Recovery Oriented Practice

Describe how you promoted the principles of recovery and recovery-oriented practice?
I practiced the principled of recovery while performing my routine job tasks. Such as one of the main principles which I followed is documenting the preferences of the people or clients, resources, ambitions & support networks. Further, used the results from measures, quality audits, surveys, & complaints evaluation activities, & training conducted by people with lived experience. I promoted the decision making led by people having mental issues as per the values of each people, requirement, resources, and circumstances. I demonstrate resourcefulness & empathy by communicating & responding to clients. I challenged the stigmatizing attitudes and used the current support networks of people. I used the intervention promoting self-esteem of people & overall wellness. I adopted the optimistic & person-centered language thus promoting hopefulness. I equally treated all patients regardless of race, gender, culture, & community.

Describe how you established a safe positive working relationship?
As a health worker, I pledged my commitment to ensure that the way in which we conduct our operations does not put the health and safety of any person at risk. In my current work, I adopted the HSW (health and safety wellbeing) that articulates policies and procedures with clear do’s and don’ts at our work place and I continue to implement each of the policy while ensuring all the team goals are achieved. While I uphold health and wellbeing of everyone involved in practice, I am also responsible for identifying and assessing any risks / issues / threats and work with HSW to implement and maintain controls. This is similar to identifying and mitigating risks or uncertainties to a larger extent on project delivery and work towards continuous monitoring, communication and education of all the workers.
I adhered to the safety policies & procedures. For establishing safe positive work relationship, I started with developing a risk assessment plan and review the arrangements. I ensured personal protective equipment must be in proper form and available in enough quantity and in the access of all the staff members. Such as, using N-35 masks which is now very important to wear due to the covid-19 pandemic and also use the rubber gloves. I further ensure that my clients are also wearing disposable masks. Apart from this, for ensuring the workplace safety, there is a proper fire-extinguisher and on monthly basis, I asked the concern person to check the proper functioning of the fire extinguisher. I regularly participated in health and safety meetings and understand about the incorrect workplace practice in areas of fatigue and testing, trips, slips, and falls. I also coordinated with all the departments for implementing all the safety measures at work place.
Describe how you supported the client to identify their personal values regarding recovery. How did you consider these values and take them into account in the recovery relationship?
While at job, I planned the care which I have to provide the patient. I first planned, implement and then evaluated the assistance which I have given to people. For planning the care, I have done the physical examination of the person with mental health. I tried to communicate with the patient to know him, identifying their problems and the level of assistance necessary for their care. This period is the basis for the development of other stages of the nursing process, hence the importance of working on interpersonal relationship strategies that favor therapeutic communication. With the identification of the patient’s health status, I committed to provide necessary care aimed at quality management. To achieve satisfactory communication and provide humanized care, I tried to be involved as it is important in performing technical procedures, since objective technical knowledge does not always work so well. So, I adopted the therapeutic communication and stay beside the patient to listen to him carefully and determining action in the process of health recovery.

Describe how you inspired a sense of hope and belief in recovery in client?
Being a nurse, I always tried to give value to all my clients on individual level. I have developed the sense of hope through two dominant approaches. First one is based on Stoutland (1969) who described hope as an expectation of achieving the goal in future & as a motivational force based on action related to sense of possible in future. I considered that the recovery process as a transition from anguish, despair, & pessimism to hope that there must be a different life. This concept helped me in treating my patient. Both the concepts are integrated that is hope and recovery. However, I consider it important distinguishing among hope of clients for their own recovery & hope of other people associated with them. I tried not to communicate the negative aspects of the illness of the client because it will diminish their hope of recovery as most of the health care workers do this promoting negativity among the patients. Instead I developed a supporting role and tried to remove any fear and doubts of the patients and their families regarding their illness. I focused on identifying the internal and external resources such as; supported education service, resilience, etc.

Describe how you worked with the client to discuss, clarify and agree on guidelines for interactions. How did you identify and incorporate the client’s preferred communication style, understanding, and self-perceptions about their experience?
I adopted informal communication to develop a sense of ease therefore, patient can easily discuss their issues and concern regarding their health. I first understand and identify what patient actually knows about their condition without knowing their level of knowledge & provide them with opportunity to discuss treatment options in a private environment & also give them to make their choice. I tried to communicate in a way the patients are comfortable with.
Secondly, I documented all the discussion regarding the end of life care and specify the patient concern in that document. Also, I mentioned prognosis of illness and importance of their personal goals and value of care. Based on one to one discussion with my client, I was then able to come with some solution and prescribed to them.

Describe how you invited and encourage clients to share information?
I have applied the following principles while discussing the clients their condition and developed strong interpersonal relationship;
• I sit next to my patient for a short time thus ensuring a comfort zone
• Adopted the single communication strategy
• Assess the need of the client by asking them questions regarding their current condition
• Asked the patient regarding their hope and importance
• Using and selecting device in proper manner
• Providing freedom to patient to express their feeling
• Communicating with the patient’s family regarding their mental condition
• Consider the psychological, physical, spiritual, & social factors of the patient

Part B

  1. Did you find anything during the inspection that was not compliant?
    One of the main loop hole which I have found that there was no proper risk management and as per the current situation the patients coming are unaware of proper safety precautions and are not adopting the standard measures set by the Government regarding covid-19. There are no proper measurements regarding wearing the masks and keeping the distance. There are no proper sitting arrangements in the center and the chairs are arranged very close.
  2. What did you do about the things you found on the checklist that you felt were not compliant?
    These safety measures are the foremost thing to adopt. There are certain measures and precautions which are related to Covid-19 and are not following. Such as; checking the temperature of the person as they entered the health center. For ensuring the adoption of all measures, I personally instructed the guard to not allow any visitor without the mask and also keep hand sanitizers at the gate so anyone entering the center must use sanitizer. There is a need of re-structuring the internal sitting plan. For this, I have developed a plan in which I proposed ensuring a maximum distance among two seats.
  3. How often this area needs to be inspected?
    As there are more patient these days there are more risks associated with to be get infected with covid-19. Therefore, there should be a regular inspection after every third day for ensuring the adoption of all the necessary measures as instructed by the government. And if it is not possible to conduct regular inspection after every third day then there must be a weekly inspection.

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