Psychosocial Nursing Reflection Paper
Introduction and Nursing Diagnoses
The client is a 32-year-old female diagnosed with bipolar disorder, similar to the condition depicted in “Silver Linings Playbook.” She has no significant physical diagnoses impacting her overall health, focusing primarily on managing her psychiatric condition. The first priority nursing diagnosis is “NANDA Diagnosis 1: Ineffective coping related to mood instability as evidenced by manic and depressive episodes.” The rationale includes observations of rapid mood swings and reported difficulty managing daily responsibilities. Also, staff reports indicate frequent mood episodes affecting her social interactions and occupational performance (Aniserowicz et al., 2022). The second diagnosis is “NANDA Diagnosis 2: Risk for self-harm related to depressive symptoms and history of suicidal ideation.” The rationale includes quotations from the client expressing feelings of hopelessness. Besides, the family reports prior suicide attempts during depressive phases, indicating a high risk for future self-harm.
Reflection
Providing optimal care for a 32-year-old female with bipolar disorder requires addressing her medical needs and support system. Currently, pharmacological treatment includes stabilizing her mood and regular therapy sessions to help manage her condition. However, there is a gap in family involvement and community resource utilization. Enhanced family therapy sessions can improve understanding and support. Notably, psychoeducation for the family reduces stigma and equips them with effective strategies. In addition, integrating community resources, such as local support groups for bipolar disorder, can offer additional emotional and practical support. These groups provide platforms for sharing experiences and strategies, reducing isolation for the client and her family (Colizzi et al., 2020). Barriers to implementing these interventions include mental health stigma and limited access to services. Accordingly, addressing these involves promoting mental health awareness and advocating for better service availability. Additionally, fostering a collaborative approach with other healthcare providers ensures comprehensive care management, seamlessly integrating physical and mental health services. Moreover, according to Cheraghi et al. (2023), ethical principles guide care provision. As such, respecting the client’s autonomy involves her in treatment decisions, fostering control and empowerment. Beneficence ensures comprehensive care that benefits her well-being. Nonmaleficence focuses on monitoring self-harm risks and ensuring interventions do not cause harm. Fidelity, the commitment to being truthful and maintaining trust, is also vital in building a therapeutic relationship. Utilizing these principles ensures a holistic and empathetic approach, aiming for the best outcomes for the client and her family. By addressing these factors, healthcare providers can enhance the overall well-being and quality of life of individuals with bipolar disorder.
Nursing Care Plan
Primary Nursing Diagnosis
- Diagnosis: Ineffective Coping related to bipolar.
- Rationale: This is the primary focus, as effective coping mechanisms can mitigate mood instability and improve overall functionality.
Goals
- The client will demonstrate improved coping strategies as evidenced by reduced frequency of mood swings within three months.
- The client will engage in at least one community support group session per week.
Interventions and Rationales
| Nursing Intervention | Rationale |
| Assess and monitor mood changes regularly. | Early detection of mood fluctuations can prevent escalation and allow timely intervention. |
| Encourage participation in cognitive-behavioral therapy. | CBT is effective in helping individuals with bipolar disorder develop coping strategies and manage symptoms. |
| Provide education on bipolar disorder to client and family. | Increased understanding of the condition can help the client and family manage symptoms more effectively and reduce stigma. |
| Refer to community support groups and resources. | Social support can enhance coping skills, provide emotional support, and reduce feelings of isolation. |
Evaluation Methods
The first evaluation method is mood tracking, which includes daily mood diaries and periodic assessments by mental health professionals. Second, therapy attendance, including regular check-ins with the therapist, will ensure consistent participation in CBT. Third, family feedback is also essential. Notably, periodic feedback sessions with the family will help assess improvements in coping and support.
References
Aniserowicz, A. M., Safi, F., Colquhoun, H., Stier, J., & Nowrouzi-Kia, B. (2022). Developing a profile of activities of daily living for bipolar disorder: a systematic review protocol and meta-analysis. BMJ Open, 12(5), e058783. https://doi.org/10.1136/bmjopen-2021-058783
Cheraghi, R., Valizadeh, L., Zamanzadeh, V., Hassankhani, H., & Jafarzadeh, A. (2023). Clarification of Ethical Principle of the Beneficence in Nursing care: an Integrative Review. BMC Nursing, 22(1), 1–9.
Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020). Prevention and early intervention in youth mental health: Is it time for a multidisciplinary and trans-diagnostic model for care? International Journal of Mental Health Systems, 14(1), 1–14. https://doi.org/10.1186/s13033-020-00356-9
ORDER A PLAGIARISM-FREE PAPER HERE
We’ll write everything from scratch
Question 
Psychosocial Nursing Reflection Paper Assignment
Objectives
1. Consider future nursing opportunities about clinical findings, including current issues in mental health care and potential applications for advocacy and support related to clients with mental health diagnoses and their families. (Human Flourishing)
Psychosocial Nursing Reflection Paper
Assignment
Write a 500-word reflection paper based on the information you gathered at your mental health rotation OR with a Med/Surg, etc. patient.
Introduction and Nursing Diagnoses
Include basic client information (without identifiers) and psychiatric diagnoses/diagnoses as well as pertinent physical diagnoses.
Relay your top two priority nursing diagnoses (from your clinical observation sheet) and briefly discuss your rationale for these. Rationale should include observations, quotations, reports from staff or family, or other sources that led you to choose these diagnoses. This section should take up approximately half a page or 125 words.
Reflection
Based on the diagnoses identified, use the next page (around 250 words) to reflect on your ideas of how to provide the best care for this client and their family. Consider whether you think they are currently receiving the best possible care and what other supports and resources might better help them. Consider the following questions:
What are the barriers to implementing the nursing interventions you listed in your clinical assignment?
What ethical principles apply to these considerations?
What resources are available in your community for this patient and/or their family?
*Chapters 34-36 in your textbook provide information about group and family therapy as well as integrative treatment options that might support your discussion.
Considerations
Ethical Principles
1. Autonomy- Respecting the rights of others to make their own decisions.
2. Beneficence- The duty to act to benefit or promote the health and well-being of others.
3. Nonmaleficence- Doing no harm to the patient
4. Justice- The duty to distribute resources or care equally, regardless of personal attributes
5. Fidelity- Maintaining loyalty and commitment to the patient and doing no wrong to the patient
6. Veracity- The duty to communicate truthfully
Varcarolis’ page 93 (9th edition) or page 92 (8th edition, which omits nonmaleficence)