much education as possible about the illness, the care plan, and the stated goals. Families client’s can be utilized to identify potential problem areas and encourage the adherence to clients’ medication and treatment plans, as well as being educated on signs of relapse (Sundeen, 2013). Another crucial component of family support is the assessment of expressed emotion (EE) within a family. EE is the degree to which a family or caregiver perceives themselves to be burdened by the and needs, and expresses either a high or low level of criticism, blame, or client’s illness judgement towards the client. Repper and to live in Perkins (2003) explain, “People returning high expressed emotion settings are more likely to relapse within the next nine months than those going to live with families showing low expressed (p. 125). This is why emotion” psychoeducation of not only the client, but their families and caregivers is so imperative. Nurses can also help families experiencing high levels of EE by referring them to resources such as caregiver support groups or respite services. Planning and Implementation Once a clear picture emerges as to what the client wishes to accomplish, planning and implementation are the second phase of the PSR model. The goal is to foster independence of the client while ensuring supports are in place to encourage successful outcomes. Sundeen (2013) emphasizes the importance of the nurse and client deciding together on the desired level of functioning, as well as the nurse being sure that the coping skills are adequate enough to client’s deal with the stress of growth and change. Planning could be as simple as joining a support group for socialization and a sense of inclusion, or something more complex such as determining a way to continue in their chosen profession. Whatever the goal, it must be prioritized and acted upon by the client; recovery is not something which is imposed. Another important point in planning
much education as possible about the illness, the care plan, and the client’s stated goals. Families can be utilized to identify potential problem areas and encourage the clients’ adherence to medication and treatment plans, as well as being educated on signs of relapse (Sundeen, 2013). Another crucial component of family support is the assessment of expressed emotion (EE) within a family. EE is the degree to which a family or caregiver perceives themselves to be burdened by the client’s illness and needs, and expresses either a high or low level of criticism, blame, or judgement towards the client. Repper and Perkins (2003) explain, “People returning to live in high expressed emotion settings are more likely to relapse within the next nine months than those going to live with families showing low expressed emotion” (p. 125). This is why psychoeducation of not only the client, but their families and caregivers is so imperative. Nurses can also help families experiencing high levels of EE by referring them to resources such as caregiver support groups or respite services. Planning and Implementation Once a clear picture emerges as to what the client wishes to accomplish, planning and implementation are the second phase of the PSR model. The goal is to foster independence of the client while ensuring supports are in place to encourage successful outcomes. Sundeen (2013) emphasizes the importance of the nurse and client deciding together on the desired level of functioning, as well as the nurse being sure that the client’s coping skills are adequate enough to deal with the stress of growth and change. Planning could be as simple as joining a support group for socialization and a sense of inclusion, or something more complex such as determining a way to continue in their chosen profession. Whatever the goal, it must be prioritized and acted upon by the client; recovery is not something which is imposed. Another important point in planning
principles_of_psychosocial_rehabilitation.docx