Professional Presence And Influence On Nursing Practice

Society has progressed both socially and technologically as has medicine. This includes our understanding of health and healing as evidenced by Dossey’s three eras of medicine. Era 1, beginning in the 1800’s, reflected the prevailing view that health and illness are totally physical in nature and therapies included surgical procedures and drugs. Era 2, starting in the 1950’s, related to the mind and body. Practitioners began to realize that emotions and feelings can impact health. Era 3, still developing today, began in the 1990’s and builds on the previous eras by adding the spirit and proposes that consciousness is not confined to one’s

Cultural diversity in the health care setting is increasing each year. Knowing how to care for patients of different religious and spiritual faiths is essential to providing high-quality, patient-centered care. The author of this paper will research three lesser-known religions; Taoism, Sikhism and Shamanism. Through this paper, she will provide a brief background on each of the three religions and present information regarding spiritual perspectives on healing, critical components of healing and health care considerations associated with each religion.

Dr. Larry Dossey has recognized three major periods in the history of medicine: Era I medicine (mechanical medicine), Era II medicine (psychosomatic medicine), and Era III medicine (nonlocal medicine). Era I "mechanical medicine" and which started approximately in the 1860s, reflects the prevailing view that health and illness are completely physical in nature, and so all treatments should be physical ones, such as surgical procedures or drugs. In Era I, the mind or consciousness is fundamentally equated with the functioning of the brain. Era II started to take form in the period following World War II. Physicians began to realize, based on scientific evidence, that disease has a "psychosomatic" aspect: that emotions and feelings can influence the body's functions. Psychological stress, for instance, can contribute to high blood pressure, heart attacks, and ulcers. This was an extreme advance over Era I (Dossey, 1999).

How does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the "Nursing Timeline of Historical Events" media piece. How have these trends influenced your perspective of nursing practice?

Healthcare, and Medicine is advancing more and more each day. As healthcare workers, our understanding of health and healing has improved and changed in the way we care for our patients. Dossey believed in the three eras of medicine. Era 1 began in the 1800s and its focus was solely on the body. The belief that healing and overall health are totally physical. The therapies and treatment were either medications or surgical procedures. The thought that healing all humans based on bodily functions, and how they can be treated will change as time changes. Era 2 began in the 1950s and it focused on the mind and body. Health care providers realized that

The newest and most recent of Larry Dossey’s Eras is Era III which took shape in the 1990’s. Era III is considered the body, mind, spirit and biopsychosocial model. In this model Dossey explains that healing is not only on a physical level but a conscious level. Dossey states “Consciousness is not confined to an individual body, an individual mind may affect not just their body but also other people around them” (Dossey,L. nd). The Eastern models of TCM (Traditional Chinese Medicine) and the Ayurvedic beliefs about being human and caring for people are similar to Dossey’s theories. These theories underlying belief in how to provide care are the body is made of 5 elements and disease is caused when there is an imbalance between the elements (“Traditional Chinese Medicine: In Depth & What is the Philosophy of Ayurvedic Medicine, nd).

1)Era I (Physical Body) is based mainly on the physical aspect of health such as “surgery and drugs”. “The mind of consciousness is equated with functioning”, Whereas Era III(bio-psycho-social) is based more on consciousness.

Since the mid-19th century, there have been three distinct models of health and healing. The first era began in the mid-1960s and dealt primarily with the physical body. It is known as the mechanical model and focused solely on the anatomy and physiology of the body. It was physical in nature, and gave no consideration to the mind or spiritual side of the human being.

Professional presence is something of a nebulous concept. Before this course, I honestly never considered what it was and how my nursing practice was defined by it. During my journey through this course I discovered what it truly meant. “Presence is an intersubjective encounter between a nurse and a patient in which the nurse encounters the patient as a unique human being in a unique situation and chooses to spend her/himself on the patient’s behalf’’ (Wingate, 2007). Presence defines how a person interacts with those around them, and particularly in the healthcare field, it’s incredibly important.

Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, 2013). For most nurses, caring for a dying elder (individual aged 65 years and above) is a discrete, time-limited experience that begins with first contact, often in a hospital, emergency room, or long term care facility, and ends with the death itself (Phillips & Reed, 2008).

1. Era I – “Mechanical Medicine” began in the 1860’s. Its focus is on surgical procedures and drugs. The thought was that health and illness are only physical in nature and consciousness is equated to functioning of the brain. Era I thinking in displayed in review of psychiatric care in the early 1900 with the use of frontal lobotomies to cure hysteria. The thought was that performing a surgical procedure on the brain will remove the area that is causing the Hysteria. Era I focuses on performing a procedure or providing a medication to fix the body physically, while Era III takes into account the patients perception of health, their stats of mind and their support

In both Buddhism and Christianity, there are critical component of healing such as prayers, meditation, belief and yoga. In holistic medical care, the medical personnel must take care of all aspect of the patient which includes the body, the emotions and the spiritual. The doctors and nurses should ensure that that they offer all necessary support that is

Larry Dossey formulated a three-model approach to medicine that describes the periods through which medicine has progressed since the mid-19th century. Nonetheless, I will only discuss two models in particular. Era I, also known as the mechanical model, began in the 1860s and represents the roots of the medical profession. This health model is described as the physical-body aspect of being human and reflects the view that health and illness are simply physical in nature.

Some people choose to deny it, but those who get healed and the doctors who verify these healing miracles, know better there is a God who heals. Thousands of people all over the world are miraculously healed from incurable conditions, after being touched by the power of God. There are Christian healing ministries in almost every nation of the earth, who organize crusades where people are being healed by Jesus Christ. Many Christians all over the world are going to the streets to pray for the sick publicly and they see many healed. Further examples include many books film documentaries have been produced to tell the world of these amazing modern day miracles which persuades people to believe in

The world is full of people suffering from all types of emotional and physical illnesses. Many of them try to go to a regular doctor for treatment of their condition, but most physicians seem to care more about how much money that they are going to get than they do about the health and wellness of their patients. They either hand out stacks of dangerous prescriptions for medications that do more harm than good, or they refuse to even run a few simple tests that could discover the true cause of an illness. Their uncaring nature goes against the field of medicine, which is why so many people who have been stricken down with an illness are starting to go to a spiritual healer instead.