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    Create a recovery focused nursing care plan for the mental health patien

    Create a recovery focused nursing care plan for the mental health patient from case study 2

    Order Description

    no introduction and conclusion are required and that the word count is 1500 works with 20% over or under allowed

    create a Recovery based nursing care plan for the patient in case study 2.
    the assignment is to be completed in the format provided in the attached document including completion of HONOs
    One goal per page
    Requiring 22 Referances, UK english

    Discipline of Nursing
    Complex Mental Health & Recovery 1
    Recovery Focused Nursing Care Plan
    DUE: Sunday 19th April 2015 by 23:59 [End of Week 6].
    Title: Recovery Focused Nursing Care Plan
    1500 [approx.] Word Assignment
    25 %
    Please see the Recovery Focused Nursing Care Plan Information Package
    for full details of the Assignment.
    This document provides all of the necessary details for Case Study 2.
    Case Study 2: The Client with Schizophrenia
    Clinician Role: Case Manager (Nurse): Community Case Management
    Team.
    Identifying Information: Bernard is a 25-year-old single male currently
    residing as an inpatient mother in the local Mental Health Unit where he has
    been a patient for the past 14/7. Prior to this admission you had been casemanaging
    Bernard in the community for the past 9 months. He was admitted
    with worsening psychotic symptoms over a 4/52 period in the context of
    poor compliance with his oral medication that he puts down to due to
    increased stress at home and work. He has been re-established on his
    medication with good effect and you are seeing him today to review him and
    discuss his discharge plan before he is discharged home in 2/7 time. Bernard
    is not religious, works part-time as a labourer for his uncle (who is a brick
    layer). Bernard lives with his parents and his younger sister in the family
    home.
    Presenting Complaint: Bernard reports increased paranoid ideation in the
    preceding 4/52 stating ‘they’ are watching him, following him and talking
    about him. When asked who ‘they’ are he refuses to identify them, stating
    that if he does “they’ will come after you too”.
    History of Present Problem: Bernard reports first being diagnosed with first
    onset psychosis at the age of 22. He was studying Engineering at University
    and was half-way through his final year leading up to mid-year exams when
    he first became unwell. At this time he experience paranoid ideation and
    Discipline of Nursing
    Complex Mental Health & Recovery 2
    heard voices of a commentary nature. He was treated by the local First Onset
    Psychosis Team and made a good recovery over time in the community.
    Eventually he was discharged to ongoing treatment via a private psychiatrist
    and his GP and everything had been going well until 11/12 ago when he
    experienced a full relapse of symptoms whilst on a family holiday overseas.
    He had returned to Australia and had been an inpatient in the local Public
    Adult inpatient Unit for almost 2/12 at that time and had subsequently been
    assigned a Case Manager to oversee his progress following this episode. He
    had initially made slow but steady progress in the community and had
    started to work for his uncle as a labourer to earn some extra money. This
    had initially gone well however some of the other workers on the building
    site had started to make fun of him leading to his becoming increasingly
    stressed and subsequently more disorganised in his thoughts and actions. He
    also reported beginning to feel quite paranoid about his co-workers, and
    began to suspect that they were planning to harm him or his family. He
    reports that his poor compliance with medication was accidental and he did
    not mean to not take them. Bernard states that although his paranoia has
    receded over the past fortnight he has experienced increasing anxiety,
    feelings of helplessness and worthlessness, as well as feeling overwhelmed
    by his situation, saying “I did my best last time and it all just fell to pieces;
    what’s the point in trying now if that’s what’s going to happen?”.
    Bernard sleeps 6-8 hours per night, experiencing some difficulty getting to
    sleep as he tends to lie in bed worrying about his life and future. He denies
    any middle-of-the-night or early-morning awakening. His appetite has
    increased since recommencing medication and he report a weight gain of 4
    kilograms in the past fortnight. He eats large meals and usually snacks on
    top of this. Meals at home are usually prepared by his mother. Bernard had
    been contributing to the running of the household prior to his relapse
    however at present does not feel up to doing household chores. He has
    become increasingly insular and has avoided social contact, tending to avoid
    friends and family who have come to call: he states this is for fear of them
    becoming targeted by the same people who were targeting him. Bernard
    describes few interests or activities outside the home; he had been heavily
    involved in the Drama and Soccer clubs whilst at University however he lost
    contact with most of the people he knew from them once he became unwell.
    He has been unable to establish a new social circle since then.
