Executive Summary: Observation Of Holistic Care

In this course one of the objectives was to distinguish the elements of a holistic health assessment. I have learn that as a nurse you treat the patient as a whole. Not only is the patient the focus, but everything involved with that patient. The illness,past medical diseases and surgeries, the family,medications the environment. The nurse must look at the support system and if any religion affiliate's. The patient's education level and how they process and receive information. The nurse must look at the culture and assess one's own beliefs, culture and values. The nurse must not be judgmental and treat the patient and family with dignity and respect. The number one issue is to develop a trusting workable relationship with the patient and

The purpose of this research paper was to establish understanding and the importance behind patient-centered care and safety. The research includes the relationship between the healthcare professionals, patients, and the patient’s families. The research also identifies the approach and outcome of collaborative care, caring attitudes, patient satisfaction and positive outcomes. The approach towards patient-centered care and safety is a team effort including all healthcare members, patients and at times family involvement.

This essay provides a written account of the holistic assessment used when admitting a patient onto a respiratory ward. A brief outline is also included of the processes involved together with the resources used for collating information. Using the Roper, Logan and Tierney activities of daily living (ADL’s), eating and drinking, has been identified as one goal of nursing care. A short reflection has also been included based on experiences gained on a first clinical placement on the ward. For the benefit of this essay the selected patient will be referred to as Mrs P in order to maintain confidentiality.

A particular emphasis on the different areas of nursing, such as patient-centered care has captured the interest of many. The need for patient-centered care has grown, in part, from the evolving medical atmosphere in the United States (Reynolds, 2009). Nurses and other health care providers no longer are solely in charge of care. Patients demand to be active partners in the health care process (Reynolds, 2009). In patient-centered care, the needs of the patient and patient satisfaction are the priority (Reynolds, 2009). It does not focus exclusively on the sickness, but rather, on the patient and the patient’s psychological, spiritual and emotional needs. Patient-centered health care attempts to engage patients and their families in the active participation of the decision-making methodology. This is accomplished by supplying them with knowledge about the patient’s health condition. Patients critique the standard of healthcare they receive. They evaluate based on social graces and more importantly bedside manner. Most are incapable of evaluating a nurse’s level of skill or training, so the qualities they can assess become of the utmost importance in satisfying patients and providing patient-centered care (Reynolds, 2009).

Looking at health care around the world demonstrates that no matter what type of health care is being employed – socialist, capitalist or a blending of the two – there are system wide changes that may be implemented. Within their study, Koch, Miksch; Schürmann; Joos & Sawicki (2011) reported in table 2, that 71% of Canadian physicians feel that fundamental changes have to be made to the health care system for it work better (Koch, Miksch, Schürmann, Joos, & Sawicki, 2011). Mery, et al. (2015) suggest that integrated care would reduce fragmentation and duplication of services while improving patients’ experiences (Mery, et al., 2015, p. 136). “Provider cohesion” is mentioned as being fundamental in the care of elderly

Recently, my primary care clinic implemented a strategic initiative to increase patient accessibility to health care provider appointments. The managers within my clinic restructured our clinicians and nurses into health care teams called Patient-Centered Medical Homes (PCMH). PCMH involves realigning staff into teams around the primary care managers (PCMs) who have a support team helping them provide comprehensive, coordinated healthcare for patients (Army PCMH implementation manual, 2013). The PCMs are the physicians, nurse practitioners (NPs), and physician assistants (PAs) within our clinic. Each team has one PCM and three support staff (RN, LPN, CNA or medic) helping them provide care to their empanelment of patients (Army

Patient-Centered Care Patient-centered care focuses on the patient and the individual’s particular health care needs. The goal of patient-centered health care is to empower patients to become active participants in their care. This requires that physicians, nurses and other health care providers develop good communication skills and address patient needs effectively. Patient-centered care also requires that the health care provider become a patient advocate and strive to provide care that not only is effective but also safe.

When working as an Rn, there are many different hazards and risks associated with direct patient care such as coming in contact with infectious diseases and toxic exposures, stress, violence, and injuries. According to the National Center for Biotechnology Information or the NCBI, the occupation as an Rn is very stressful and can impact your health in a negative way. It is not uncommon for an Rn to have a massive workload on a day to day basis that can be so stressful ulcers are formed. In addition to that, patients can be very demanding and require special care. Not to mention that patients may pass away as well as require special, unfamiliar equipment to be used. Another hazard in the medical field in relation to the nursing field is the exposure to infectious diseases and toxic exposures.

Holistic assessment is known as a 'comprehensive assessment of body mind and spirit ' (chrash 2011, p.530). A holistic assessment of a patient’s health is a sructured and systematic approach to establishing the necessary level of care required (doughery & lister). the focus of this paper will be to critically explore one aspect of an assessmen carried out during the care of a patient. the relationship between practice and literature will be explored including the appraisal of the assessment process. Both objective and subjective data has been collected for this, found in appendix a, b and c.

Instructing patients on deep rooted wellbeing ideas that incorporate wellness, nourishment and way of life changes can prompt more advantageous, more satisfied, and more vigorous lives (Turnock, 2009). The danger components for grown-up interminable maladies, for example, sort 2 diabetes are progressively seen in more youthful ages, regularly a consequence of unfortunate dietary patterns and expanded weight pick up. Dietary propensities built up in adolescence regularly convey into adulthood, so showing youngsters how to eat sound at a youthful age will help them stay solid for the duration of their life.

When I go to the doctor's to be seen for something I do look for the attitude they give off and the dress code violations and rules. The new family doctor that I am going to does not make the recptionist wear scrubs and they can have earrings and facial peircings. I do not like that idea. The receptionist is nice but she has a more like cut to chase she has a very weak attitude like she hats her job. My old dr office they were friendly and they cared about each patient and took time to greet you and make you smile.

Patient centred care and holistic approaches is an essential part of the collaborative practices (Steenbergen et al, 2013). In patient centred care the care team puts patient at the centre of systemic outflow that designed from the patient’s perspective(Thislethwaite, 2012). The patent is at the centre of the care means that contribution from the service user to the provision of care. Patient centred care leads to improve the physical, social and emotional well being and it includes respecting patents beliefs and values (Steenburgen etal, 2013; mcCance etal, 2009). According to the NHS England (2013) the patient centred care s defined as the, the care on the needs, convenience and choice of the people and their families and carers. The government

I am of the opinion that a practitioner would be remiss, and therefore would commit a disservice to clients without offering integrative care. In other words, I do support an integrative approach. All too often society references, or calls upon "specialists" who offer "expert" opinion based solely on textbook material and case study.

A suggestion I would make to one of the clinicians I observed will be to focus her activities on things that are of interest of the client. During a session the child was not interest on at all on completing any of the task, the clinician didn't have any reinforces to work with child. The clinician showed the child the chart with the activities of the day and there was a sticker reward to which to child responded negatively. Besides that, they were sitting on a rug where the child had no control of his body, he started changing spots on the rug and lost the track of the activity in the moment. I would recommend the clinician to use a chair and a table to have more control of the child movement and a better reward for the child to make him work

My group’s research topic is holistic treatments options. When any group or individual is trying to persuade a patient to decide one treatment route over another, there could become times where the presented results don’t accurately reflect reality. This is known as fabrication (OSTP 2000). My concern is that since we cannot promise any outcome from a treatment option 100%, that we might leave out many other successful treatment options such as prescription drugs or surgeries just to help fill our personal agenda. It’s easy to talk about the risks that come with surgery but this fails to talk how advanced and less risky they have become over the years. To address this issue, I think it is important to give all the possible treatment options