Introduction

This nursing care plan addresses essential concerns that Jesse has, such as uncertainty about his employment, inappropriate housing, and elevated stress and anxiety. The plan attempts to assist the person in resolving employment uncertainties, obtaining a supportive living situation, and creating healthy coping skills to reduce stress and anxiety through focused interventions and evidence-based tactics.

Person’s Need/Issue

Identified Goals

Interventions, Actions & Strategies to Achieve Goals

How Will This Issue Be Known to Be Resolved?

Career Indecision

Goal 1: Become an Ambulance Paramedic

Intervention 1: Research entry requirements and options

Action: Conduct thorough research on the entry requirements for ambulance paramedic training programs.

Strategy: Utilize online resources, contact educational institutions, and attend information sessions.

Evidence: Setting specific and challenging goals enhances motivation and commitment (Collings et al. 2022).

 

Intervention 2: Skill-building through short courses and volunteer work

Action: Identify short courses or volunteer opportunities to gain the necessary background and experience.

Strategy: Explore local community colleges, online platforms, and volunteer organisations related to emergency services.

Evidence: Martin et al. (2020) emphasise the importance of practical experiences and skill development for career readiness.

Successful enrollment in a paramedic training program, completing relevant courses, and gaining practical experience.

Success in a paramedic training program can be assessed through grades, practical exams, and field experience reports. Certification exam success, consistent attendance, active participation, and positive instructor feedback are crucial.

Peer collaboration, problem-solving abilities, effective communication, and adherence to protocols also contribute to evaluating an individual's readiness for paramedic roles.

 

Unsuitable Accommodation

 

Goal 2: Find a supportive living environment

Intervention 1: Research and explore sober living options

Action: Research and compile a list of sober living options in the area.

Strategy: Utilize online platforms, contact local support groups, and visit potential living spaces.

Evidence: Naren et al. (2022) highlight the importance of a supportive living environment for individuals in recovery from substance use disorders.

 

Intervention 2: Open communication with housemates

Action: Initiate a conversation with current housemates about the commitment to sobriety.

Strategy: Use assertive communication, share personal goals, and express the need for a supportive living environment.

Evidence: Effective communication within a household is associated with improved satisfaction and reduced stress (Raising Children Network 2023)

 

Securing new accommodation in a supportive environment or establishing clear communication with current housemates improves living conditions.

High Levels of Stress and Anxiety

Goal 3: Develop healthier coping mechanisms

Intervention 1: Incorporate art and creative activities

Action: Schedule regular time for art or creative activities, such as drawing, painting, or other expressive outlets.

Strategy: Set aside dedicated time each day for creative pursuits to provide an outlet for emotions.

Evidence: Stevens et al. (2019) highlight the positive impact of art therapy on mental health and well-being.

 

Intervention 2: Explore mindfulness techniques

Action: Learn and practice mindfulness techniques, such as deep breathing, meditation, or yoga.

Strategy: Attend mindfulness workshops, use guided apps, and integrate mindfulness into daily routines.

Evidence: Hurwitz et al. (2023) demonstrate mindfulness techniques' efficacy in reducing anxiety symptoms and improving overall mental health.

Reduction in reliance on diazepam, engagement in regular creative activities, and reported improvement in overall stress and anxiety levels.

 It can be evaluated using the Depression Anxiety Stress Scales (DASS-21) which is a set of three self-report scales designed to measure the emotional states of depression, anxiety, and stress (Queensland Health 2023).

 

Conclusion

Jesse’s lack of direction in their career, inappropriate housing, and elevated levels of stress and anxiety are all addressed in this extensive nursing care plan. The plan tries to lead the person toward resolution, fostering career clarity, supportive living arrangements, and improved mental well-being through focused interventions, such as studies on paramedic training, investigating sober living options, and incorporating creative and mindfulness activities.

References

Collings, S, Allan, J & Munro, A 2022, ‘Improving treatment for people with cognitive impairment and substance misuse issues: lessons from an inclusive residential treatment program pilot in Australia’, Disability and Health Journal , vol.15, no.2, p.101295, viewed on 25 November 2023,

Hurwitz, C, Shiner, CT, Sharrock, MJ, Millard, M & Mahoney, A 2023, ‘Mindfulness-enhanced internet-based cognitive behavioural therapy for anxiety and depression: outcomes in routine care’, Journal of Affective Disorders , vol.341, pp.1-7, viewed 25 November 2023, < >

Martin, J, Liddell, M, Roberts, S & Greenwood, E 2020, ‘Effective therapeutic interventions for Australian adolescents using alcohol and/or other drugs: a scoping review’, International Journal of Mental Health Systems , vol.14, viewed 25 November, 

Naren, T, Cook, J, Armstrong, F & Manger, S 2022, ‘Lifestyle interventions in the management of substance use disorder’, Australian Journal of General Practice , vol.51, no.8, viewed 25 November, <>

Raising Children Network 2023, Effective communication with parents and carers: for professionals, Australian Government, viewed 25 November 2023, 

Stevens, K, McGrath, R & Ward, E 2019, ‘Identifying the influence of leisure-based social circus on the health and well-being of young people in Australia’, Annals of Leisure Research, vol.22, no.3, pp.305-322, viewed 25 November, Queensland Health 2023, Screening tools, Queensland Government, viewed 25 November 2023, 

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For In-Depth Information, Read Our Blog On:- How To Write A Nursing Care Plan Evaluation For New Nurses

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