    The evenings are most difficult for Bernard — he feels increased anxiety,
    restlessness and finds that his pattern of negative rumination is markedly
    worse during the evening. He describes feeling disconnected from his life
    and unsure of what he is doing. He says he had a clear plan of what he
    wanted to do with his life but “that is all gone now” and he is struggling to
    Discipline of Nursing
    Complex Mental Health & Recovery 3
    come to terms with the loss. He admits to occasional suicidal ideation in the
    form of a passive wish to be dead “because it would just be easier” however
    he denies a history of suicide attempts or current suicidal plan, stating he
    “could never do that to my Mum and Dad or Sister”. He denies any alcohol
    or drug abuse; he reports some experimentation with Cannabis and Ecstasy
    at parties in first year Uni but did not like the feeling and has not tried
    anything since.
    Current life stressors reported by Bernard include:
    · Co-workers on the building site where he has been working with his
    uncle making fun of him, calling him ‘freak’, ‘creep-show’ and ‘oddball’.
    He has caught them several times laughing at him as well; he
    knows it is directed at him because they stop when he gets within
    earshot.
    · His mother has recently been diagnosed with Diabetes and is having
    a hard time coping with this. Whilst she has begun to adjust to this
    Bernard is fearful that she will get unwell and might die in the future.
    · The loss of his intended life; he had been enjoying studying and had
    been doing extremely well in his course. He had begun to send out
    letters of interest to obtain an internship after he finished his degree. He
    had also begun to think about moving out of home into shared
    accommodation with several Uni friends and had been very excited
    about the impending change in his life. He reports feeling like a failure,
    stating that he feels “useless”.
    · Loss of her sense of role / structure that he had had whilst at Uni.
    Since then he had struggled to get some structure and routine in his
    life leading to him staying up late and then sleeping half the day.
    Past Psychiatric History: Bernard was diagnosed with 1st episode psychosis
    three years ago and initially responded well to treatment. When he relapsed
    11/12 ago he was diagnosed with Schizophreniform psychosis which was
    revised and change to Schizophrenia during the current admission. The treating
    team are also questioning the possibility of a mood component given Bernard’s
    recent anxiety and depressive features.
    Pre-morbid Personality: Bernard describes himself as being creative,
    dramatic, funny and ambitious before becoming unwell. When asked further
    about Uni he says he was motivated, hard-working and really enjoyed the
    challenge of study though at times could be a little disorganised, putting this
    down to “being young”. He also reports a being very loyal to family and
    close friends, and has struggled with losing those friends who did not stay
    with him when he became unwell.
    Discipline of Nursing
    Complex Mental Health & Recovery 4
    Medical History: Bernard’s only physical issue was a # L wrist sustained in a
    push-bike accident [when he was 17yo] that required surgery after it did not
    set straight initially. He has no known allergies.
    Family History: Bernard is the older of 2 children; the other being his
    younger sister Estelle [23yo] with whom he is very close. His parents are
    both alive and generally well; his father [Peter] suffers from high cholesterol
    and his mother [Janet] has recently been diagnosed with Type 2 Diabetes.
    Bernard reports that his father’s older brother [paternal uncle] had a
    ‘breakdown’ when his father was in his early 20’s and committed suicide;
    this is never spoken of in the family so Bernard knows nothing more about
    this.
    Social and Developmental History: Bernard is the older of 2 children. His
    mother’s labour was normal though he was delivered via caesarean section at
    term after the labour failed to progress. His early developmental milestones
    (talking, walking, etc.) were reached at normal age range. He denies any
    maladaptive behaviours or experiencing unusual stresses as a child.
    Academically, Bernard was a B grade student throughout his school years; he
    states that he could have done better but didn’t apply himself as much as he
    could have. He had many friends at school and as well as through various
    community groups [such as drama and various sports]. He had his first
    romantic relationship in Year 10 of secondary school and has had several
    girlfriends since. His most recent was a girl he met in Uni however this ended
    when he first became unwell. He states that he would like to meet someone in
    the future but believes this is unlikely due to his illness. He has deferred his
    studies at Uni and hopes to be able to return when well.
    Bernard was raised in metropolitan Melbourne and has live in the family
    home in Glen Waverly all of his life. He reports that the family has always
    been very close and they all generally get alone quite well. He says his
    parents and sister have been very supportive of him since becoming unwell
    though he worries about the impact the ‘stress’ might have upon them all.
    When first unwell he went through a period where he though they would be
    better off without him but states that he no longer feels this well and is
    regularly reassured of his family’s support. Long term goals had involved
    completing his degree, establishing his career, travelling and eventually
    settling down and starting a family of his own. Bernard is no longer certain
    about how he sees his future.
