In this course, I learned to achieve the holistic health assessment by viewing the patient as a whole. It is important to consider the patient’s physical, emotional, and spiritual aspect of their lives, which can greatly affect their overall health. I think the most important is the nurse’s intention to care for each patient as a whole and being present for that patient while they can. This course taught me to look at the other potential factors that may be causing the patient’s sickness such as: other health problems, diet, cultural beliefs, habits, stress and personal problems.
As mentioned by Jarvis (2012), interview is a valuable part of data collection and provides an insight on how the person perceives their state of well-being. This
The evaluation of the nursing process is demonstrating the understanding of how to asses a patients overall life by using the 6 holistic approaches towards nursing which are; social, cultural, spiritual, developmental, physical and psychological. The 6 holistic approaches towards nursing are used for the nursing assessment phase within the nursing process to identify all key aspects of assessment and the skill of not just assessing someone on their physical wounds but also their wounds you as a healthcare worker may be unable to identify visually. The National Board of Nursing and Midwifery explains that all nurses and midwives are responsible for a patient’s level of care whether it be physically or any other 5 of the holistic approach to the nursing assessment (NMBA, 2006). Using the holistic approach towards nursing assessment doesn’t necessarily mean that the health care worker has to formally write down a nursing assessment it can simply be done when a healthcare worker is washing a patient, feeding a patient, giving medication and more, this is why a nursing assessment using the holistic approach is the most effective way to conduct a nursing assessment.
Nursing process is a systematic process that involves a continuous cycle of five interrelated phases: holistic assessment of a client, nursing diagnoses, nursing care planning, implementation, and evaluation (Wilkinson et al. 2015). It enables nurses to assess the person’s health status and health care needs, to create plans to meet the identified needs, and to provide and evaluate individualised nursing interventions according to the person’s needs (Luxford 2015). The holistic assessment is the first step of the nursing process that includes the collection of subjective and objective data related to the physical, psychological, social, developmental, cultural, and spiritual status of a client (Wilkinson et al. 2015). This comprehensive approach to nursing assessment is essential because it allows nurses to comprehend not only clients’ health status, but also their routines and needs in order to incorporate their life-styles into the care interventions (Luxford 2015). It ultimately enables nurses to provide appropriate quality person-centred care rather than nurse-initiated care (Luxford 2015). Responsibility for holistic nursing assessment is supported by the Registered nurse standards for practice (2016), ‘Standard 4.1: The registered nurse conducts assessments that are holistic as well as culturally appropriate’ (Nursing and Midwifery Board of Australia [NMBA] 2016, p. 4). This essay will discuss the elements and the importance of holistic assessment in nursing.
This paradigm in nursing practice is caring. In a holistic mind of view is to see the patient first before the disease. This means to understand the patient. Showing the acceptance to the patient regardless of the cause of the disease. Let the patient sees someone is here to take of him or her. The most important aspect in the holistic nursing care when is to take of the patients is having no judgmental mind. Many patients nursing are taking care of most of the time these patients are in the full sense of the mind. Applying this concept into nursing can really promote well-being in patient’s care and treatments
The function of assessment in learning and development is primarily to provide a measurable barometer for the students progress.
Assessment is the initial stage of the nursing process. Roper et al consistently use the term ‘assessing’ to signify that it is an on-going process, and highlights its continuity throughout the patient’s episode of care (Aggleton & Chalmers, 2000). It is divided into two stages to allow for a holistic representation of the patient to be established (Barrett et al, 2009). Effective assessment allows the prompt identification of any changes in a patient’s health status, and if necessary; allows any action to be carried out immediately supporting the delivery of safe, effective care DH (). The formulation of an accurate assessment is a fundamental skill for a student nurse as outlined by the NMC (2004), and so it is important that a holistic approach is adopted for this skill to be achieved. An holistic approach supports the consideration of……..needs,(THEME?) which
In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.
