number of others. each cause affects different parts of the brain and will cause different changes in a persons behavior.