    Discipline of Nursing
    Complex Mental Health & Recovery 5
    Mental Status Examination
    General Appearance: Bernard is a 25 year old male who appears of stated age.
    He is of medium build, has short brown hair and is appropriately dressed. He is
    mildly dishevelled in appearance [unshaven, malodourous] and he presents
    with variable eye contact; in particular this drops when he is feeling anxious or
    uncertain of himself.
    Speech: Bernard speaks with a normal rate, tone and volume for the most
    part. Occasionally his responses to questions are delayed however the
    content of his conversation is logical, goal-directed, and appropriate to
    situation and context. There is a noticeable increase in the rate [increased]
    and tone [more excitable] of his speech when discussing content related to
    his paranoid ideation.
    Thought Content: Bernard describes themes of loss, worthlessness,
    helplessness and hopelessness. There are some residual paranoia ideas
    evident regarding his former co-workers though these are fleeting in their
    nature and are less intrusive when they do occur.
    Affect and Mood: Bernard describes his mood as variable; he reports period
    of sadness, anxiety and uncertainty for the future. His affect is mildly
    restricted, with diminished range and a generally sad quality though he is
    responsive to humour at times.
    Motor Behaviour: Posture is generally closed, and leaning forward though
    his level of psychomotor activity increases when anxious.
    Perceptions: Bernard describes persistent paranoid delusions regarding his
    former co-workers though these are gradually softening and appear less
    frequent and intrusive that prior to his admission. He feels some emotional
    response to them [primarily anger] though firmly denes any plans to act on
    same. He had initially felt he could hear others talking about him at work
    though he know denies any such phenomenon; there is no other evidence of
    hallucinations.
    Suicide Potential: Bernard describes fleeting episodes of suicidal ideation in
    the form of a passive wish to be dead “because it would just be easier”
    however he denies a history of suicide attempts or current suicidal plan,
    stating he “could never do that to my mum and dad or sister”.
    Orientation: Bernard is oriented to person, place, and time.
    Discipline of Nursing
    Complex Mental Health & Recovery 6
    Concentration: Bernard describes a mild impairment in his concentration as
    evidenced by an inability to do Serial 7’s accurately past a digit span of 5 [93,
    86. 79. 72, 65 x, x, x,). He gives the example of struggling to concentrate on
    TV or reading which frustrates him as he enjoys both of these activities.
    Recent and Remote Memory: Bernard’s recent memory is intact, with three
    of three objects recalled after 5 minutes. He is able to describe accurately
    events from the past.
    Insight and Judgement: Bernard has partial insight into his illness; he
    accepts that he has a psychotic illness though he is unhappy with the
    diagnosis of schizophrenia as he thinks it means he’ll never recover. He is
    able to acknowledge psychotic Sx in retrospect though at the time has poor
    insight. He has begun to trust his family’s opinion on his symptoms and will
    often seek reality based reassurance regarding things that he is experiencing.
    Formulation of Impression
    Bernard is a 25 year old male with a Hx. of 2 previous episodes of psychosis
    recently diagnosed with schizophrenia. He presents with a 4-6 week history
    of re-emerging psychotic symptoms in the context of [unintentional] poor
    compliance with prescribed oral medications. He experienced increasing
    levels of stress, disorganised thinking and behaviour as well as paranoid
    delusions about his co-workers suspecting that they were planning to harm
    him or his family. Subsequent to his admission he has also exhibited mildly
    depressed mood; increased anxiety; feelings of worthlessness, hopelessness,
    and helplessness, suicidal ideation; withdrawn behaviour and impaired
    functioning; decreased concentration. His symptoms are consistent with that
    of Schizophrenia though the emerging affective component will need to be
    closely monitored for further evidence of a co-morbid depressive or anxiety
    related disorder. Bernard’s preoccupation with worthlessness, rumination
    about the losses he has experienced, passive suicidal ideation, and his
    marked functional impairment, all occurring in the context of his illness are
    suggestive of a co-existing grieving process though at this stage this appears
    to be appropriate under the circumstances.
    Traditional Nursing Diagnostic Focus
    The following nursing diagnoses for Bernard are derived from the
    assessment data gathered:
    · Altered Thought Processes.
    Discipline of Nursing
    Complex Mental Health & Recovery 7
    · Sensory-perceptual Alterations.
    · Anxiety.
