Recovery-oriented practice

It is essential that nurses employ the principles of recovery-oriented practice when working with individuals with mental illness, regardless of the service setting. This essay provides an opportunity to understand the concept of recovery-oriented practice, and to reflect on how this will guide your future nursing practice.

Consumer scenarios [Choose one]

  1. You are a mental health nurse working in a homeless outreach community team, in Melbourne metropolitan. Ryan, 32 year old male is self-presented to ED with the concern that his food has been poisoned by the staff at McDonald’s. Until March 2020, he was working as an IT developer however, was made redundant due to a corporate restructure. He enjoyed playing video games, and was on a social soccer team with his colleagues. In April 2020, he left his share house in Sydney because he was concerned that his housemate was poisoning his food at home. Since then, he has been travelling around the country, staying at motels and backpackers. He’s now spent all his money and has been sleeping rough for the past six weeks. Ryan’s mother lived with schizophrenia and died two years ago due to cardiovascular disease. Ryan’s father remarried when Ryan was ten and has not been in touch since. Ryan’s other support was Tom, his partner of six years, however they broke up in 2019. Ryan has agreed to be referred to the homeless outreach team for follow up after assessment by the emergency mental health team. You have been allocated as a key clinician to Ryan.
  2. You are a registered nurse working in an acute medical unit. You are allocated to Felicity, a 22 year old social work university student who is living in campus housing. She was admitted for medical monitoring post intentional paracetamol overdose, after her boyfriend John had broken up with her after two months of dating. Last year, she received an award for being the highest achieving student. She is also a talented singer and sings in a band at her university. Felicity spent most of her time with John for the last two months and has withdrawn from university study and usual social activities and the band. She states, “No one cares about me, my life is over.” Felicity has a known diagnosis of borderline personality disorder, and currently sees a private psychologist fortnightly. Felicity has a history of trauma, and her mother and step-dad live interstate. She reports that she is feeling helpless and hopeless.
  3. You are a registered nurse working at the aged care facility in regional Victoria. Bill is an 87 year old man, who immigrated to Australia from Italy when he was 20 years old. His wife passed away 5 years ago, and his two adult children live in the city. Bill worked as a carpenter in his town since his arrival to Australia, and he takes great pride in knowing that he constructed many buildings in his community. Bill was an active member in the local Italian social club and enjoys dancing and growing his own vegetables. Recently, Bill reports a low mood and has stopped engaging in social activities at the aged care facility. He has a poor appetite and has recently lost weight. He has been complaining of stomach upsets and constipation. He has also been more restless and is seen pacing around the corridors. His son who recently visited is concerned with the decline in Bill’s personal care. When his son asked him to take a shower more often, Bill states that “I don’t care anymore, what’s the point?”

Assignment Instruction:

  1. Introduction (100 words)
  2. Theoretical understanding (900 words)
    • Describe what is recovery-oriented practice. Discuss how it is different from the traditional medical model of care. [300 words]
    • Introduce the purpose and domains of the Framework for recovery-oriented practice (Department of Health, 2011) [300 words]
    • Discuss the principles underlying the Mental Health Act (2014) in relation to recovery-oriented practice. [300 words]
  3.  Applying theories to practice (900 words) [You can use the first-person writing style in this section.]
    • Select one of the consumer scenarios, listed below on page 2
    • Select three of the recovery oriented domains of the Framework for recovery-oriented practice (Department of Health, 2011), listed on page 3.
    • Discuss how you would demonstrate these domains in your attitudes, behaviours, skills or knowledge in your nursing practice when providing care for this person. [900 words]
  4. Conclusion (100 words)