Week 2 - recovery Flashcards
What is clinical recovery?
getting rid of symptoms
restoring social functioning
getting back to normal
What is personal recovery?
deeply personal
unique process
changing :
- attitudes
- values
- feelings
-goals
-skills
- roles
living a satisfying, hopeful and contributing life even within limitations
What are the 7 guiding principles of recovery?
- coming to terms with the mental illness
- restore hope - HCP need to help with this
- Not linear- takes time
- Focus on person’s needs, goals, interests and strengths
- clinicians/individuals work together - make recovery plan
- Recovery is holistic approach
- Family might enhance recovery
What are the 5 aspects of recovery oriented practice?
- not always a cure - path not a destination
- meaning, purpose, hope, fulfilling dreams
- person’s lived experience = active role for power and control
- Understanding people’s stories, experiences, hopes, and dreams
- is a CRNM competency
What part of recovery oriented practice helps people restore their self-dignity and self-determination?
person taking an active role to regain their power and control
In a recovery model, how can nurses help patients?
provide person-centered care by involving them in making decisions about their care
what is the goal of traditional approach vs recovery approach?
traditional - compliance, return to normal
recovery- choice and transformation
What are the 5 dimensions of recovery?
- clinical recovery
- existential recovery
- Functional recovery
- Physical recovery - side effects/metabolic syndrome
- Social recovery
What is clinical recovery?
symptom reduction
psychotropic medication
medical care
talking and behavoural therapies
What is Existential recovery?
agency + self-efficacy
empowerment
spirituality
hope
What is functional recovery
employment
housing
education
(social work)
What is physical recovery?
physical health
diet
exercise
substance abuse
Social recovery
community integration
social support
social activity
sense of belonging
citizenship
What is mental health promotion?
-enhancing people’s and communities’ capacity to take control over their lives and improve their mental health
what tools are used to support and facilitate recovery (recovery plans)?
- pursuing dreams and goals
- wellness plan
- managing ups and downs
- managing crisis
- plan for after crisis
- WRAP- wellness recovery action plan
What is a relational practice?
Inquiry
therapeutic relationship btwn nurse- client and healthcare providers
use relational skills
- listening
- questioning
- empathy
- mutuality
- reciprocity
- self-observation
- reflection
- sensitive to emotional contexts
What are the components of the therapeutic relationship?
- respect- dignity and rights
- empathy - understand and validate
- Trust - act in client’s best interest
- Power - imbalances
- Professional intimacy- therapeutic closeness d/t personal information shared
What are the 3 phases of therapeutic relationship?
Orientation phase
Working phase
Termination phase
What is the orientation phase of therapeutic relationships?
- establishing rapport
- confidentiality/boundaries
- getting to know the client
- first meeting
- address concerns and comforts
- worst behaviours sometimes shown here
- miss apt, withdraw, act in challenging ways
- focus on trying to learn their background and perspectives
-*transference and countertransference issues become apparent
-problems identified - goals established
*plan for termination phase here
What is the working phase of therapeutic relationships?
-goals are worked on and there’s feedback from the nurse
- repeated psychotic episodes
- suicide attempts
- anorexia and gain all the weight back
- relapse from substance abuse disorder
- nurses remain hopeful for them that change will happen at the right time/with learned coping skills
-*careful about counter transference (they remind you of someone with a mental illness and you feel over protective)
- client might do transference - nurse be aware not do counter transference
What is the termination phase of therapeutic relationships?
- when the patient is discharged
- allows client to depend on their own strengths
- relationship ends
- feelings of rejection
- withdraw to protect themselves
-we remain hopeful - summarize new coping skills
- it’s ok to talk about feelings of sadness at the end of a relationship
What are some strategies for challenging behaviours?
- find an interest they have
- silence
- encourage conversationa bout the feelings
- make thoughtful observations
- show respect and move slowly
- leave it and come back when ready
What types of question are important in therapeutic communication?
-Open ended questions
-Closed ended comments
-NO WHY QUESTIONS
What are the 3 guiding principles of therapeutic communication ?
- Individuality - seeing the person beyond their mental illness
- providing support - support, hope, concern. safe & comfortable. genuine
- Being present/accessible : invest time in the client
what is an example of offering self?
“I’ll stay with you a while”
What is an example of exploring?
“Tell me what happened before today”
-helps client to feel free to talk and examine issues
What is an example of confrontation?
- challenge them in a respectful way
“you told me you stopped doing drugs but i see you are hight today”
What are some examples of nontherapeutic blocks?
- giving advice - “should” (give information like “you could …”
- false reassurance
- why questions
- excessive questioning
- give approval or disapproval
- belittle or minimize feelings
- rejecting
- defending
- making value judgements