    · Mood Disturbance
    · Risk for Self-directed Violence
    · Self-esteem Disturbance
    · Self-care Deficit
    · Social Isolation
    · Sleep Pattern Disturbance [minor].
    HONOs Scoring
    Domain Results
    1. Overactive, aggressive, disruptive behaviour. 0 1 2 3 4
    2. Non-accidental self-injury. 0 1 2 3 4
    3. Substance use and misuse. 0 1 2 3 4
    4. Cognitive problems. 0 1 2 3 4
    5. Physical illness or disability problems. 0 1 2 3 4
    6. Hallucinations or delusions. 0 1 2 3 4
    7. Depressed mood. 0 1 2 3 4
    8. Other mental health issues [Anxiety]. 0 1 2 3 4
    9. Relationships. 0 1 2 3 4
    10. Activities of daily living. 0 1 2 3 4
    11. Problems with living conditions. 0 1 2 3 4
    12. Problems with occupation and activities. 0 1 2 3 4
    Results Key: see Assignment Information package.
    Discipline of Nursing
    Complex Mental Health & Recovery 8
    DSM-5 Diagnosis for the Client with Schizophrenia
    The DSM-5 diagnosis for Bernard is as follows:
    · Schizophrenia (295.9).
    Planning
    The Nursing Care Plan for Bernard illustrates how nursing diagnoses
    guide the development of goals and therapeutic interventions. Ideally, the
    nurse collaborates with the client in planning care.
    This can be difficult to do with the psychotic or depressed person who is
    feeling hopeless, helpless, and unmotivated.
    The nurse’s communication of the firm belief in the client’s capacity,
    ability, resourcefulness and potential for recovery is critical in
    empowering the client to begin the journey towards recovery.
    Equally the nurse’s communication of the firm belief that the client will
    feel better with time can often be enough to engage the client in at least
    going along with the care plan.
    Setting practical, reasonable, manageable, short-term goals that the client
    can accomplish without much difficulty is important in fostering a sense of
    hope and improved self-esteem.
    The nurse should expect that with the amotivated psychotic client, early
    interventions may need to be aimed at “doing for” the client [after accurate
    identification of those abilities that remain intact vs. those that are
    compromised].
    The care plan will also need to include consideration regarding the
    involvement/capacity of family, friends and other significant supports
    care of her daughter], but the expectation should be that the client will
    gradually assume more independent functioning as their mental state
    improves.
    Implementation
    Nursing interventions are guided by the nursing care plan. For the
    psychotic client, priority needs to be given to preventing self-harm
    through ongoing assessment of suicide potential and maintenance of a
    safe environment.
    Discipline of Nursing
    Complex Mental Health & Recovery 9
    In addition, improving and maintaining physical health are important
    foci of care for the depressed client, who is likely to have an altered
    nutritional status and disturbed sleeping pattern.
    Monitoring for side effects of pharmacological treatments for
    depression is equally important to maintain biological integrity.
    The psychotic client is often socially isolated and withdrawn.
    Involving the client in individual and group interactions in the
    hospital unit will decrease his or her isolation and foster a sense of
    self-worth.
    As the client’s symptoms of depression respond to the
    psychotherapeutic and somatic interventions implemented, psychoeducation
    becomes feasible.
    Clients and their Families should be educated about the type of
    mental illness they have, as well as its possible causes.
    Specifically, the contribution of both neurobiological and psychosocial
    factors to the onset of depressive illness should be discussed.
    Informing the client of the signs and symptoms of depression is
    important so that recurrence can be identified early.
    Education regarding the maintenance of medication regimens should
    be conducted.
    Evaluation
    Evaluation of the client’s responses to nursing interventions should be
    ongoing. In developing a Recovery Focused Care Plan for Bernard the nurse
    might ask the following questions to evaluate the effectiveness of the nursing
    process to ensure progress remains ongoing:
    · Does the client describe an improvement [reduction] in the frequency and
    intensity of paranoid thoughts?
    · Does the client describe an improvement in his level of organisation related
    to both his thinking and his behaviour overall?
    · Does the client describe an improvement in mood and energy level?
    · Has there been any change in / worsening of his suicidal ideation?
    · Has the client learned new, more effective ways of expressing feelings?
    · Has the verbalisation of self-deprecatory [worthless/hopeless] ideas
    diminished?
    Discipline of Nursing
    Complex Mental Health & Recovery 10
    · Is the client initiating interactions with others?
    · Is the client initiating planning for his future taking into account the
    impact of his mental illness?