Holistic assessments in nursing provide a unique quality of care to the individual patient. Holism in the provision of care includes assessments obtaining data about the physiological, psychological, sociological, spiritual, developmental, cultural and environmental aspects. It is imperative that the nurse conducting these assessments adopts methods in the nursing process that reflects the standards outlined in Australian Nursing and Midwifery Council National Competency Standards for the Registered Nurse to ensure the health and wellbeing of the patient is maximized and maintained throughout the time health care is received. Nursing processes are directed at restoring overall harmony for the patient therefore an understanding of the
The second factor is faith-hope that translates to being authentically present, and enabling the beliefs of the patient being cared for and the professional who is providing patient care. The third factor is sensitivity to self and other, this becomes cultivations of one’s own spiritual practices, going beyond self, and opening to others with compassion and kindness. The fourth factor is helping, trusting, human care relationship that evolves to developing and maintaining a trusting, authentic, and caring relationship. The fifth factor is expressing positive and negative feeling. The translation of this factor is being supportive when positive and negative feelings with a connection of a higher spirit. The sixth factor is creative problem-solving caring process. This factor requires scientific problem-solving for decision-making and creative use of self. The seventh factor is transpersonal teaching-learning. When using the seventh factor the nurse engages in sincere teaching learning experience. The eighth factor is supportive, protective, and corrective mental, physical, social, and spiritual environment. The environment created allows healing to occur at different levels. The ninth factor is human needs assistance. The patient receives assistance with basic needs with special attention to the mind, body, and soul. The tenth factor is existential phenomenological spiritual
As a nurse you have to care about the patient, their health, using holistic care, and the environment. The patient is the person that comes to you for health care due to them being ill or wanting information on how to improve their health. Patients are the nurse’s main priority and their goal is to make the person feel great again. To do this, nurses care about their health and well-being. Health is your body working at it’s greatest potential. You can obtain good health by taking care of your body, eating well, exercising, and practicing a healthy lifestyle. While caring
A nurse is expertised in assessing patients by collecting and analyzing information about their patients’ physical and mental conditions along with their responses to evaluated conditions while simultaneously acknowledging the extraneous factors the patients’ experience such as physiological, social, spiritual, lifestyle, and psychological. Also, they are found responsible for making making clinical judgments—identifying their patients' symptoms and responses as well as their ongoing needs based on potential problems or complications. Additionally, nurses contribute to the crucial planning involved which means Creating detailed and accessible care plans (that include assessment information and clinical judgments) by setting achievable goals and outcomes that can be measured and charted over a span of time. Lastly, implementing care plans for their patients while ensuring that those plans are not disrupted by evaluating care plans continuously monitoring the status of patients and determining whether or not their care is effective or needs to be
Like the other metaparadigm concepts, health is also quite general. Health does not deal with well being in a strictly clinical manner. The concept of health must include an individual's physical, mental and social well being. A person's health must be seen as relative, as it range is quite broad, as it goes from a high level of wellness to terminally ill (Fawcett, 1996). “A person does not need to be disease free to be healthy; rather one must simply maximize optimal potential to be in a healthy state” (Selanders, 2010, p. 85). It is the responsibility of nurses to identify where the patient's health may be on that scale and to take steps to improve their health.
The environment is built on both external and internal elements. The Fundamentals of Nursing defines external as the “family practices, psychosocial and socioeconomic factors, and cultural background.” Internal elements include “a person’s developmental stage, intellectual background, perception of function, and emotional and spiritual factors” (pg 69). There are many different combinations of internal and external elements in an environment, thus it can be said that the definition of health is not simply black or white, but rather something which is full of grey areas. To consider health, one must also consider illness.
By holistic nursing assessment, we found the following problems:1. physical aspect:muscle and joint pain, skin rashes and concurrent multiple infections; 2. psychosocial aspect:the patient worried about his sister that bear the economic burden of the family; 3. spiritual aspect: suffering from the disease makes his life meaningless; fears of extremely painful dying process. Using the comfort nursing
Unlike in the traditional set up where patients were just recipients of care, today care process recognizes patients as active participants in their health. Providing a holistic care is a key priority in nursing environment which identifies that, care outspreads the walls of a facility. Holistic care aims at the healing of the entire individual’s life and not just about the individual’s sickness. Therefore, holistic care addresses the inter-relatedness of a person’s body, emotions, spirit, mind, context and environment. An accurate holistic care is said to be administered, when the nurse focuses only on all the aspects mentioned above. The Sister Castilla Roy Adoption Model is a notable theoretical model that offers a framework for holistic nursing practice and, “a premise of this theory is that an individual is in both psychological and biological mode as well as largely affected by the external environment (Ursavaş, Karayurt & İşeri, 2014).” Roy’s Adoption Model provides a means for the nurses to focus on their profession of
An underserved community refers to disadvantaged populations which have limited access to quality health care providers, facilities and/or services due to various reasons. A significant number of individuals and communities, who experience inequities or barriers to receiving adequate healthcare, reside in low-income rural areas. This negatively affects their quality of life, preventing them from reaching their full potential for optimal living.