Personal Recovery for People With Psychotic Disorder Assessment 2 Answer

INTRODUCTION

In the recent few years, the idea of recovery has taken a crucial place in interventional treatment for mental disorders, especially psychotic patients. The concept of recovery has garnered interest and optimism among both healthcare providers as well as patients. The standard for treatment and success in terms of patient outcome has introduced the new concept of recovery. Two main typologies are used for defying the recovery among psychotic patients. The one is the clinical recovery, which defines the psychiatrical relief of symptoms, whereas the other is a personal recovery that expresses the subjective feeling of well-being. The suffering from mental disorders should empower with skills for better self-management and resilience in life. This may include dimensions like employment, individual welfare, and community need. Every aspect of recovery should be looked upon while preparing an interventional plan for people with mental disorders. The essay is discussed under two parts; in part one, the role of personal recovery in enhancing the well-being of the individual is examined. In this part, the difference between clinical and personal recovery is also outlined. The second part of the essay has a reflective description of nursing communication skills that are beneficial for patients' therapeutic enhancement to embark on their recovery.

PART 1

One of the leading causes of disability in Australia, with most affecting the working-age, is psychotic disorders. The number of people consulting a specialist mental health care professional for their mental illnesses, especially psychosis, is five in every 1000. These statistics do not include the one being treated in the private sector and the general physician's primary healthcare settings. Despite having a massive coverage of antipsychotic drugs administered under several health programs, satisfactory healing outcome is usually not present in psychotic patients. 

Personal recovery is the form of recovery that is closely defined by the individuals facing the disorder themselves and is purely based on their experience of health issues. Personal recovery aims at providing a meaningful definition of life (Roosenschoon et al., 2019). This pertains to the said definition of well-being, health, and individual self-satisfaction despite the continuous presence of signs and symptoms of psychosis. Personal recovery defines the goals, self-esteem, resilience, and maintaining the individual's relationship and self-esteem (Williams et al., 2018). Personal recovery is based on maintaining the purpose of fulfilling life by rearranging the relationship with self and others. In terms of achieving favorable health outcomes, personal and clinical recoveries can go hand-in-hand but are not exclusively related to each other. Personal recovery is a long-term phenomenon that, along with time, indicates the behavior, feelings, needs, attitude, and skill achieved by the individual in due course of disease with healthcare professionals' help. Hence personal recovery can be experienced despite the significant presence of psychosis (O'Keeffe et al., 2019).

On the other hand, clinical recovery pertains to the remission of signs and symptoms, where functional improvements can be seen. The clinical recovery is based on the pathology and symptomatology of the patient (Gamieldien et al., 2020). In clinical recovery, there is symptomatic relief to the individual being diagnosed with psychosis. However, clinical recovery does not equate with remission, which is sustained amelioration of symptoms for a given period. So clinical recovery can be said as the improvement in the core sign, and symptoms of the individual to such a low extend that it no longer interferes with the normal functioning of the life. The bodily functions are back to normal, and the individual sufferings from psychosis are reduced. 

In contrast to clinical recovery, personal recovery is much more than just the absence of signs and symptoms. Personal recovery is the individual's ability to function socially within society and provide the vocational opportunity to oneself (Van Eck et al., 2017). In various studies, the narratives about personal recovery have been recorded, which shows that individuals suffering from psychotic conditions too can have a productive life, which is satisfying towards achieving well-being. Personal recovery highlights the nature of the process in itself, which is experienced by the patient with psychosis. Personal recovery facilitates well-being through various experiences and spheres like spirituality, hope, and empowerment (Brijnath, 2015). As the understanding of recovery advances, the change in the outlook towards the psychotic patient can be seen.  The parameter that defines recovery progression is now changed with factors like social functioning, and self-esteem takes the central role. These various dimensions of personal recovery are used in the acronym CHIME, which equates to connectedness, hope, identity, the meaning of life, and empowerment. Achievement of these dimensions allows individuals with psychotic disorders to achieve better health outcomes compared to just clinical remission of signs and symptoms (Roosenschoon et al., 2016).

PART 2

The core skills of the nursing standard of practice required while working with a mental disorder are communication. Effective communication in Nursing not only helps in initiating the required treatment plants but also facilitates interdisciplinary collaboration among various healthcare professionals. Effective communication allows easy application of these care plans to the patient for favorable outcomes. The nurse-patient relationship is a crucial component of psychiatric intervention, where communication from both ends needs to be established. The therapeutic relationship is the only way a nurse can provide expected care to meet the individual's psychosocial needs (Sparkes,2012). Through various communication forms as a nurse, I can promote the emotional conversation within the care plan to increase patient having maximum shared decision-making in his treatments. With the help of active learning, I can encourage the patient to portray a more descriptive analysis of his sign and symptoms experienced. By developing trust, I can get information related to complete pictures of symptomatology present within the patient hence making a differential diagnosis more accurate. 

I can also utilize active listening as an appropriate tool for analyzing and monitoring the patient's current state for orienting the feeling to accommodate a better understanding of therapeutic measures. By focusing on active listening, I can also identify their needs, expectations, perception, and strength of the patient along with the anticipation related to the process and intervention that must be felt by the patient. The methodology of active listening can create a clear picture of symptoms and the expected goal in the individual care plans and how strength-based approaches can be utilized to reach a certain degree of achievement and participation. I will encourage the patient to take his/her call for treatment and session options available by analyzing and mapping the strengths and challenges. I will focus on the strength-based intervention model rather than the traditional understanding of pathophysiology or clinical recovery, which is only focused on all the clinical signs and symptoms. Through these methods of active listening and strength-based approach, I will achieve the goal of restricting the malicious, harmful damage that could be caused by the disease itself or the associated stress hence limiting the achievement of personal recovery (Thomas et al., 2016)

 Being their conversational associate, I can become an active part of their journey to personal recovery. Through empathetic conversations, I can understand the challenges and difficulties the patient faces along with their clinical pathway. This is a crucial step crucial before moving towards the achievement of the required goal. Through the empathetic conversation, I can achieve the aim of maintaining the patient and healthcare worker relationship, which is the central component of the healthcare system.

Through empathetic behavior, I can overcome the range of barriers pertaining to behavior and perception, restricting the patient and society's social interactions. The interpersonal skills that I will be using will be advocated based on the evidence-based research and practice merge with the behavioral therapies available. Along with active listening and empathetic conversation, other communication skills that might be useful while conversing with the psychotic patient include eye contact, body posture, open question, attention, and other non-verbal communication (Wagner, 2018).

CONCLUSION

Effective communication and a strength-based approach are crucial for obtaining favorable outcomes in personal recovery. These outcomes can be measured with the degree of self-steam, self-management, and self-care. With people facing psychotic signs and symptoms, a multidisciplinary team approach can result in better social and psychological results.  Healthcare professionals working in mental disorders settings should work on the supportive interventional system. The nurses' imperative contribution towards the achievement of well-being in individuals suffering from the psychotic condition can result in a better recovery outcome. The deep understanding of both these opposite concepts, clinical recovery and personal recovery, is necessary to establish a therapeutic relationship and provide essential care plans to the patient. In the form of empathetic conversation and active learning, effective communication can help facilitate personal recovery in terms of the meaningful outcome of life despite the presence of signs and symptoms in the psychotic patient.