    In asking these and other questions, the nurse reflects on his or her own
    observations; on the observations of other team members and the client’s
    family; and, of utmost importance, on the client’s description of his or her
    own experience.

    Discipline of Nursing
    NURS2098: Complex Mental Health & Recovery 1
    Written Assessment Task
    Recovery Focused Nursing Care Plan
    DUE: Sunday 19th April 2015 by 23:59 [End of Week 6].
    Title: Recovery Focused Nursing Care Plan
    1500 Word Assignment
    25 %
    Assignment Number 1: 25%
    Developing a Recovery Focused Nursing Care Plan [RFCP].
    – A Recovery Focused Nursing Care Plan based on the care of a consumer described in one of
    scenarios. Please see the assessment information package for more information on this
    assignment.
    Instructions:
    1. Choose 1 of the scenarios to use as the basis for your assignment [you will base your entire
    assignment on one of the case scenarios only]
    2. Read the Case Study and identify 5 Goals drawn from both the case study information and
    the HONOs scale for the consumer in the scenario. Consider and adopt a Recovery Model
    perspective in doing this.
    3. Having read the following case study, and familiarised yourself with the layout of the
    nursing care plan, you are to complete the Recovery Focused Nursing Care Plan for this
    client.
    4. Each RFCP must include 5 full Goals/Issues with each section fully completed.
    5. In keeping with the Recovery Model principles [as conveniently discussed in the Week One
    lecture] remember to:
    a. Rank the goal priority in the order in which the consumer would like to address
    the issues listed [there are going to be different ways to do this depending on
    what you see as being the highest priority]; this will require some critical
    consideration on your behalf.
    b. Make sure that language used on the RFCP is clear, encouraging and agreed by
    consumer and clinician.
    Discipline of Nursing
    NURS2098: Complex Mental Health & Recovery 2
    c. Keep in your mind at all times the importance of this being a ‘shared document’
    that aims to maximise the consumer’s strengths, capacity, abilities and
    resources.
    6. You are allowed to ‘fill in’ details in the case study where you feel that it is important for
    the completion of the RFCP. If you do this you must include all additional information in
    an Appendix which should be cited in text wherever this information is relevant.
    7. You must support your work with references. In particular this means that his means that
    you will need to locate references that support nursing and consumer interventions as
    wells as in identifying potential strengths [especially through the literature on the
    Recovery Model] as well as when identifying supports and resources and determining
    timeframes for review.
    8. Please post all questions up on the Course Discussion Boards as this will allow all students
    to benefit from the answers.
    9. In keeping with RMIT policy all assignments are to be submitted through the Turnitin
    Portal available via the course webpage.
    The assignment is due by 23:59 on Sunday night: the portal will remain open until this
    time however after the portal closes you will not be able to submit your assignment so
    please make sure that it is submitted by 23:59.
    The Turnitin portal will open 2 weeks prior to the assignment due date to allow you to
    submit your assignment. You are allowed to submit it as many times as you would like up
    until 23:59; the assignment I will receive to mark will be the LAST one you submitted.
    Discipline of Nursing
    NURS2098: Complex Mental Health & Recovery 3
    Constructing the Recovery Focused Nursing Care Plan:
    When constructing the RFCP you are required to submit he document using the following format:
    Consumers
    Priority
    Identified
    Goals/Issues
    The consumer’s
    strengths to
    address these
    issues.
    Consumer and
    Nursing
    Interventions
    Person/s
    Responsible
    Timeframe
    – Include a
    succinct
    statement
    describing
    the issue.
    – Rank
    according
    to the
    consumers
    priorities.
    – Can be done
    using HONOS or
    based upon the
    information
    provided in the
    case study
    – This section is
    critical to
    ensuring the
    plan has a
    genuine
    recovery focus.
    – You need to
    ask questions
    such as:
    – ‘What can they
    do?’
    – How
    can they help
    themselves?
    – Include
    agreed
    actions and
    expected
    outcomes.
    – Consider
    what needs to
    be done for
    each Goal /
    issue and
    identify what
    things the
    consumer can
    do and what
    things the
    nurse needs to
    do.
    – Who is
    responsible
    for this
    intervention
    occurring?
    – Who will be
    assisting in
    this
    intervention.
    – What sort
    of assistance
    are they
    going to give.
    – This needs
    to be realistic
    and
    developed
    with the
    consumer.
    – It also
    needs to
    reflect the
    time taken
    for
    interventions
    to effect
    change in the
    consumer’s
    symptoms.
    So your final assignment will have the following structure
    Consumers
    Priority
    Identified
    Goals/Issues
    The consumer’s
    strengths to
    address these
    issues.
    Consumer and
    Nursing
    Interventions
    Person/s
    Responsible
    Timeframe
    #1 Goal/Issue 1 Strengths 1 Interventions 1 Responsibility 1 Timeframe 1
    #2 Goal/Issue 2 Strengths 2 Interventions 2 Responsibility 2 Timeframe 2
    #3 Goal/Issue 3 Strengths 3 Interventions 3 Responsibility 3 Timeframe 3
    #4 Goal/Issue 4 Strengths 4 Interventions 4 Responsibility 4 Timeframe 4
    #5 Goal/Issue 5 Strengths 5 Interventions 5 Responsibility 5 Timeframe 5
    Discipline of Nursing
    NURS2098: Complex Mental Health & Recovery 4
    The HONOs and the Recovery Focused Nursing Care Plan:
    The HONOs scale is completed as part of the assessment data and can be used to identify the key Goals and Issues
    and then rank them according to consumer preference. It is included as part of the case study information.
    Domain Results
    1. Overactive, aggressive, disruptive behaviour. 0 1 2 3 4
    2. Non-accidental self-injury. 0 1 2 3 4
    3. Substance use and misuse. 0 1 2 3 4
    4. Cognitive problems. 0 1 2 3 4
    5. Physical illness or disability problems. 0 1 2 3 4
    6. Hallucinations or delusions. 0 1 2 3 4
    7. Depressed mood. 0 1 2 3 4
    8. Other mental health issues. 0 1 2 3 4
    9. Relationships. 0 1 2 3 4
    10. Activities of daily living. 0 1 2 3 4
    11. Problems with living conditions. 0 1 2 3 4
    12. Problems with occupation and activities. 0 1 2 3 4
    Results Key
    0 = No problem at all during the rating period [usually the last 72 hours].
    1 = Minor problem / occasional issues causing occasional periods of distress or impairment during the rating
    period [usually the last 72 hours].
    2 = Moderate problem during the rating period [usually the last 72 hours] causing passing periods of distress or
    impairment during the rating period [usually the last 72 hours].
    3 = Significant problem causing persistent distress or impairment during the rating period [usually the last 72
    hours].
    4 = Severe problem causing constant distress or impairment during the rating period [usually the last 72 hours].
    Discipline of Nursing
    NURS2098: Complex Mental Health & Recovery 5
    The Recovery Focused Nursing Care Plan Marking Guide.
    Student Name: _________________________________________
    Assessment Criteria Mark
    Allocation
    Consumer Priority:
    · Prioritisation logical and appropriately organised.
    · Reflects the information in the case study.
    · Reflects consumer preference.
    · Prioritisation reflects a commitment to the key concepts of the recovery model.
    /3.
    Identified Goals/Issues:
    · Congruent with client needs.
    · Reflects the information provided in the case study.
    · Clear, succinct and relevant.
    /3.
    Consumer’s strengths to address these issues:
    · Realistic, sensible and possible strengths identified.
    · Relevant and connected to the Goal/Issue.
    · Strong person focus.
    /4.
    Consumer and Nursing Interventions:
    · Appropriate for outcomes.
    · Feasible and realistic.
    · Consumer interventions relevant & appropriate.
    · Consumer interventions act to maximise consumer ability and capacity.
    · Nursing interventions based on sound evidence/research.
    · Nursing interventions Consumer oriented [not nurse / system oriented].
    · Nursing interventions act to do only what the consumer cannot.
    /4.
    Persons Responsible
    · Relevant, appropriate and realistic.
    · Person and role clearly identified.
    · Roles allocated to maximise consumer, carer and community involvement.
    · Seeks to maximise consumer / carer involvement.
    /3.
    Timeframe
    · Reflects the Goals / Issues as outlined.
    · Feasible, Realistic & Measurable.
    · Specific to the consumer and their strengths / resources / barriers and overall situation.
    /3.
    Style & Presentation:
    • Including use of word limit, double-spacing, use of header & footer, section headings, page
    numbers, and size-12 Times New Roman font.
    · Spelling, grammar and paragraph structure meets academic standards.
    /2.
    Referencing:
    • Utilises relevant and contemporary references to support the discussion in each response
    • In text referencing used throughout.
    • Referencing formatted in accordance with APA requirements.
    • Includes at least 12+ current references (books and journal articles)
    /3.
    TOTAL: /25.

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